c111 Operators Manual V2 en
c111 Operators Manual V2 en
c111 Operators Manual V2 en
Operator’s Manual
Version 2.0
cobas c111
Document information
Edition notice The cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c). It is optimized for small throughput
workloads of approximately 30 samples per day, utilizing photometric analysis and an
optional unit for ion selective electrodes (ISE).
This manual is for users of the cobas c111 instrument.
Every effort has been made to ensure that all the information contained in this
manual is correct at the time of printing. However, Roche Diagnostics GmbH reserves
the right to make any changes necessary without notice as part of ongoing product
development.
Any customer modification to the instrument will render the warranty or service
agreement null and void.
Software updates are done by service representatives.
Intended use The cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c).
It is important that the operators read this manual thoroughly before using the
system.
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Instrument approvals The cobas c111 instrument meets the protection requirements laid down in IVD
Directive 98/79/EC and the European Standard EN 591. Furthermore, our
instruments are manufactured and tested according to the following international
standards:
o EN/IEC 61010-1 2nd Edition
o EN/IEC 61010-2-101 1st Edition
The Operator’s manual meets the European Standard EN 591.
Regulatory compliance is demonstrated by the following marks:
Contact addresses
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Table of contents
Document information 2
Contact addresses 3
Operation Part B
Table of contents 5
Preface 7 5 Daily operation
How to use this manual 7 Introduction B-5
Online Help system 7 Starting the shift B-10
Conventions used in this manual 8 Preparing the system B-12
Analyzing samples B-32
Validating patient results B-46
System Description Part A Performing calibrations B-52
Performing QC B-59
1 Safety Finishing the shift B-68
Safety classification A-5 Logging off B-78
Safety information A-5 Switching off the system B-78
License notices A-10 Using the barcode scanner B-79
Legal liability A-10
Disposal recommendation A-11 6 Special operations
Safety labels A-12 Deleting patient orders B-83
Deleting patient results B-83
2 Introduction to the instrument Calibration B-84
Overview A-15 Deleting QC results B-85
User interface A-18 Lot handling B-87
Wizards A-19 Exporting data B-92
Daily operation A-20 Importing data B-99
Maintenance A-32 Preparing a new disk B-103
System status A-32 Assigning tests to test tabs B-106
Refilling printer paper B-108
3 Hardware Removing condensation water from
Covers and panels A-37 the reagent cooler B-110
LEDs A-39 Replacing the probe B-111
Main components A-41 Connecting and disconnecting the
Hardware overview A-42 external fluid containers B-113
Technical specifications A-64 Adjusting the touchscreen B-116
Cleaning the touchscreen B-117
4 Software
Introduction A-69 7 Configuration
Screen layout A-70 Introduction B-121
Display items A-71 Applications B-123
Workflows and wizards A-72 Configuration B-137
Working with the user interface A-73
Key screens A-82
Color interpretation for LEDs A-114
Maintenance Part C
Buttons A-116
8 General maintenance
Overview C-5
Maintenance actions C-8
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11 Troubleshooting
Introduction D-35
Dealing with exceptional situations D-36
Reacting to messages D-38
Detailed procedures D-40
ISE Part E
12 ISE description
Overview E-5
Hardware E-9
Basic operation E-12
Technical specifications E-13
13 ISE operation
Daily operation E-17
Replacing ISE fluid bottles E-28
Replacing electrodes E-30
Cleaning the ISE tower off the instrument E-34
14 ISE maintenance
Introduction E-39
ISE maintenance actions E-40
15 ISE troubleshooting
Introduction E-67
Safety E-68
List of ISE flags E-69
Reacting to error messages E-78
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Preface
The cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c). It is optimized for small throughput
workloads of approximately 30 samples per day, utilizing photometric analysis and an
optional unit for ion selective electrodes (ISE).
This manual describes the cobas c111 features and general operational concepts,
and it provides operating, maintenance, and emergency procedures.
o Keep this Operator’s Manual in a safe place to ensure that it is not damaged and
remains available for use.
o This Operator’s Manual should be easily accessible at all times.
To help you find information quickly, there is a table of contents at the beginning of
the manual and each chapter. In addition, a complete index can be found at the end.
The cobas c111 instrument has a context-sensitive online Help feature to aid in its
operating. “Context-sensitive” means that wherever you are located within the
cobas c111 software, choosing Help ( ) displays Help text relating to that area of
the software. The online Help offers a quick and convenient way of finding
information, such as explanations of screens and dialog boxes and on how to perform
particular tasks.
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Visual cues are used to help locate and interpret information in this manual quickly.
This section explains the formatting conventions used in this manual.
Safety alert
Buttons When used for identification purposes, a generic form of the buttons is used, without
color or navigation indicators.
<> Angled brackets are used to identify buttons of the user interface.
[] Square brackets are used to identify user interface elements, for example tabs, names
of options, boxes and column headings.
Screenshots The screen representations shown in this publication are for illustrative purposes
only. The screens do not necessarily show valid data.
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Abbreviation Definition
C
Cfas Calibrator for automated systems
D
DIL Diluent
DM Data management
DRAM Dynamic random access memory
E
e.g. Exempli gratia – for example
EMC Electromagnetic compatibility
EN European standard
I
QC Quality control
R
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System Description A
1 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
2 Introduction to the instrument . . . . . . . . . . . . . . . . . . . . . . . . . A-13
3 Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-35
4 Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-67
cobas c111 1 Safety
Table of contents
Safety
Protecting yourself and the environment
In this chapter, you will find information on the safe operation of the cobas c 111
instrument.
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Safety classification
Safety classification
Before you attempt to use the cobas c111 instrument, you must be fully familiar
with the following symbols and their meanings:
Warning
Indicates a hazardous situation which, if not avoided, could result in death or serious
WARNING injury.
Caution
Indicates a hazardous situation which, if not avoided, may result in minor or moderate
CAUTION injury.
NOTICE Notice
Indicates a hazardous situation which, if not avoided, may result in property damage.
Safety information
Before operating the cobas c111 instrument, it is essential that you both read and
understand the safety information listed below.
Read all Roche safety notices carefully and make sure you understand them.
Transport
Electrical safety
Electrical safety
Connect the analyzer to grounded power outlets only (IEC protection class 1). All
peripheral devices that are connected to the cobas c111 instrument must comply with
safety standard IEC 60950 for information technology equipment, or with IEC 61010-1, UL
61010-1 for laboratory use instruments.
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Safety information
Optical safety
Loss of sight
The intense light of the LEDs may severely damage you eyes. Do not stare into the LEDs.
WARNING Scanning equipment using LED technology is covered by the international standard IEC
60825-1 LED Safety: Class 1.
Mechanical safety
Instrument covers
Biohazardous materials
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Safety information
Waste
Installation
Environmental conditions
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Safety information
Power interruption
Electromagnetic devices
Approved parts
Third-party software
Operator qualification
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Safety information
Spillage
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License notices
License notices
Legal liability
Roche Diagnostics Ltd. assumes only limited liability when using the cobas c 111
instrument in conjunction with the cobas c111 Development Channel
Programming Software.
For detailed information on this matter refer to the latest version of the Development
Channel Registration Form cobas c 111.
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Disposal recommendation
Disposal recommendation
All electrical and electronic products should be disposed of separately from the
municipal waste system. Proper disposal of your old appliance prevents potential
negative consequences for the environment and human health.
Disposal label
Electrical and electronic equipment marked with this symbol are covered by the European
directive on waste electrical and electronic equipment (WEEE) 2002/96/EC.
The symbol denotes that the equipment must not be disposed of in the municipal waste
system.
External components such as the scanner and the ISE power supply, which are marked
with the crossed-out wheeled bin symbol, are covered by the European Directive 2002/96/
EC (WEEE).
These items must be disposed of via designated collection facilities appointed by
government or local authorities.
For more information about disposal of your old products, contact your city office, waste
disposal service or your local service representative.
Constraint
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Safety labels
Safety labels
A B
A This label on the electrode block of the ISE unit indicates that B This label on the main cover indicates that there are potential
there is a danger of hazardous situations arising within the vicinity biohazards within the vicinity of this label, which may result in
of this label, which may result in death or serious injury. The death or serious injury.
relevant laboratory procedures on safe use must be observed. The relevant laboratory procedures on safe use must be observed.
(You will find this label only if an ISE unit is installed.)
In addition to safety labels on the instrument, there are safety notes in the
corresponding parts of the Operator’s Manual.
These safety notes give more detailed information about potentially hazardous
situations that may arise during daily operation or when carrying out maintenance
procedures.
When working with the instrument, be sure to observe both the safety labels on the
instrument and the safety notes in the Operator’s Manual.
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Table of contents
In this chapter, you will find basic information on the features that are relevant for
working with the cobas c 111 instrument.
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Overview
Overview
The cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c). It is optimized for small throughput
workloads of approximately 30 samples per day, utilizing photometric analysis and an
optional unit for ion selective electrodes (ISE).
Only trained personnel working in a professional laboratory environment may
operate the cobas c 111 instrument.
Features As part of the cobas family of instruments, the cobas c111 instrument offers small
laboratories the following advantages:
o High analytical performance
The same bulk reagents, 12-wavelength photometer and disposable cuvettes
generate results that are highly correlated to other cobas instruments.
o Efficient operation
Cooled, exchangeable reagent disks ensure economical reagent use; disposable
cuvette segments allow for easy cuvette loading and removal.
o High reliability, low maintenance
Innovative "low impact" instrument design and software-driven preventive
maintenance improves up-time and reduces maintenance costs.
o Adaptable user interface
The built-in color touchscreen, process-driven software, and reagent and sample
barcode entry adapts to users of different skills and access levels.
o High safety standards
Built-in safety devices, such as level detection, tube bottom detection, cuvette
quality control, and ISE clot detection anticipate potential hazards during
operation.
o Flexible sampling
Eight on-board sample positions accommodate virtually any type of sample
carrier, and enable continuous sample placing and removal during operation.
o Data management
Bidirectional RS-232 and USB ports, on-board thermal printer, and drivers offer
the latest in data management capabilities.
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Overview
Measuring principles Measurements are performed by means of an absorbance photometer and optionally
an ISE (ion selective electrode) module that uses ion selective potentiometry.
L M N O
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Principles of operation
The cobas c111 main instrument uses absorption photometry for determining the
amount of absorbance in a fluid. The absorbance is used to calculate the
concentration in the solution.
Loading the sample The operator identifies the sample, places it on the instrument, and defines the order.
(If you work with a host system, the order is defined automatically.)
Measuring process The measuring process for each test consists of forty regular cycles, each lasting 18
seconds. In each of these cycles, a measurement is taken, irrespective of what other
actions take place during this cycle. The application definitions determine what is
done in which cycle, and they also define which results are taken into account for the
result calculation.
With each cycle, a new test can be started.
The basic process works as follows:
1. Checking the cuvette.
A measurement is taken to check the quality of the cuvette.
2. Pipetting reagent (R1) to the cuvette.
After each pipetting action, the system performs a wash cycle to minimize carry-
over. During this cycle, the probe and tubing are flushed with water and cleaner.
3. Wait.
The fluid needs to reach the prescribed temperature. Such a phase can last several
cycles.
During the wait cycles, activities for other tests are performed.
4. Pipetting the next fluid.
Typically, this would be the sample. The details are defined in the application
definitions.
5. Wait.
6. Pipetting the next fluid.
7. Wait.
8. And so on.
Calculating the results The test result is calculated on the basis of the photometric measurement results.
During this process, various checks are performed to ensure that the whole measuring
process was technically correct. If values are above or below predefined limits, the test
result is flagged.
The results are stored on the system. This includes both the forty measurement results
(raw data) and the calculated test result.
Status of the measuring process At any stage of the measuring process, the user can check its status on the screen.
Result data management The system provides storage space for the results of one working day. For backup
purposes, the results must be exported to an external storage device once a day.
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User interface
User interface
The following is an example of a screen. It contains the full range of display items.
A F
B
C
G
D
A The status line displays the system status. F The Help button leads to concise information
B Tabs represent the major work areas. that is relevant to the current screen and
C The headline characterizes the content or situation.
function of the screen. If the screen is part of G The global action buttons represent the
a sequence of screens (wizard), the headline functions that are permanently available:
tells you where you are within this sequence. Start, Stop, Alarm, Line Feed. The LEDs next
D The working area displays the main content to them point to their status.
of the screen.
E The buttons vary depending on the content
of the working area and the screen position
within a series of steps (wizard).
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Wizards
Wizards
Screens help you perform your tasks. If not all steps of a task can be performed from
one screen, the workflow is realized as a sequence of screens, a so-called wizard.
cobas c111 wizards do not usually force you to perform a task at a certain stage, they
just make your work easier.
e For details on workflows, see Workflows and wizards on page A-72.
When intervention is required On the screen, there are several methods of telling when your intervention is required:
o Buttons and texts are color coded.
Everything is fine.
The current process or action has not started yet or stopped. You need to
do something for it to start or continue.
o Screens can contain instructions. For example the text may ask you to place the
sample on the sample area or to remove a reagent bottle from the reagent disk.
o Messages inform you about the status of current actions.
o A permanent alarm monitor alerts you to events you should know about.
Wizards There are three major wizards: Prepare wizard, Orders wizard, and End Shift wizard.
With most tasks that involve more than one step, such as exchanging reagent or other
fluid bottles, you are supported by wizards.
Prepare wizard The Prepare wizard guides you through the tasks that need to be performed at the
beginning of a shift. When this wizard is done, the system is ready for processing
orders.
Orders wizard The Orders wizard guides you through the process of creating and changing orders.
End Shift wizard The End Shift wizard guides you through the tasks that need to be performed at the
end of the day or to prepare the instrument for handing over to another operator.
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Daily operation
Daily operation
Overview
Daily operation includes the routine tasks that are required to prepare and monitor
the system, and to analyze samples.
When you switch on the system, it performs several checks to make sure that all
preconditions are met, for example that all covers are closed or that there are cuvettes
available. It then performs self-tests to ensure that all modules function properly.
At the end of the startup phase, the screen is updated to display the current status of
the system.
The following table gives an overview of the tasks you might need to perform during
daily operation.
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A B C
Reagent disk On the instrument, the reagents are stored on a reagent disk. It provides space for 27
bottles, allowing up to 14 reagent sets to be installed on the disk, assuming that most
tests need two reagents. Extra diluents and cleaners are also loaded on the reagent
disk.
You can work with up to eight different reagent disks on one cobas c111
instrument.
You always load and remove bottles while the disk is on the instrument. (The system
needs to know exactly what is loaded on the disk.)
When you finished running tests, you can remove the whole reagent disk, place it in a
reagent disk container, and store it in a refrigerator.
Bottles cobas c111 reagents, diluents and extra cleaners are provided in uniform bottles.
They are supplied with two dimensional barcodes and placed on the reagent disk with
their cap removed.
Chimneys Chimneys are bottle inserts that reduce evaporation. For reagents that are especially
sensitive to concentration changes, Roche recommend using chimneys on the reagent
bottles. (See the package inserts of the tests whether you should use chimneys or not.)
To generally reduce evaporation, you may use chimneys on all reagent bottles.
Reagent set Up to three reagents can be required to perform a certain test. These reagents are
handled in reagent sets. You can define more than one reagent set for a test, but only
one can be active.
A reagent set is defined as soon as its first bottle is loaded. From this moment on,
whenever you remove or replace a reagent, you do so for all reagents of the set.
Each diluent or cleaner bottle is treated as a separate reagent set.
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Volume detection For each reagent set, the number of available tests is continuously calculated.
Periodic mixing Reagents may have a mixing interval defined. This interval is checked by the system
every 30 minutes, and mixing is performed without removing the reagent bottles
from the reagent disk.
For a reagent set that contains more than one reagent for which mixing is defined, the
shortest interval of all reagents of the set is used for all reagents.
Tests are blocked if any reagent they use requires mixing.
Diluents Both, system water and dedicated diluents are used. System water is kept in the
external water container, dedicated diluents are supplied in reagent bottles and placed
on the reagent disk.
Cleaners Both, a system cleaner and dedicated cleaners can be used. The system cleaner is kept
in the external cleaner bottle, dedicated cleaners are supplied in reagent bottles and
placed on the reagent disk.
Calibration
Calibration is the process that establishes, under specified conditions, the relationship
between values indicated by the analytical instrument and the corresponding known
values of an analyte.
Periodic calibration is required because the concentration of reagents can change over
time.
Reagents are typically calibrated with a two-point calibration, measuring the
predefined value of a multicalibrator and of system water. Some reagents are
calibrated using a set of calibrators.
On the cobas c111 instrument, reagents are handled as sets of up to three reagents.
(You always load and unload all reagents of a set.) As a consequence, all reagents
(bottles) of a set are calibrated when performing calibration.
The system checks when calibration is due.
Each reagent set must have accepted calibration results to be available for use in tests.
When a calibration is due depends mainly on two definitions, the calibration type and
the calibration sequence.
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Calibration type
The calibration types Set and Lot define the manner in which the system determines
whether there is a valid calibration result for a particular reagent set.
Set calibration Set calibration results are valid for the calibrated set only. They can be generated from
any reagent set.
Lot calibration Lot calibration results are valid for the reagent set they were calibrated with and for all
subsequent reagent sets of the same lot. Usually, lot calibrations are generated by
calibrating the first reagent set of a new lot. There can only be one accepted lot
calibration result for the reagents of a given lot.
Let us suppose that you place the first reagent set of a new lot and calibrate it straight
away. Let us further assume that subsequent control measurements suggest that a new
calibration is required. Within the first 24 hours of placing a set on the system, you
can recalibrate it, and possibly existing lot calibration results of this set are
superseded. When this period has elapsed you can no longer change the lot
calibration results. (To generate new lot calibration results, you would have to delete
the existing results and then calibrate a new reagent set.)
Lot calibration is relevant if you work with the calibration sequence [Each Lot and Interval].
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Calibration sequence
The calibration sequence is an application definition. It defines the manner in which
the system determines when a calibration is due.
No Interval You perform calibration whenever you think fit. Use this value if you are sure that the
reagent is stable until it is empty and you replace it with a new one. Calibration is due
whenever a new reagent set is loaded on the instrument.
Interval only You perform calibration only when the interval has expired.
Each Lot and Interval You perform calibration whenever the fist reagent of a new lot is loaded and then each
time the interval has expired.
In this case, the interval is related to the date when the lot calibration was generated,
and it (re)starts whenever you calibrate a reagent set (as a result of interval expiry or
starting a new lot).
You can turn off the interval check by defining its duration as 0 (zero).
Each Set and Interval You perform calibration whenever a new reagent is loaded and when the interval has
expired.
The interval starts again whenever you calibrate a reagent set because the interval had
expired or a new lot was started.
You can turn off the interval check by defining its duration as 0 (zero).
CU (current) denotes that the set is on board and that its calibration results are currently
used.
OB (obsolete) denotes that the set’s calibration results are no longer used.
This status applies for example to the following situations:
o The set was removed and it is empty.
o The set was removed and it is not empty. It was removed more than 30 days ago.
SB (standby) indicates that the set’s calibration results are not currently used.
This status applies for example to the following situations:
o A new set was loaded and calibrated while an identical set was still in use (pre-
calibration).
o The set was removed not more than 30 days ago and it is not empty.
Calibration procedures
There are three basic procedures for performing calibration:
o Calibrating all reagent sets that will need calibrating during the forecast period
Forecast period The forecast period is a configurable period of time. Calibrations that fall due within
this period will be performed collectively.
e See Calibration on page B-146.
Typically you would set this period to fit your shift length, for example 8 hours. This
would enable you to prepare the instrument before the work shift starts and so avoid
having to interrupt sample processing for performing calibrations.
Precalibration At any given time, there is only one accepted calibration result for each test. You can,
however, install and precalibrate one reserve reagent set. This is done, for example, to
ensure continuous sample processing.
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Control A control is a sample that has been measured using all tests it is associated with, in
order to define the ranges and values that determine the correct functioning of the
instrument. This is typically done both for the normal and the pathological analyte
concentration.
When QC is due With regards to when it needs to be performed, QC is divided in the following types:
o QC after Cal.
The QC measurement is due after calibration of the test.
o Interval QC
QC is due whenever its interval has expired. QC measurements of this type are
performed in a batch, typically once or twice a day.
o Default QC
QC is performed at certain times during routine operation. This is done to fit in
with laboratory processes and procedures.
Ways of performing QC With regards to how QC is performed, the following methods are provided:
o Default QC
Default QC is an automated process for performing multiple QC measurements at
the time when you define the QC orders. This is the ideal method if you want to
perform QC at certain times and days.
This method only applies to tests whose controls are defined to be performed as
part of Default QC. Therefore, if you intend to work with the Default QC
function, you need to configure the tests accordingly.
Default QC follows a streamlined procedure where the necessary QC orders are
automatically defined as soon as you identify a control. An order is defined for
each test for which this control is defined, provided the test is currently active on
the system. A wizard helps you select the controls, and a placement list supports
you in preparing and loading the controls.
o Interval QC
This method applies to tests whose controls have an interval defined.
Interval QC is a process that is suitable both for performing a single QC
measurement and for performing all QC measurements that are due. You can
select all tests that require QC simply by pressing a button. (This selection also
reflects QC of the type [QC after Cal].) A wizard helps you select the controls, and
a placement list supports you in preparing and loading them.
Validating QC results Each new QC result has to be validated. If flags are generated, you must determine
their cause and decide whether to accept the result or to rerun the QC measurement.
You can automatically accept unflagged results and results with flags that are
contained in a specific list of flags that should be ignored.
e See Editing the acceptable flags list on page B-142.
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Sample handling
A Sample area LED. A green LED indicates that you should place a tube, a blinking yellow LED
that you should keep clear of the sample area.
Sample types The cobas c111 instrument can process the following sample fluids:
o Serum
o Plasma
o Urine
o Whole blood for HbA1c
Sample tubes The cobas c111 instrument can use both primary and secondary tubes (cups).
You can use any type of primary tube, as long as their dimensions lay within
prescribed limits. Roche recommend using approved cups only.
e See Tubes on page A-52.
Sample barcode You can use sample tubes with or without barcode.
Removing sample tubes You can remove sample tubes as soon as pipetting is complete.
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Order handling
Order Mode The order mode reflects the way in which you organize the tests on the test selection
screen.
Choose <Easy> if the reagents fit on one or two reagent disks and you work with one
test panel on the screen (You can fit up to 25 tests and profiles on this panel).
Choose <Full> if you distribute the reagents across several (up to eight) reagent disks
and if you predominantly work with specific groups of tests, for example for
emergency situations or for testing diabetes. You can assign up to 20 tests and profiles
to each panel (tab).
Patient demographics The cobas c111 software does not support the handling of patient demographic
data.
Host connectivity The cobas c111 instrument can be connected to an external laboratory information
system (LIS) or a host computer for downloading order information and uploading
results.
If the instrument is connected to a host system, the following setups can be
configured:
o Downloading order information
When you identify a sample using the barcode scanner, the appropriate order
information is automatically assigned to the order on the system. (The order
information was downloaded previously.)
o Performing host queries
When you identify a sample using the barcode scanner, a query is sent to the host,
asking for the order information of the sample in question. This information is
then downloaded to the cobas c 111 instrument and automatically assigned to
the sample on the system.
o Transmitting results
You can have results automatically transmitted to the host as soon as they are
accepted.
Routine orders Routine orders are normally defined on the [Overview] tab. The software guides you
through the process of assigning the tests to the sample and placing the sample tube
on the instrument.
STAT orders STAT (short turn around time) orders are handled in the same way as routine orders,
except that their tests are processed next, irrespective of the scheduling of routine
order tests.
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Daily operation
Defining orders There must be at least one free sample tube position when defining an order. You are
guided by the software when ordering the tests and placing the samples.
There can be only one order for each test and sample.
Modifying orders The process for changing an order is similar to that of defining it. You first identify the
sample and then change the tests. You can change an order as long as its processing
has not yet started.
It is always possible to add a further test to an existing order.
Deleting orders At the end of a shift, you should delete all orders that are defined on the system. This
is to free storage space for the next shift. Deleting the orders is an integral part of the
End Shift wizard. (Deleting an order also deletes the corresponding patient results.)
You can export the data to a USB stick and store them on a computer.
Controlling the run Controlling the execution of test runs is done via the global action buttons.
Press to start the run.
Press to stop the run.
Results
You can check the results on the screen as soon as they are calculated.
Units Results are normally given in your lab units. The units can be configured.
Flags Result flags are test-specific. They indicate that the limit of an internal check was
exceeded or not reached.
System flags point to the status of the result within the process of analysis; for
example, they tell you that the result has not been accepted or that is has not been
transmitted to the host successfully.
Printing results You can print all or selected results on the built-in printer.
Validating results All results need to be validated (result accepted, test rerun or repeated).
Result flags help you identify critical results and point to possible actions that need to
be taken.
Each test must have accepted calibration results; tests whose associated calibration
results are not accepted cannot be performed.
Repeating and rerunning tests If a result is flagged, you may decide to run a test again. You can either perform
exactly the same test (Repeat) or perform it with a different predefined dilution
(Rerun).
Storing results The cobas c111 instrument is designed to hold the patient results of one day’s
analyzing. Therefore, you need to back up the data regularly to an external medium.
(Backing up results is an integral part of the End Shift wizard.)
The QC results of the previous and the current months are stored on the system.
Up to five calibration results are stored on the system for each test.
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Maintenance
Maintenance
Completing maintenance actions correctly and on time helps to ensure smooth and
uninterrupted operation of your instrument.
Maintenance scheduling The cobas c111 instrument facilitates performing the maintenance actions in
bundles at the times that suit your laboratory work processes. To that purpose, you
can define in the configuration settings one day of the week as your maintenance day.
e For information on scheduling maintenance actions, see Scheduling maintenance actions
on page B-138.
Interval For most maintenance actions a fixed maintenance interval is defined. (You cannot
change this interval.) This is the basis upon which the system calculates the date when
the actions need to be performed.
The interval timers and counters are reset whenever you confirm that the
maintenance action has been performed.
Maintenance actions without predefined intervals are performed whenever necessary,
or they are triggered by another maintenance action.
Due date The due date is the last possible maintenance day. This is the date you see when you
check the status of maintenance actions.
Ensuring smooth operation Performing all due maintenance actions during the daily Prepare or End Shift phase
ensures that routine operation does not have to be interrupted for performing
maintenance actions.
System status
The cobas c111 instrument provides several means of indicating the status of the
various parts and processes:
o Color coded LEDs on the instrument inform you when and when not to open
covers or place sample tubes.
e See Color interpretation for LEDs on page A-114.
o The colors of buttons inform you whether you need to intervene.
e See Color concept on page A-72.
You can check the meaning of a button using the online Help .
o Buttons on the [Overview] tab lead to detailed information on the status of
selected processes and hardware items.
o Messages on the screen provide information on individual tasks and events.
o The text in the Status line provides information on the status and activities of the
analyzer and photometer unit.
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System status
Status Comment
Standby The user and host interfaces remain active, as do the reagent
cooling system, fluid system, and the cuvette heating.
Maintenance A maintenance action is being performed. The system is not
available for performing tests.
Operating Processing is in progress.
Powerup After switching on, the system performs initialization and
functional test.
Powerdown Regular shutdown is in progress.
E-Stopped Processing has stopped. User intervention is required to allow
the system to resume regular operation.
Table A-3 System statuses
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System status
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Table of contents
Hardware
The parts and how they work
In this chapter, you will find information on the main hardware components of the
cobas c111 instrument.
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Covers and panels
The following figure shows the removable panels and the lids that can be opened.
A B C D
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Covers and panels
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LEDs
LEDs
LEDs are placed on key positions on the cobas c111 instrument. They inform you
whether you can perform certain actions.
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LEDs
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Main components
Main components
The following figure illustrates the main components of the cobas c111 instrument.
A B C D E
G
H
Rotor Provides a cooled area for reagents (cooling assembly) and a heated channel for
cuvettes. It moves the containers to the correct position for loading, removal,
pipetting, and measuring.
Transfer unit Pipettes sample, reagent, and other fluids from their source to target containers such
as cuvettes or the wash station.
Photometer unit Contains the absorbance photometer used for making absorbance measurements.
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Hardware overview
Fluid system (not shown) Transports all fluids around the instrument, including sample, reagent, calibrator,
control, diluent, cleaner, system water, and waste.
Syringe assembly Performs the aspiration and dispensing of fluids. This includes the supply of water
and cleaner to clean the probes in the wash station after every pipetting action, which
prevents carry-over between tests.
Sample area Eight positions for holding sample tubes. This area is also used for placing calibrators,
controls, and auxiliary fluids.
Display The touchscreen provides the user interface for controlling and managing the
cobas c111 instrument.
Front USB port This port is used for the USB stick when backing up data or loading data on the
system.
Hardware overview
Sample area
The sample area provides eight positions for placing sample tubes. You can place
primary and secondary tubes.
e See Tubes on page A-52.
A The LED indicates that the transfer tower is approaching or that you should place a sample
tube.
Place the samples when instructed by the system to do so. For calibrators, the system
tells you on which position to place them, with the other fluids, you can choose any
free position.
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Hardware overview
Fluid system
The fluid system consists of all the valves, pumps, tubing, syringe, fluid sensors, water
and waste containers, the wash station, and the probe. It transports all fluids around
the instrument, including sample, reagent, calibrator, control, diluent, cleaner, system
water, and waste. The fluid system also delivers the correct amounts of fluids to the
cuvettes.
A B C
G H I
NOTICE To prevent overflow of the internal waste tank when the system is in Standby status, the
waste is periodically pumped to the external waste container. (Condensation can build up
in the cooling assembly while the system is in Standby status.)
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C
B
Syringe assembly
The syringe assembly controls the aspiration and dispensing of fluids. It also controls
the supply of water and cleaner to clean the probes in the wash station after every
pipetting action, which prevents carry-over between tests.
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Hardware overview
Wash station
The probe is washed after each pipetting. It is lowered in the wash station and then
cleaner is pumped through the probe to wash it in and outside. Next water is pumped
through the probe to flush away the cleaner.
The wash station is connected by tubing to the internal waste container.
A B C
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Transfer unit
The transfer unit moves the probe to the correct positions for all pipetting and
cleaning actions.
The following figure shows the major parts of the transfer unit.
Transfer head The transfer head moves horizontally (along the X-axis); the probe moves up and
down (Z-axis), and it performs a rotational movement for mixing the cuvette and
reagent bottle content.
Transfer head arrest When the transfer head is obstructed in its horizontal movement, it immediately
stops. All pipetting and processing actions stop.
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Mixing motor The mixing motor is mounted on the carriage. When running, it generates a circular
movement of the probe. This movement is used for mixing the content of cuvettes
and reagent bottles.
Probe The probe has a flat tip. This is required for tube bottom detection. Because such a
probe cannot pierce a bottle cap, all bottles must be placed on the instrument with
their caps removed.
Level detection A sensor detects when the probe enters a fluid. On the basis of this level, the system
establishes whether there is enough fluid to perform the scheduled pipetting action.
Tube Bottom detection A physical sensor is activated as soon as the probe touches the bottom of a sample
tube.
This mechanism also works when the probe touches an object outside the tube. In
both cases, probe action stops and an appropriate alarm message is generated.
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Fluid containers
The following table shows which container is used for which fluid:
The term tube includes all kinds of tubes, as long as their dimensions lay within prescribed
limits. It also includes secondary tubes (cups). See Tubes on page A-52.
Waste containers
A
C
Internal waste tank The internal waste tank collects the waste from the wash station and the ISE unit, if
this is used. It also collects the condensation from the cooling assembly in the rotor.
The internal waste tank is connected by tubing to:
o External waste container
o Wash station
o Reagent cooler (condensation)
o ISE unit (if installed)
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External waste container The yellow external waste container is placed on the external fluid rack. It is designed
to be washed and reused.
Because the system periodically performs wash actions, an external waste container
must be connected at all times. Therefore, when you empty the waste container, you
immediately replace it with the spare container and then empty the original
container. (The instrument is supplied with a spare waste container.)
There is no active level monitoring for the external waste container, but you are
notified if the external waste container has not been emptied for more than one day.
The external waste container is connected by tubing to the internal waste tank.
e See Connecting and disconnecting the external fluid containers on page B-113.
See Checking the status of the external fluid containers on page B-15.
See maintenance action Clean the water and waste containers on page C-16.
Water container
The white water container is positioned on the external fluid rack. Attached to the cap
is a suction tube, which is equipped with a water filter.
There is no active level monitoring for the water container, but you are notified if the
water container has not been refilled for more than one day.
The water container is designed to be washed and refilled.
B
C
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Hardware overview
Cleaner bottle
The cleaner bottle is positioned on the external fluid rack. It is designed to be replaced
when empty.
Level monitoring for the cleaner bottle is based on the number of cleaning and
pipetting actions that were performed.
When delivered, the bottle has a white cap. During installation, this is replaced by a
red cap with tubing attached to it (tubing adapter).
The cleaner bottle is connected by tubing to:
o Syringe assembly
o Probe
e See Connecting and disconnecting the external fluid containers on page B-113.
See Checking the status of the external fluid containers on page B-15.
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Reagent bottles
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Tubes
The cobas c111 instrument can use both primary and secondary tubes (cups).
You can use any type of primary tube, as long as their dimensions lay within
prescribed limits.
o Maximum height (including secondary tube): 102 mm
o Minimum height: 70 mm
o Maximum outside width: 16.3 mm
o Minimum outside width: 11.8 mm
The following table lists a few typical tubes that are suitable, and it gives the dead
volume for each of them.
Roche recommend using approved cups only. The following table lists the approved
cups.
The Hitachi standard and micro cups can be placed on top of 16 x 75 mm tubes.
Cups with a rim can be placed directly on the sample area, whereas cups without rim
must be placed on top of primary tubes.
Cuvettes
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Cuvette segments
Each segment holds 10 cuvettes.
Handling cuvettes
Cuvettes are supplied in boxes containing cuvette sets. Each set contains a number of
cuvette segments. This way, the cuvettes can easily be handled without touching them.
Loading and removing cuvettes is guided by the system software. When handling is
required, the rotor moves the cuvette segments to the cuvette port, where you can
load or remove them. You handle one segment at a time. Cuvette segments are placed
in the cuvette ring of the rotor.
e See Preparing cuvettes on page B-27.
A Hold the segment by its handle. Make sure not to touch the cuvettes.
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Hardware overview
Reagent handling
Loading and removing reagents is guided by the system software. When handling is
required, the rotor moves the bottles to the reagent port, where you can load or
remove them. You handle one reagent bottle at a time. Reagent bottles are placed on
the reagent disk.
e See Preparing the reagents on page B-22.
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Rotor
Rotational movement The bottles and cuvettes are positioned in a manner that they can be moved to the
various positions by a rotational movement. There are positions for loading and
removal (reagent and cuvette ports), pipetting, and measuring.
A A
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Reagent disk
Reagent disk ID You can use up to eight different reagent disks on one cobas c111 instrument. Each
reagent disk is equipped with numbered tabs. For automatic disk identification by the
instrument, one—and only one—of these tabs is removed. The number of this
removed tab is the disk ID. When you label the disk, make sure that the number on
the label corresponds to that of the removed tab.
A
A
B
C
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For storage outside the instrument, the reagent disk is placed in a container. This
reduces evaporation of reagents and prevents their contamination.
Reagent cooler
The reagent cooler holds the reagent disk with its reagent bottles. The temperature in
the cooler is kept within the range of 6 to 10°C.
A Reagent cooler
e See maintenance action Clean reagent disk and sample area on page C-14.
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Cuvette ring
B
A Cuvette ring B Cuvette segment
Cuvettes fit neatly in the cuvette ring, without touching the walls when being moved
along the ring.
e See Preparing the reagents on page B-22.
See maintenance action Clean reagent disk and sample area on page C-14.
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Barcode scanner
Loss of sight
The intense light of the LEDs may severely damage you eyes. Do not stare into the LEDs.
WARNING Scanning equipment using LED technology is covered by the international standard IEC
60825-1 LED Safety: Class 1.
A B
e For information on how to use the barcode scanner, see Using the barcode scanner on
page B-79.
Reagent bottle barcode On the reagent bottles, barcode of the PDF417 format is used.
The barcode contains the following information:
o Part ID
o Lot number
o Expiration date
o Reagent volume
o Serial number of bottle
o Test data
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Sample barcode The following barcode types are supported for sample tube identification:
o Codabar
o Codabar 2 of 7
o Code 3 of 9
o Code 128
o EAN
o Interleaved 2 of 5
o UPC (A, E)
Printer
The cobas c111 instrument has a built-in thermal printer with a 112 mm paper roll.
The printer is used for example for printing placement lists, results, maintenance
action instructions, and status information on various items such as the loaded tests.
A
B
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Absorbance photometer
The cobas c111 main instrument uses the absorbance photometry measuring
method.
Absorbance photometer
A Photometer unit
The measurements are taken without removing the cuvette from the rotor.
Halogen lamp The Halogen lamp is mounted on a holder for easy replacement. The system informs
you when you need to replace the lamp.
e See maintenance action Replace photometer lamp on page C-23.
Wavelengths for the absorbance For each cuvette, the absorbance photometer measures light intensity at 12 different
photometer wavelengths:
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Connectors
E
A F
G
H
I J K
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Fuses
The mains fuses are situated at the rear of the instrument, above the power connector;
the internal fuses are situated on the right side of the instrument, at the top of the
connector panel.
A Power connector with T6.3 A H 250 V fuse B Low voltage fuses (T3.15 A)
F1: Heating system
F2: Motors
F3: Cooling assembly
F4: Photometer unit and LEDs
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Technical specifications
Technical specifications
NOTICE Every effort has been made to ensure that all the information contained in these
specifications is correct at the time of printing. However, Roche Diagnostics reserves the
right to make any changes necessary without notice as part of ongoing product
development.
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Technical specifications
Display Color touchscreen 5.7 inch active matrix (1/4 VGA, 320 x 240 pixels)
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Table of contents
Software
Getting the most out of the instrument
In this chapter, you will find information on how to operate the instrument by using
the touchscreen. You will find out about the concept of wizards and you are
introduced to the key screens.
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Table of contents
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Introduction
Introduction
To operate the cobas c111 instrument, you use its touchscreen. The design and
functional concept of the touchscreen support you in the way you work.
The following table lists the major items and characteristics of a cobas c111 screen
and describes their impact on the operation of the instrument.
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Screen layout
Screen layout
A
B
C
The screen representations shown in this chapter and throughout this manual are for
illustrative purposes only. The screens do not necessarily show valid data.
Depending on the function of a screen, some layout items may not be displayed.
The following is an example of a screen with the full range of display items.
A F
B
C
G
D
A The status line displays the system status. E The buttons vary depending on the content
B Tabs represent the major work areas. You of the working area and the screen position
can switch to any of them any time. within a series of steps (wizard).
C The headline characterizes the content or F The Help button leads to concise information
function of the screen. If the screen is part of that is relevant to the current screen and
a sequence of screens (wizard), the headline situation.
tells you where you are within this sequence. G The global action buttons represent the
D The working area displays the main content functions that are permanently available:
of the screen. Start, Stop, Alarm, Line Feed. The LEDs next
to them point to their status.
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Display items
Display items
The cobas c 111 screens are made up of text areas and various kinds of display items
such as tabs and buttons.
The following table lists the major display items and describes their use.
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Workflows and wizards
Color concept
The color of buttons and other display items tells you about the status of the display
item or the item it represents.
The cobas c111 instrument uses the familiar "traffic light" color scheme.
e For details on the meaning of LED colors, see Color interpretation for LEDs on page A-114.
e For details on the meaning of button colors, see the explanations in the relevant operation
instructions.
Screens and sequences of screens help you perform your tasks. If not all steps of a task
can be performed from one screen, the workflow is realized as a sequence of screens, a
so-called wizard. cobas c111 wizards do not usually force you to perform a task at a
certain stage, they just make your work easier.
Navigation
Moving from screen to screen You move from screen to screen with the help of buttons.
Knowing where you are Screens on which you perform tasks provide a headline that displays the navigation
path of the current screen.
A B
e For an overview of the navigation buttons, see Navigation functions on page A-118.
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Working with the user interface
With a touchscreen, it is important that the point where you press the screen
corresponds exactly with its hardware equivalent. If this were not the case, pressing a
screen item such as a button might not lead to the expected result.
e See Adjusting the touchscreen on page B-116.
Scrolling
If not all text or all list elements fit on one screen or display area, use the scrolling
function to display the hidden content.
A B C
A You are on the first page. You can scroll C You are on the last page. You can scroll up.
down.
B There is text both before and after the
currently displayed text. You can scroll up
and down.
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Working with the user interface
In hierarchically structured lists, you initially see only the top level entries. List items
that contain (but hide) lower levels of entries are marked with . List items that
display lower levels of entries are marked with .
a To expand a list
1 Select a list item marked with .
2 Press again or press .
3 Use the scrollbar, if required, to display the items you are interested in.
a To collapse a list
1 Select a list item marked with .
2 Press again or press .
Typing text
There are dedicated screens for typing alphanumeric and numeric characters.
You can choose from the following screens:
o Alphanumeric upper case
o Alphanumeric lower case
o Special characters
o Numeric characters
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Numeric keyboard
A Typed text
< > Delete the last character displayed in the text line.
Alphanumeric keyboards
A Typed text
< > Delete the last character displayed in the text line.
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A Typed text
< > Delete the last character displayed in the text line.
In many lists you can apply a filter, that is, you can select predefined criteria for
generating a selection of entries.
The way to apply a filter is the same in all screens where a filter is available. Here is an
example:
Figure A-42
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Working with the user interface
2 Press .
A screen is displayed for selecting the filter criterion.
After you have applied a filter, the criterion name will appear as part of the <List> button,
for example on screens for deleting data. If you used the <Not Accepted> filter criterion,
the <List> button would be called <List [Not Accepted]>.
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Printing information
On many screens, you can print the contents of the working area on the built-in
printer. In many cases, a screen is first displayed for selecting the kind of data you
want to print. In these cases, the print button is marked with a triangle in the top
right corner .
a To print information
1 Press .
If filter criteria are available, a screen is displayed for selecting what data you want
to print. For example:
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A The Help button is always in the top right corner of the screen.
A The [Legend] tab describes the buttons B The [Workflow] tab provides additional
and their colors. information on items on the screen or on
actions you can perform.
Figure A-47
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Messages
Message screen
Message screens are displayed automatically as soon as the message is generated.
Alarm monitor
Messages concerning an irregularity that occurred during operation can be viewed in
the alarm monitor. The alarm LED alerts you when such messages are generated. It is
turned off as soon as the alarm monitor is displayed.
The Alarm button is always active, even if nobody is logged on the system.
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No color, off There are no alarm messages to be dealt with. (All alarm messages have been
acknowledged.)
Yellow There is at least one alarm message that you need to deal with as soon as possible.
Red There is at least one alarm message that you need to deal with. Processing cannot
continue unless you do so.
Acoustic signal An acoustic signal is sounded when an alarm is generated. You can adjust the volume
(Utilities > Configuration > System > Volume).
Alarm message A B
Figure A-50
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Key screens
Key screens
The screen representations shown in this chapter and throughout this manual are for
illustrative purposes only. The screens do not necessarily show valid data.
The main screen is divided into tabs. These tabs represent distinct work areas.
o The Overview tab is your main work area when performing the daily routine tasks.
o Use the Workplace to gain information on orders and the corresponding results.
You can also start the lot handling functions from this tab.
o Use the Utilities tab to perform tasks that are not normally part of the routine
analysis workflow. Typically, these would be administration and maintenance
tasks.
The following sections describe the key screens of these tabs and point out the main
tasks you can perform on them.
Overview tab
The Overview tab is your main work area when performing the daily routine tasks.
<End Shift> Perform the necessary tasks when ending the shift.
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Key screens
Fewer than 10% of tests are left for a reagent set, or its expiration date has expired.
Check the status of the cuvette segments currently loaded on the rotor.
<System Status> The <System Status> button displays both the icon and the color of one of the
buttons of the underlying system status screen (see System status on page A-92).
The icons are first prioritized by color, first priority being red, followed by yellow and
green, and then according to the sequence in which they are listed below.
This button can show either of the following icons.
Analyzer (main cover)
Reagent cooler and cuvette ring temperature
Sample area ventilation
External fluid containers
Maintenance
Printer
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Key screens
Sample overview
B
C
1 The number in the button indicates the position on the sample area.
1
All tests are completed and their results are accepted.
1*
All tests are pipetted.
1!
All tests are completed but not yet accepted.
1!
All remaining tests are blocked for one of the following reasons:
o There is not enough sample fluid.
o The sample is not identified.
1
There is no sample on this position.
1+
Tests are ordered. Processing has not yet started.
1*
Tests are ordered, processing has started.
1?
The sample is identified, but no tests were ordered yet.
If working in Order Query Mode: The order could not be obtained from the host.
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Key screens
Order
h Overview > Order
Press <Order> to define routine orders.
The process of defining an order, and consequently which screens are displayed,
depends on how your cobas c 111 instrument is integrated in your laboratory
infrastructure (barcodes, host connection).
Identifying samples
Figure A-54
Figure A-55
e For information on how to use the keyboard screens, see Typing text on page A-74.
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Key screens
Selecting tests
A Easy mode test-board, all tests fit on one C Full mode test-board. The tests are grouped
screen. in tabs.
B Tabs marked with an asterisk contain
selected tests.
Tabs are used to group information into units that can be displayed on one screen.
The system administrator can define up to six test tabs, name them and assign tests to
them.
The tests are sorted alphabetically. Profiles precede the tests, and they adopt the color
of their tests.
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Key screens
STAT
h Overview > STAT
Press <STAT> to define urgent (short turn-around time) orders.
The process of defining a STAT (short turn around time) order is identical to that of
defining a routine order. The difference lies in the scheduling of the tasks. When a
STAT order is defined, it will be the next order to be processed, irrespective of what
routine orders already exist. Existing STAT orders are finished first.
Tests
Tabs The tabs are displayed if you work with the order mode Full. They represent user-
defined test panels. If you work with the order mode Easy, all tests are on one panel
and there are no tabs.
A Test selection screen in order mode Easy. B Test selection screen in order mode Full.
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Key screens
<xyz>
Display detailed information on the status of this test.
Display a list of all defined tests, together with information on their status.
The color of the text indicates whether you need to react to the information, and if so,
with which urgency you need to deal with the issue.
[Tests on disk] Total number of tests that are currently available. (There might be more than one
reagent set for this test on board.)
[Tests ready to run] Number of tests that could be performed, taking into account all disks known to the
system. (The reagent sets have been calibrated and are ready for use.)
Show the fluids that were used for generating this result, together with their lot
information.
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Key screens
Log off
h Overview > button with your user name
Log off the system.
You can log off any time, even while the system is processing orders.
Prepare
h Overview > Prepare
Start the Prepare wizard to perform the preliminary tasks at the beginning of a shift.
End Shift
h Overview > End Shift
Start the End Shift wizard to perform the tasks necessary for ending the shift.
Cuvette status
h Overview > .
The six cuvette segments are represented by buttons. The number in the button
indicates how many cuvettes are free to be used.
Press a segment button to exchange the corresponding segment.
The segment buttons are color coded:
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Key screens
A A plus (+) indicates that there is already an active identical reagent set on board. (This icon is
displayed as soon as the first bottle of the set is loaded.)
The color of a reagent set button represents the status of the set:
The reagent set is on board, but it is blocked for one of the following reasons:
o The number of available tests is 0.
o The set is incomplete.
o The test needs calibrating.
o There is no application that uses this reagent set.
There are fewer than 10% of tests are left for this set.
The expiration date has expired.
<xyz>
Display detailed information on the status of this test.
Display a list with all tests on board, together with information on their status.
On the list, the following abbreviations are used to indicate the status of the reagent
set:
o C: Calibration missing
o E: Empty
o I: Incomplete
o N: Not used
o L: Low
o X: Expired
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Key screens
ISE status
This button is only active if your instrument is equipped with an ISE unit.
h Overview > .
<Na> <K> <Cl> <Ref> Display detailed information on the status of the electrode.
<Cal> <Ref> Display detailed information on the status of the ISE fluid bottle.
The fluid level in the bottle is low. (Operation will proceed until one of the sensors
detects that there is no fluid.)
Display the placement list for actions that are due, for example calibration or
electrode service.
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Key screens
System status
h Overview > , or , or , or , or , or
The system status button on the [Overview] tab displays both the color and the icon
of one of buttons of the system status screen. (The icons are first prioritized by color,
first priority being red, followed by yellow and green, and then according to the
sequence in which they appear on the screen.)
Check the texts for the status of hardware items and on IDs of installed software.
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Key screens
Water button Press to confirm that you have refilled the external water container.
The water container was last filled up less than one day ago.
The water container was last filled up more than one day ago. (The system does not
monitor the filling level. It is up to the operator to fill up the water container
regularly.)
A fluid sensor detected that there is no water in the instrument tubing. No new tests
can be processed, started tests may have to be restarted after refill.
Waste button Press to confirm that you have emptied the external waste container.
The waste container was last emptied less than one day ago.
The waste container was last emptied more than one day ago. (The system does not
monitor the filling level. It is up to the operator to empty the waste container
regularly.)
Cleaner button Press to confirm that you have exchanged the external cleaner bottle.
A fluid sensor detected that there is no cleaner in the instrument tubing. No new tests
can be processed, started tests may have to be restarted after replacing the bottle.
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Key screens
Workplace tab
The [Workplace] tab leads to information on orders and the corresponding results.
<QC History> View QC results of the current and previous months. Display graphs.
<Lot Data> Define and change calibration and QC lot data by reading barcodes or typing the
values.
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Key screens
Orders
h Workplace > Orders
Delete orders.
You can choose what kind of orders should be deleted:
o List (All orders in the list. If a filter was applied, the list would contain only the
orders that fulfill the filter criterion, and the filter criterion would be part of the
button name.)
o Selected (Delete the selected order with its results.)
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Key screens
Result list
h Workplace > Result Review
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Delete results.
You can choose what kind of result should be deleted:
o List (All results in the list. If a filter was applied, the list would contain only the
results that fulfill the filter criterion, and the filter criterion would be part of the
button name.)
o Selected
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Key screens
QC status list
h Workplace > QC Status
Print QC results.
Delete QC results.
You can choose what kind of result should be deleted:
o All
o All Accepted
o Selected
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Key screens
QC History
The QC History provides information on the QC results of the current and the
previous calendar month.
A graphic representation of the results provides a convenient way for comparing
results over a period of time.
h Workplace > QC History
The list contains, for each test and control, the latest QC result. The entries are
grouped first by test name, then by control.
[Last Measurement] column Date and time of the most recent result.
[Previous Lot] indicates that control was performed after a QC lot change.
Print QC results.
Delete QC results.
You can choose what kind of result should be deleted:
o List (All results in the list. If a filter was applied, the list would contain only the
results that fulfill the filter criterion, and the filter criterion would be part of the
button name.)
o Older than Previous Month
o Selected
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Key screens
A B C
D
E
F
H
I
J
A Calibration F +2s
B Reagent set change G Mean value
C QC target value change H -2s
D +3s I -2.5s
E +2.5s J -3s
Month button Display the results of the month indicated on the button.
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Key screens
Calibration list
h Workplace > Calibrations
[Status] column The date indicates when the results were accepted. If flags were generated for the
result, the flag with the highest priority is displayed. In all other cases, the order status
is displayed.
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Lot data
h Workplace > Lot Data
Choose the kind of material for which you want to handle lot data.
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Lot list
h Workplace > Lot Data, then choose a lot type.
The content of this list depends on the selected lot type. The following screen is an
example of calibrator lot data.
A B C
D
E
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Key screens
Loadlist
List of all sample tubes the system expects to be loaded on the instrument.
h Workplace > Loadlist
A B
Worklist
The worklist shows all tubes currently placed on the sample area.
h Workplace > Worklist
A B
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Key screens
Utilities tab
Use the [Utilities] tab to perform tasks that are not normally part of the routine
analysis workflow. Typically, these are administration and maintenance tasks.
<Import> Import application data, software updates, the complete content of a database, and
certificates.
<Export> Export the complete content of the database, the full results, and log files.
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Key screens
Configuration
h Utilities > Configuration
There are list items of a lower level. Select the item marked with and press
again to expand the list and display the items.
The list is expanded. Select the item marked with and press again to hide the
items.
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Maintenance
h Utilities > Maintenance
A B
The maintenance actions are listed according to the urgency with which they need to
be performed.
This maintenance action should be performed on the next major maintenance day.
The defined maintenance interval has expired. Perform this maintenance action now.
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Key screens
Import
h Utilities > Import
<EWC/Mixing> Import extra wash cycle or mixing information for a particular application.
Export
h Utilities > Export
<Log Files> Export the system messages, alarm logs, and possibly trace logs.
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Key screens
Applications
h Utilities > Applications
<Laboratory Parameters> Handle the definitions of the installed applications and import and install new
applications.
<Host Codes> Display, export and import the mapping table for test IDs of the cobas c111
instrument and the laboratory information system.
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Applications
h Utilities > Applications > Laboratory Parameters
There are list items of a lower level. Select the item marked with and press
again to expand the list and display the items.
The list is expanded. Select the item marked with and press again to hide the
items.
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Key screens
Host Codes
h Utilities > Applications > Host Codes
Use the same test IDs for the cobas c111 instrument and the laboratory information
system.
Diagnostics
h Utilities > Diagnostics
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Key screens
Users
h Utilities > Users
There are list items of a lower level. Select the item marked with and press
again to expand the list and display the items.
The list is expanded. Select the item marked with and press again to hide the
items.
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Key screens
Stopping a run
<Sampling stop> Finish the current pipetting action, but do not start a new one.
You can restart processing by pressing .
<Stop printing> Stop the current printing task. (It may take a few moments before printing actually
stops.)
<Shutdown> Shut down the cobas c111 software and the operating system.
This option is active in Standby status only.
<Restart> Shut down the cobas c111 software and automatically restart it.
This option is active in Standby status only. It is used in cases where a configuration
change requires restarting the software for it to become effective.
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Color interpretation for LEDs
The following table lists the LEDs and explains what their colors mean.
LED Color Meaning
Main cover LED Off No activities in this area. You can open the main
cover.
User intervention is required, for example you are
expected to place or remove a bottle.
The system is performing some action. Do not
handle the cover.
An acoustic signal is sounded when the cover is open while the system is
in Operating state. You can adjust the volume (Utilities > Configuration
> System > Volume).
Sample area LED Off No activities in this area. You can remove sample
tubes.
You are expected to place a sample tube.
Blinking The transfer head is approaching. Do not place
your hand or any object in the sample area.
Start LED Off You cannot start the measuring process.
You can start the measuring process.
Stop LED Off Pressing does not have any effect.
Pressing leads to the various stop options.
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Buttons
Buttons
The following tables list the buttons used in cobas c111 screens and describe their
use. The buttons are grouped according to the kind of function they represent.
Disk Status Handle the reagent disk and its reagents. Show the status of
the reagents.
Cuvette Status Show the status of the cuvette segments.
Handle cuvette segments.
ISE Status Show the status of ISE electrodes and fluids.
Exchange ISE electrodes and fluids.
System Status Show the status of the main cover.
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Buttons
Forecast Select all calibrations that are due within the forecast period.
Calibrations
Default QC Perform Default QC.
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Buttons
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Operation B
Daily operation
Performing routine tasks
In this chapter, you will find information on performing the routine tasks that are
required for processing orders and keeping the system running.
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Table of contents
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Introduction
Introduction
Daily operation includes the routine tasks that are required to prepare and monitor
the system, and to analyze samples.
The screen representations shown in this chapter and throughout this manual are for
illustrative purposes only. The screens do not necessarily show valid data.
Safety information
Before you start working with the cobas c 111 instrument, it is essential that you
both read and understand the safety information listed below.
Read carefully all safety notices given in instructions and make sure you understand
them.
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Introduction
Loss of sight
The intense light of the LEDs may severely damage you eyes. Do not stare into the LEDs.
WARNING Scanning equipment using LED technology is covered by the international standard IEC
60825-1 LED Safety: Class 1.
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Introduction
Overview
The following table gives an overview of the tasks you might need to perform during
daily operation. Roche recommend using the sequence of steps in the way given
below; but you may perform the tasks differently. For details on the individual steps,
see the relevant sections in this chapter.
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Starting the shift
Starting the shift includes the tasks from switching on the instrument up to the
moment when you are logged on.
The various tasks are described in the order in which they should be performed.
Preconditions
Before you switch on the instrument, make sure the following preconditions are met:
o All covers are closed.
o The external fluid containers are connected.
o The sample area is empty.
A Power switch
When the system is ready to log on, the [Overview] tab is displayed.
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Starting the shift
User name and password are case sensitive. This means that for example User and user
are two different names.
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Preparing the system
Before you can start analyzing samples, you need to prepare the system. Preparing the
system includes both user actions and actions performed automatically by the system,
such as heating up the cuvette ring or cooling down the reagent cooler. The process is
designed in such a manner that user intervention is mainly required at the beginning
and at the end of the Prepare phase. This way, the operator does not have to stand by
the instrument the whole time.
The easiest way of performing the daily preparation tasks is to follow the Prepare
wizard.
Skipping a step
You may skip a step. Before you do so, remind yourself of the consequences. In many
cases, skipping a step simply means postponing the task to a more convenient time. In
other cases, skipping a step could prevent the system from performing an analysis; for
example if you chose not to replace a reagent that is low, a test that uses this reagent may
not have enough reagent.
Short guide
The following table provides an overview of the steps that make up the preparation
process.
2 Check the status of the external 1. Refill the water container, if required, and con-
containers. firm by pressing the water button. (If you refill
the water, empty the waste as well.)
2. Empty the waste container, if required, and
confirm by pressing the waste button.
3. Replace the cleaner bottle, if required, and con-
firm by pressing the cleaner button.
4. Press to proceed to the next stage in the
Prepare wizard.
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Preparing the system
5 Prepare the reagents. Deal with at least all red and yellow buttons.
1. Press a reagent button to check the details.
Replace the empty reagents.
2. Press .
3. Open the main cover
4. Remove the bottle.
5. Press to confirm.
6. Remove the remaining bottles of the set.
7. Press .
8. Place the new bottle.
9. Press to confirm.
10. Load the remaining bottles of the set.
11. Press to proceed to the next stage in the
Prepare wizard.
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Preparing the system
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
o Infection by waste solution on page B-5.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
A B C
Figure B-3
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Preparing the system
There is no water left. (A fluid sensor detected that there is no water coming
from the water container.)
You need to refill the water now. No new tests can be processed, started tests
may have to be restarted after refill.
The water container was last filled up more than one day ago.
You should check the water level and refill if required.
No action is required.
The system does not monitor the filling level. It is up to the operator to fill up the water
container regularly.
Figure B-4
a) Remove the tubing adapter from the white water container and place it on a
clean surface.
b) Refill the bottle with purified water.
c) Insert the tubing adapter. Press down firmly.
3 On the screen that shows the container status, press the water button to confirm
that you have refilled the water.
4 Roche recommend to empty the waste container whenever you refill the water
container.
e See To check the waste container on page B-17.
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Preparing the system
The waste container was last emptied more than one day ago.
You should check the waste level and empty if required.
No action is required.
The system does not monitor the filling level. It is up to the operator to empty the waste
container regularly.
Figure B-5
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Preparing the system
No action is required.
Figure B-6
a) Remove the tubing adapter from the cleaner bottle and place it on a clean
noncorrosive surface.
b) Dispose of the bottle.
c) Remove the cap from the new bottle.
d) Place the new bottle on the rack.
e) Insert the tubing adapter and press it down firmly.
3 On the screen that shows the container status, press the cleaner button to confirm
that you have exchanged the cleaner bottle.
Level monitoring for the cleaner bottle is based on the number of cleaning and
pipetting actions that were performed. The counter is reset when you press the
cleaner button. Make sure you only press the button when you actually have
replaced the bottle.
4 Press to proceed to the next stage in the Prepare wizard.
When replacing the cleaner bottle without using the Prepare wizard:
Choose Overview > > .
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Preparing the system
Make sure that you have read and understood section Safety information on page C-8.
Figure B-7
The maintenance actions are sorted by the maintenance date by when they should
be performed. Use these dates for planning the maintenance actions, for example
for ordering the required materials.
Interpreting the colors The defined maintenance interval has expired. Perform this maintenance
action now. The system may not be able to operate until this action is
performed.
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Preparing the system
Performing the maintenance 2 Select the maintenance action you want to perform.
actions
The selected line turns blue.
3 Press .
The maintenance definition screen is displayed.
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Preparing the system
The reagent disk holds the reagent and diluent bottles. During periods when you are
not performing tests, for example at night or during holidays, the disk is placed in a
reagent disk container and stored in a refrigerated place. Reagents should be stored at
temperatures in the range of 6 to 10°C.
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
When handling the reagent disk without using the Prepare wizard:
Choose Overview > .
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Preparing the system
Reagents are handled in sets. A set consists of up to three reagents. If for example one
reagent bottle of a set is empty, all reagents of the set need to be replaced. The system
only uses reagents of complete sets.
On the screen, each set is represented by a separate button.
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
o Loss of sight on page B-6.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
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Preparing the system
Checking the status of the reagent 1 Check the colors of the reagent set buttons.
sets
A Press to add a reagent set. B Press to display the disk content in a table.
Figure B-8
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Preparing the system
A Status description
Figure B-9
Preparing the reagent set 3 Obtain the reagent sets you want do add or replace.
When replacing a reagent set, try to use one of the same lot as the old one. (This
way, if you work with the calibration sequence [Each Lot and Interval], you avoid
having to perform a calibration.)
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Preparing the system
If Do this
There is another bottle The system moves this bottle to the reagent port. A screen
belonging to the set: is displayed, asking you to remove the bottle.
1. Remove the bottle.
2. Press to confirm the removal.
3. Start adding the new reagent set.
All bottles of the set are 1. Start adding the new reagent set.
removed:
The screen with the reagent set buttons is displayed again. The button for the
removed set is no longer present. If you did not remove all bottles of the set, the
reagent set would be disabled, its button would be red.
A screen is displayed, asking you to place the bottle on the reagent disk.
12 Remove the cap from the bottle and place it in the reagent bay.
13 Press to confirm the insertion.
If you confirm without placing the bottle, the system assumes that the bottle is
placed.
If you press after placing the bottle, the position is deemed empty.
When the first reagent bottle is loaded, the reagent set is defined. From this
moment on, the reagents are handled as part of the set. You no longer handle
them as individual reagents.
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Preparing the system
If Do this
There is another bottle A screen is displayed, asking you to scan the bottle.
belonging to the set: 1. Scan the bottle
2. Insert the bottle.
3. Press to confirm the insertion.
All bottles of the set are 1. Close the main cover.
inserted: On the screen with the reagent set buttons, the button
for the new set is now present.
15 On the screen with the reagent set buttons, press the button for the set you just
inserted.
A screen is displayed that shows details of the set.
The status description points to the action you need to take. If you just inserted a
reagent set, you may have to perform the initial calibration and QC.
A Status description
Figure B-11
16 Press .
17 When you have finished adding and replacing reagent sets, press to proceed
to the next stage in the Prepare wizard.
When handling the reagent sets without using the Prepare wizard:
Choose Overview > .
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Preparing the system
Preparing cuvettes
Cuvettes are supplied and handled in cuvette segments. Each segment contains ten
cuvettes. The segments are placed on the cuvette ring of the rotor.
e For information on cuvette segments, see Cuvette segments on page A-53.
For information on the cuvette ring, see Cuvette ring on page A-58.
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
o Infection by waste solution on page B-5.
Checking the cuvette status 1 Check the color of the cuvette segment buttons.
You can refresh the cuvette screen by pressing . (If there were pending orders,
this would also start their processing.)
Figure B-12
Interpreting the screen The number in the button indicates how many cuvettes are free to be used.
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Preparing the system
If Do this
You want to exchange another segment: Perform steps 2 through 7.
This was the last segment you wanted to Close the main cover.
exchange:
9 When you have finished replacing cuvettes, press to proceed to the next stage
in the Prepare wizard.
Reagents that contain Latex granules, for example D-Dimer, require periodic mixing.
The mixing interval is part of the application definitions and cannot be changed or
deleted by the user. The system checks every 30 minutes for reagent sets that require
mixing.
Within the Prepare phase a screen is displayed that lists all reagent sets for which a
mixing interval is defined.
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Preparing the system
At this stage, the system checks for all calibrations that are due.
e For an overview on calibration, see Calibration on page A-24.
For performing individual calibrations, see Performing calibrations on page B-52.
By default, all calibrations that are due or will be due within the forecast period are
taken into account during the Prepare phase.
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
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Preparing the system
Checking which calibrations are 1 Check the colors of the test buttons.
due
A B
A Press to cancel the selection of all tests B Press to cancel the selection of all tests
that need calibrating that need calibrating within the forecast
period.
Figure B-13
Modifying selections By default, all tests whose calibration is due or will be due within the forecast
period are automatically selected. You can cancel these selections by pressing ,
or a test button.
If you do not perform a calibration that is due, the affected test is blocked; you
cannot perform this test.
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A B C
Figure B-14
With absorbance tests that require several calibrators, the calibrators are placed according
to their concentration, starting with the highest concentration.
End of Prepare phase The instrument is now ready for analyzing samples.
You may want to perform QC before analyzing samples.
e See Performing QC on page B-59.
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Analyzing samples
Analyzing samples
Safety information
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Infection by biohazardous materials on page B-5.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
o Loss of sight on page B-6.
Short guide
The following table gives an overview of the tasks you typically perform when
analyzing samples.
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Analyzing samples
3 Place the sample. 1. Place the sample on any free position on the
sample area.
You need to place the sample within 10 seconds
of pressing . Failing to place the sample
tube within 10 seconds cancels the current iden-
tification process. You will again be asked to
identify the sample tube.
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Analyzing samples
Working Mode The [Working Mode] defines the way you select tests when defining orders.
o Use <Manual> if you use the cobas c111 instrument as a stand-alone system.
During order definition, the test selection screen is displayed, allowing you to
select the tests or to make changes to the selection.
o Use <Host> if the cobas c111 instrument is connected to a host computer.
During order definition, the tests are automatically selected, the test selection
screen is not displayed. After identifying the sample, you are asked to place the
sample.
Sample Barcode Use <On> if you exclusively work with barcoded sample tubes. When defining orders,
the screen for typing the sample ID manually is skipped.
Order Mode The order mode reflects the way in which you organize the tests on the test selection
screen.
Use <Easy> if the reagents fit on one or two reagent disks and you work with one test
panel on the screen (You can fit up to 25 tests and profiles on this panel).
Use <Full> if you distribute the reagents across several (up to eight) reagent disks and
if you predominantly work with specific groups of tests, for example for emergency
situations or for testing diabetes. You can define up to 20 tests and profiles on each
panel (tab).
e See Assigning tests to test tabs on page B-106.
Because there is limited space when displaying lists on screen, Roche recommend to limit
the IDs to 13 characters.
If you work with one ID only, the sample ID is used as the order ID as well. There
exists a fixed relation between the sample and order IDs. Make sure this ID is unique
within the cobas c111 instrument.
o Use <Order ID = Sample ID> to have the system automatically define the order
ID identical to the sample ID.
o Use <Independent IDs> to define the sample and order IDs independently of each
other.
o Use <Grouped Sample ID> to use identical order and sample IDs as a constant
part of any order for a give patient, and to let the system automatically append a
running number to the ID for each order.
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Analyzing samples
Auto Order-ID Use <On> to automatically increment the order ID number by one whenever you
define a new order. (You only need to define the number of the first order of your
shift.)
If you use <On> for this feature, use <Off> for [Order ID = Sample ID].
Defining orders
a To define an order
1 Choose Overview > Order.
A screen is displayed, asking you to identify the sample.
2 Identify the sample. Do one of the following:
If Do this
You work with sample barcodes: Use the barcode scanner to scan the
barcode.
You do not work with sample barcodes or if 1. Press .
the barcode could not be read for some 2. Type the sample ID, then press .
reason: 3. Type the order ID, then press .
Note: This step is only required if the
configuration setting [Order ID =
Sample ID] is Off.
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Analyzing samples
A Easy mode test-board, all tests fit on one C Full mode test-board. The tests are
screen. distributed across several panels (tabs).
B Tabs marked with an asterisk contain
selected tests.
Figure B-15
Interpreting the colors The test is blocked for one of the following reasons:
o The calibration failed.
o Initial calibration is required.
o For the reagent set, the number of available tests is 0, or a reagent bottle is
missing (incomplete reagent set).
The tests are sorted alphabetically. Profiles precede the tests. Profiles display the
color of their tests.
3 Select the test(s).
You can select tests from several test tabs. (A test can be contained in more than
one tab. If it is selected in one, it will automatically be selected in the others.)
Tabs with selected tests are marked with an asterisk (*).
4 Press to confirm your selection.
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Analyzing samples
5 Wait for the Sample Area LED to turn green. (Make sure to keep clear of the
sample area while the LED is yellow and blinking.)
A screen is displayed, asking you to place the sample on the instrument.
6 Place the sample on any free position on the sample area.
The system registers where you placed the sample and associates this position with
the order you just defined.
The screen for identifying samples is displayed again. You can now start defining
the next order. (If there were no free sample positions, the screen for selecting the
tests would be displayed instead.)
7 Do one of the following:
If Do this
There is another order to be defined: Identify the sample and repeat the order
definition process.
There are no more orders to define: Press to close the screen.
If you defined the order while the system was processing orders, new orders will
automatically be processed, without pressing .
Order of processing When you first start processing orders, the order of the sample placed on the
leftmost position on the sample area is processed first. The others follow in
sequence from left to right. Once processing is in progress, the orders are
processed according to the sequence in which they were defined.
Repeats and reruns of routine orders are performed before routine orders.
e See Repeating tests on page B-49.
See Rerunning tests on page B-50.
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Analyzing samples
Order of processing When you have defined a STAT order and started the run, the system reacts as follows:
o Existing STAT orders are finished first.
o Started tests of routine orders are finished.
o Repeats and reruns of STAT orders are treated as normal STAT orders. (The order
that was defined first will be performed first.)
o Repeats and reruns of routine orders are performed before routine orders.
Recognizing STAT orders on the On the [Overview] tab, the sample buttons for STAT orders are marked with a wide
screens edge.
In the orders list (Workplace > Orders), STAT orders are marked with an asterisk (*).
You can make changes to orders that either have not yet been processed or that are
fully processed. (You can add further tests to an order any time.)
The process of changing an order depends on whether the sample tube is still on the
instrument or not.
Making a change to an order when the sample tube is no longer on the sample area is
basically the same as defining a new order.
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Analyzing samples
a To change an order
1 Identify the sample
If the sample is still on the a) On the [Overview] tab, press the sample tube button of the order you want to
instrument change.
A screen is displayed, that shows details on the order and the sample.
b) Press .
A screen for selecting tests is displayed.
If the sample is still on the A message is displayed showing the position the sample is placed on.
instrument
a) Press to confirm the position
The screen with details on the order and the sample is displayed again.
b) Press to close the screen.
If the sample is no longer on the A message is displayed, asking you to place the sample.
instrument
a) Place the sample on the sample area.
The orders list is displayed again.
4 The system reschedules the order and processes it as normal.
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Analyzing samples
Order of processing When you first start processing orders, the order of the sample placed on the leftmost
position on the sample area is processed first. The others follow in sequence from left
to right. Once processing is in progress, the orders are processed according to
sequence in which they were defined.
Repeats and reruns of routine orders are performed before routine orders.
B
C
D
Figure B-17
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Analyzing samples
All tests are completed but not yet Validate the results.
1!
accepted.
All remaining tests are blocked
1!
because:
There is not enough sample fluid. 1. Remove the sample tube and add
fluid.
Do not delete the old order!
2. Scan the sample barcode or type
the same sample ID as before.
3. Reinsert the sample tube.
Processing continues where it stopped.
(Removing a sample and then placing
it again means defining a new order.
The system does not remember where
the sample was placed in the previous
order.)
The sample is not identified. 1. Remove the sample.
2. Scan the sample barcode or type
the same sample ID as before.
3. Reinsert the sample on any
position.
(Removing a sample and then placing
it again means defining a new order.
The system does not remember where
the sample was placed in the previous
order.)
There is no sample on this position. You can place a sample tube on this
1
position.
Tests are ordered. Processing has not You can still cancel ordered tests and
1+
yet started. add additional tests to the order.
Tests are ordered. Processing has You can no longer cancel ordered tests,
1* started. but you can add additional tests to the
order.
The sample is identified, but no tests This should be a temporary status. No
1? were ordered yet. action is required.
If working in Order Query Mode: The
order could not be obtained from the
host.
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Analyzing samples
B C D
Figure B-18
Figure B-19
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Analyzing samples
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Analyzing samples
Acoustic signal
An acoustic signal informs you of the fact that all tests are finished and the system
status has changed to Standby.
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Analyzing samples
a To stop a run
1 Press the global action button.
A screen is displayed that offers several kinds of stopping, each of them
representing a certain level of interrupt.
Figure B-20
If you remove a sample tube before the pipetting is complete, the tests that were pipetted
will be performed as normal. The order remains unfinished.
You can check the resulting order details in Workplace > Order > .
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Validating patient results
The cobas c111 instrument provides several aids for validating results:
o In the results list, results that fall outside predefined technical ranges are flagged.
o You can display detailed result information that allows you to make a considered
decision.
o Non flagged results can be accepted automatically.
o You can print the results.
o You can export the results and process them on an external computer.
The following ways of dealing with results are available:
o Accept the result.
o Re-perform the identical test (Repeat).
o Re-perform the test using a predefined different dilution (Rerun).
Results must be accepted before they can be transmitted to a host or before they can
be automatically printed.
The effect of flagged results depends on the configuration (Utilities > Configuration >
Result Handling). The following table shows how.
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Validating patient results
A B C
D E F
Figure B-21
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Validating patient results
B C D
G H
A Order number. F This test was performed again:
B Status ->-: Repeated.
!: The result has not been accepted yet. -v-: Rerun with dilution.
@: The result has not been transmitted yet. G Press to validate the selected result.
C Test name. H Press to display certain kinds of results
D Results are given in lab units. only (filter).
E Time when the order was defined.
Figure B-22
Interpreting flags e For detailed information on the flags, see List of flags on page D-22.
Validating the results The system can be set up to automatically accept results that are not flagged. In
addition, it can be set up to accept results with flags that are marked in an editable
list of flags that should be ignored, which is particularly suitable if the flags are
assessed on the host system anyway.
e See Result handling on page B-146.
See Editing the acceptable flags list on page B-142.
6 Press .
A screen is displayed for selecting your reaction.
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Validating patient results
Repeating tests
Repeat Performing a repeat means reperforming the same test with identical dilution.
Typically, you perform repeats if the result is flagged and you want to confirm the
result.
a To repeat a test
1 Validate the result.
e If the sample is still on board, see To validate patient results of on-board samples on
page B-47.
e If the sample is no longer on board, see To validate patient results from the results list on
page B-48.
2 Press <Repeat>.
The system automatically creates a new order and selects the test. It then performs
the test.
In the results list, the result of the Repeat is shown on a separate line:
A
B
Figure B-23
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Validating patient results
Rerunning tests
Rerun Performing a rerun means reperforming the same test with a different predefined
dilution. Typically, you perform reruns if the result is outside the test range.
a To rerun a test
1 Validate the result.
e If the sample is still on board, see To validate patient results of on-board samples on
page B-47.
e If the sample is no longer on board, see To validate patient results from the results list on
page B-48.
2 Press <Rerun>.
The system automatically creates a new order and selects the test. (The dilution
factor is part of the test definition and therefore automatically selected. It cannot
be changed.) It then performs the test.
In the results list, the result of the Rerun is shown on a separate line:
A
B
Figure B-24
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Validating patient results
Accepting results
Results must be accepted before they can be printed, sent to the host, or deleted.
Automatic acceptance The system can be set up to automatically accept results that are not flagged. In
addition, it can be set up to accept results with flags that are marked in an editable list
of flags that should be ignored (Utilities > Configuration > Result Handling).
e See Result handling on page B-146.
See Editing the acceptable flags list on page B-142.
a To accept a result
1 Validate the result.
e If the sample is still on board, see To validate patient results of on-board samples on
page B-47.
e If the sample is no longer on board, see To validate patient results from the results list on
page B-48.
2 Press <Accept>.
The result list is displayed again.
a To print results:
1 Do one of the following:
If Do this
You want to print all results of an order: Choose Workplace > Orders.
You want to print individual results: Choose Workplace > Result Review.
2 Press .
A screen is displayed for selecting which results should be printed.
3 Press one of the buttons.
Press <List> to print the items currently displayed in the list. If a filter was applied,
the list would contain only the items that fulfill the filter criterion, and the filter
criterion would be part of the button name.
Press <Detail of Order> to print all results of the associated order.
For repeated or rerun orders, all results of this order are printed, including those
that were accepted earlier.
Automatic printing You can set up the system to automatically print results as soon as all results of an
order are accepted (Configuration > Workflow > Auto Print Results).
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Performing calibrations
Performing calibrations
Safety information
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
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Short guide
The following table provides an overview on the steps that make up the calibration
process.
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Performing calibrations
The process of defining calibration orders depends on what you want to achieve:
o Calibrating all tests that need calibrating
o Calibrating all tests that will need calibrating during the forecast period
o Calibrating individual tests
O Calibrating the current set
O Pre-calibrating a standby set
e For information on performing calibrations in the Prepare phase, see Performing the
calibrations (Prepare phase) on page B-29.
a To perform calibrations
1 Choose Workplace > Calibrations.
A screen is displayed that lists all tests and their currently valid calibration.
2 Press .
A screen is displayed that shows all active tests.
A B
A Press to select all tests that now need B Press to select all tests that need
calibrating. calibration within the forecast period.
Figure B-25
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Performing calibrations
If Do this
You want to perform all due 1. Press .
calibrations: All tests with due calibrations are selected. (The
currently active lots and sets are used for the
calibration.)
2. Press .
You want to perform all 1. Press .
calibrations that fall due All tests are selected whose calibration will be due
during the forecast period: within the forecast period. (The currently active lots
and sets are used for the calibration.)
2. Press .
You want to calibrate the 1. Select the test.
current set: 2. Press .
A screen is displayed that lists the calibrators that are required for the ordered
calibrations, and it shows on which sample position to place them.
A B C
Figure B-26
With absorbance tests that require several calibrators, the calibrators are placed according
to their concentration, starting with the highest concentration.
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Performing calibrations
Flagged calibration results If flags are generated, you must determine their cause and decide whether to accept
the result, continue working with the old results, or to rerun the calibration.
The effect of flagged calibration results depends on the configuration.
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A B C D
E F G H
Figure B-27
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Performing calibrations
A B C D E
F
G
H
I J K
A Test ID. F Calibrator, lot, expiration date.
B Calibration use. G Flags.
C Accepted by: User name. $SYS$ means H Calibration results.
automatically accepted. I Press to validate the results.
D Calibration type. J Press to display result details.
E Calibration status. K Press to display context information of the
fluids used to arrive at this result.
Figure B-28
4 Press .
A screen is displayed for selecting your decision.
5 Do one of the following:
o Press <Accept Set> to accept the set calibration results for the selected test.
o Press <Accept Lot> to accept the lot calibration results for the selected test.
This button is only active if the calibration sequence [Each Lot and Interval] is
defined for the application and if no flags were generated for the result.
e For information on lot and set calibration, see Calibration type on page A-25.
o Press <Repeat> to have the calibration performed again.
o Press <Use Old> to discard the new result, reset the calibration due date, and
to continue using the old calibration results.
This possibility is available if you selected an accepted result. When you press
<Use Old>, a copy of the old result is made and a new entry is displayed in the
calibration results list. Note that the intervals are reset as if a new calibration
result were generated.
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Performing QC
Performing QC
Control A control is a sample that has been measured using all tests it is associated with, in
order to define the ranges and values that determine the correct functioning of the
instrument. This is typically done both for the normal and the pathological analyte
concentration.
e For an overview on QC, see Quality control (QC) on page A-28.
For information on QC configuration, see Defining control definitions and lots on
page B-131.
There are two basic ways of performing QC on the cobas c111 instrument:
Interval QC Interval QC is a process that is suitable both for performing a single QC measurement
and for performing all QC measurements that are due. You can select all tests that
require QC simply by pressing a button ( ). (This selection also reflects QC of the
type [QC after Cal].) A wizard helps you select the controls, and a placement list
supports you in preparing and loading them.
Safety information
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
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Performing QC
Short guide
The following table provides an overview of the steps that make up the QC process.
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Performing QC
Performing Default QC
a To perform Default QC
1 Choose Overview > Order.
2 Press .
A screen is displayed that contains a button for each of the controls that are
required.
3 Prepare the controls.
4 Press a control button.
A screen is displayed, asking you to place the selected control.
5 Place the control tube on any free position on the sample area.
The system registers the position and automatically defines an order for each test
that has this control defined as its Default QC.
The screen with the control buttons is displayed again. The button for the control
you just loaded is no longer active.
6 Press the next active control button.
A screen is displayed, asking you to place the control.
7 Place the control on a free position on the sample area.
8 Select and place the remaining controls as described in steps 6 through 7.
When all controls are placed, the screen for identifying samples is displayed.
9 Press to close the screen.
10 Press to start processing the control orders.
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Performing QC
a To define a QC order
1 To define a new order, do one of the following:
o Choose Overview > Order > .
o Choose Workplace > QC Status > .
A a test selection screen is displayed.
A
A Press to select all tests with due QC. Press again to cancel the selection.
Figure B-29
Interpreting the display The test is blocked for one of the following reasons:
o Calibration is required.
o The calibration failed.
o For the reagent set, the number of available tests is 0, or a reagent bottle is
missing (incomplete reagent set).
If at this stage, the required controls are already loaded on the instrument, then the QC
orders are automatically created.
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Performing QC
Validating QC results
Flagged QC results If flags are generated, you must determine their cause and decide whether to accept
the result or to ignore it.
The effect of flagged QC results depends on the configuration.
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Performing QC
A B C D
Figure B-30
2 Select a result.
3 Press to look at result details.
A B C D
Figure B-31
If the QC result is outside the defined range, perform the QC again. If the results are still
outside the range, check for other causes. If all fails, perform a calibration.
5 Press .
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Performing QC
If you want to ignore the result, delete it. It will not be added to the QC History.
The QC History provides information on the QC results of the current and the
previous calendar month. (At the beginning of each month, the results of the month
that now lies two months back are automatically blocked from display.)
A graphic representation of the results provides a convenient way for comparing
results over a period of time.
A B C
Figure B-32
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Performing QC
2 Press .
A graphic is displayed that shows the QC results for the current or the previous
month.
A B C
D
E
F
G
H
I
J
K L M N
A Calibration I -2.5s
B Reagent set change J -3s
C QC target value change K Press to print the graphic
D +3s L Press to display the results in a table
E +2.5s M Press to display the results of the previous
F +2s month
G Mean value N Press to display the results of the current
H -2s month
Figure B-33
A B C
Figure B-34
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Performing QC
Reagents that contain Latex granules, for example D-Dimer, require periodic mixing.
The mixing interval is part of the application definitions and cannot be changed by
the user. The system checks every 30 minutes for reagent sets that require mixing.
e For mixing during the Prepare phase, see Performing reagent mixing on page B-28.
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5 Daily operation cobas c111
Finishing the shift
The typical end of shift activities are organized in a single wizard. By performing the
steps as suggested by this wizard, you put the instrument in a condition that allows
you to hand over operation to another operator or to switch off the instrument.
Safety information
Make sure that you have read and understood section Safety information on page B-5. The
following safety messages in particular are relevant:
Warning messages:
o Injury through reagents and other working solutions on page B-5
o Infection by biohazardous materials on page B-5
o Injury through reagents and other working solutions on page B-5
Short guide
The following table provides an overview of the steps that make up the end of shift
process.
2 Start the End Shift wizard. 1. On the [Overview] tab, press the <End Shift>
button.
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Finishing the shift
7 Check the cuvette status. Replace at least all red cuvette segments.
1. Press the cuvette button.
2. Open the main cover.
3. Replace the cuvette segments.
4. Close the main cover.
5. Press to proceed to the next stage in the
End Shift wizard.
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Finishing the shift
Results must be accepted before they can be printed or transmitted to the host.
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Finishing the shift
The easiest way of performing the end of shift tasks is by following the End Shift
wizard.
The cobas c111 instrument can store orders and result data for one working day. It
is therefore necessary to export to an external medium all data that you need to keep.
During a database export, the full content of the database is copied to the USB stick.
The database data can be restored to the instrument if required (Utilities > Import >
Database).
e For information on restoring the database, see Importing the database on page B-101.
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Finishing the shift
When exporting results, the full result data are exported. The following results are
copied to the USB stick (each of the sets is contained in a separate file):
File format Result data are exported as comma-separated value (csv) files. The entries are
separated by semicolons (;).
e For details on csv definitions, see Exporting results on page B-93.
These files can be processed with any spreadsheet program that can import csv files.
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Finishing the shift
The cobas c 111 instrument can store orders and results data for one working day. It
is therefore necessary to delete results and orders to ensure that there is enough space
on the system for the next shift.
By deleting the patient results, you delete the corresponding orders as well.
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Finishing the shift
To ensure the smooth running of the system, you should perform all due
maintenance actions. Performing these actions as part of the end of shift activities
ensures that at the beginning of the next shift, when there might be many tests to be
performed, the system is ready for processing quickly.
Replacing cuvettes
a To replace cuvettes
1 Follow the instructions given in To prepare the cuvettes on page B-27.
2 Press to proceed to the next stage in the End Shift wizard.
A screen is displayed that shows the status of the external fluid bottles.
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Finishing the shift
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
o Infection by waste solution on page B-5.
Roche recommend to refill the water container whenever you empty the waste container.
Roche recommend to empty the waste container whenever you refill the water container.
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Finishing the shift
During periods when you do not perform tests, the disk should be stored in a clean
refrigerated place at temperatures in the range of 6 to 10°C.
Make sure that you have read and understood section Safety information on page B-5. The
following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page B-5.
o Infection by biohazardous materials on page B-5.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page B-5.
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Logging off
Logging off
You should log off the system before you hand it over to another operator. (Only one
person can be logged on at any time.)
You can log off any time, even while the system is processing orders.
Automatic logoff
You can configure the system to automatically log off the user after a configurable period
of inactivity (Utilities > Configuration > System > Screen Saver Wait ≠ 0; Utilities >
Configuration > System > Auto Log-off = On).
If there is no other shift, you can now switch off the main instrument.
When you switch off the system, reagent cooling stops. Therefore, you need to remove the
reagent disk and store it in a cool place before switching off the system.
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Using the barcode scanner
Because the barcodes on reagent bottles and sample tubes are different, you use the
barcode scanner in a different way. The various procedures are described in the
following sections.
Loss of sight
The intense light of the LEDs may severely damage you eyes. Do not stare into the LEDs.
WARNING Scanning equipment using LED technology is covered by the international standard
IEC 60825-1 LED Safety: Class 1.
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Using the barcode scanner
For safety reasons, the barcode scanner is set to only read barcodes that contain a
checksum.
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Table of contents
Special operations
The tasks you do not perform every day
In this chapter, you will find information on operator tasks that are not part of the
daily routine of analyzing samples.
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Deleting patient orders
Patient orders are normally deleted as part of the daily end of shift activities. This
section describes how to proceed if you need to delete patient orders outside the
normal daily routine.
e For deleting orders at the end of a shift, see Cleaning up the database on page B-74.
Preconditions for deleting The orders should be fully processed before you delete them.
a To delete orders
1 Choose Workplace > Orders.
A screen is displayed that lists all currently defined patient orders.
2 Do one of the following:
If Do this
You want to delete an individual order: 1. Select the order entry in the list.
2. Press .
3. Press <Selected>.
You want to delete all or a specific group of 1. Press .
orders: 2. Press the appropriate filter button.
3. Press to confirm the selection.
4. Press .
5. Press <List [filter criterion]>.
The orders are deleted. You cannot retrieve them any more from the system.
Patient results are normally deleted as part of the daily end of shift activities. This
section describes how to proceed if you need to delete patient results outside the
normal daily routine.
e For deleting results at the end of a shift, see Cleaning up the database on page B-74.
Preconditions for deleting Patient results should be accepted and printed or sent to the host before deleting.
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Calibration
If… Do this…
You want to delete an individual patient 1. Select the result entry in the list.
result: 2. Press .
3. Press <Selected>.
You want to delete all or a specific group 1. Press .
of patient results: 2. Press the appropriate filter button.
3. Press to confirm the selection.
4. Press .
5. Press <List [filter criterion]>.
6. Press to confirm the deletion.
The results are deleted. You cannot retrieve them any more from the system.
By deleting all patient results of an order, you delete the corresponding order as well.
Calibration
Obsolete calibration results are automatically deleted as part of the daily end of shift
activities if there are more than five obsolete calibration results for the test.
(Calibration results become obsolete when the empty set is removed or if it was
removed more than 30 days ago.)
This section describes how to proceed if you need to delete results outside the normal
daily routine.
e For deleting calibration results at the end of a shift, see Cleaning up the database on
page B-74.
a To delete a calibration
1 Choose Workplace > Calibrations.
2 Select the calibration entry.
3 Press .
A confirmation screen is displayed.
4 Press .
The order and the results are deleted. You cannot retrieve them any more from the
system.
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Deleting QC results
Deleting QC results
QC results are displayed in the QC Status list as soon as they are generated. A copy of the
results is also placed in the QC History list. This list keeps the results of the previous and
the current months.
Deleting QC results, deletes the associated orders as well.
Accepted QC results are normally deleted from the QC Status list as part of the daily
end of shift activities, at the same time, results that were generated before the first day
of the previous month are deleted from the QC History list.
This section describes how to proceed if you need to delete QC results outside the
normal daily routine.
e For deleting QC results at the end of a shift, see Cleaning up the database on page B-74.
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Deleting QC results
If… Do this…
You want to delete all QC results: 1. Choose <All>.
2. Press to confirm the deletion.
You want to delete all accepted QC results: 1. Choose <All Accepted>.
2. Press to confirm the deletion.
You want to delete the selected result: 1. Choose <Selected>.
The results are deleted. You cannot retrieve them any more from the system.
If… Do this…
You want to delete all results in the list: 1. Choose <List [filter criterion]>.
(If a filter was applied, this list would 2. Press to confirm the deletion.
contain only the results that fulfill the filter
criterion, and the filter criterion would be
part of the button name.)
You want to delete all results that were 1. Choose <Older than Previous Month>.
generated before the first day of the 2. Press to confirm the deletion.
previous month:
The results are deleted. You cannot retrieve them any more from the system.
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Lot handling
Lot handling
Both the lot data and its handling depend on what item the lot refers to:
o Calibrators (calibrator lot)
o Controls (QC lot)
o Reagents, diluents (reagent lot)
A B C
Figure B-35
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Lot handling
B
C
Figure B-36
Calibrators that were defined or changed manually are marked with an asterisk.
Reagent lots
You cannot view specific reagent lot data. They are an integral part of each reagent set.
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Lot handling
For patient, calibration, and QC results, you can check to which lot the used fluids
belong (reagents, calibrators, controls).
If Do this
You want to check the context information 1. Choose Workplace > Result Overview.
of a patient result: 2. Select a result.
3. Choose > .
You want to check the context information 1. Choose Workplace > QC Status.
of a QC result: 2. Select a result.
3. Choose > .
You want to check the context information 1. Choose Workplace > Calibrations.
of a calibration result: 2. Select a result.
3. Choose > .
A screen is displayed that lists the lot IDs for the used reagent set, calibrators, and
controls. (The following figure shows an example of patient-result lot-data.)
Figure B-37
Lot data are usually contained in the barcode of the item, and you define them by
scanning the barcode. With the exception of reagent and diluent lots—they can be
defined by scanning their barcodes only—all lots can also be defined manually.
You would for example define the lot data manually if you cannot read the barcode
for some reason, or in the case where you work with lab-specific controls or third-
party controls that do not include barcode transfer sheets for lot data.
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Lot handling
Preparation tasks Make sure that the controls and calibrators are assigned to the application.
e See Preparing applications on page B-125.
If… Do this…
The lot data are 1. Scan the barcode.
available from a The screen is displayed again that lists all installed control lots.
barcode The new lot is selected.
You want to type 1. Press .
the data manually 2. Type the name and press .
3. Type the material code and press .
You find this code in Utilities > Applications > select a test >
> Control.
4. Type the Lot ID and press .
5. Type the expiration date. Use the date format as indicated on
the screen.
6. Press to confirm the definitions.
If a lot with the same ID already exists on the system, a screen is
displayed, asking you whether you want to replace the existing
lot.
Press to confirm the definitions.
7. Press [*Add new test*].
8. Press .
A screen is displayed that contains all tests that use this control
and that have not yet been assigned to this lot.
9. Select a test and press .
10. Type the value for the mean concentration and press .
11. Type the value for the standard deviation.
12. Press to confirm the definitions.
The screen for handling control lot data is displayed again.
13. Perform steps 7 through 12 for all tests you want to use.
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Lot handling
If… Do this…
The lot data are 1. Scan the barcode.
available from a The screen is displayed again that lists all installed calibrator lots.
barcode The new lot is selected.
You want to type the 1. Press .
data manually 2. Type the name (up to 10 alphanumeric characters) and press .
3. Type the material code and press .
Refer to the package insert.
4. Type the lot ID (up to nine alphanumeric characters) and press .
5. Type the expiration date and press .
Use the date format as indicated on the screen.
6. Type the number of calibrators (cups) you need to place on the
instrument. Use the information given on the package insert.
(Exclude calibrators that use system water from this number. See
step 14.)
7. Press to confirm the definitions.
8. Press [*Add new test*].
9. Press .
A screen is displayed that shows all tests that have this calibrator
defined for them and that are not yet assigned to this lot.
10. Press one of the test buttons.
11. Press .
12. Define the first calibration value (target value).
13. Define the next calibration value.
You can define up to six calibration values, and you must define
them in descending order.
14. Select the value for [Last is Water].
Press <On> if you want to calibrate with system water as zero
calibrator. (In this case, no cup needs to be placed on the system.
(See step 7).
Press <Off> if you want to use a special zero calibrator for the
calibration. (The special zero calibrator needs to be placed on the
sample area.)
15. Press to confirm the definitions.
Calibration values (target values) in method sheets may be defined in increasing order of
concentration. Always define the values in decreasing order on the cobas c 111 instrument.
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Exporting data
Exporting data
The database is normally exported as part of the daily backup during the end of shift
activities.
e See Performing the daily backup on page B-72.
During a database export, the full content of the database is copied to the USB stick.
The database data can be restored to the instrument if required.
e See Importing the database on page B-101.
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Exporting data
Exporting results
When exporting results, the full result data are copied into an archive on the USB
stick.
The archive has the name format csv_yyyymmddhhmmss.tgz, and it contains the
following files:
File format Result data are exported as line-oriented comma-separated value (csv) files.
The following definitions apply:
o Character set: ISO1LATIN1 - ANSI - ISO8859-1 - ISO Latin 1, Western
o Separator: Semicolon (;)
o Element qualifier: Quote (“) (ASCII-Code 34 (0x22)
o Empty element: Two quotes (“”) (ASCII-Code 34 (0x22)
o Line terminator: Standard Win Style (CRLF) ASCII-Code 13+10 (0x0D + 0x0A)
These files can be processed with any spreadsheet program that can import csv files.
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Exporting data
The following tables list, for the patient, calibration, and QC result files, the column
headings of the spreadsheet and provide information on the kind of information the
columns contain.
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Exporting data
If the calibration results were accepted using Use Old, "???" is displayed as the Date and
Time values, and the corresponding values for Raw1 - Raw40 are missing.
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Exporting data
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B-96 Operator’s Manual · Version 2.0
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Exporting data
The following figure is an example of a test result file that was opened in a spreadsheet
tool. Rows 11 and 12 represent the raw data of a development channel application
with the short name DCBLG.
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Exporting data
During troubleshooting, you may be asked to export the log files and to send them to
by the service representative for examination.
The log-files contain the alarm messages and system logs.
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Importing data
Importing data
Importing applications
If… Do this…
You intend to scan the barcode: 1. Scan the barcode from the barcode
sheet.
You intend to import from the USB stick: 1. Press .
2. Insert the USB stick.
3. Press .
4. Select the directory that contains the
application file.
You recognize the application packages
by their file extension .tsb.
5. Press to confirm the selection.
The system checks whether there is already an application on the system with
identical application code and short name.
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Importing data
e For detailed information on possible conflicts when importing applications, see the
section on installing and configuring development channel applications in the
cobas c111 Development Channel Operator’s Manual.
If you want to replace both the laboratory parameters and the application definitions, you
first need to uninstall and delete the existing application and then to import the new
application.
a To install an application
1 Choose Utilities > Applications > Laboratory Parameters.
2 Select an application whose name is in square brackets, for example [GLU2].
3 Press .
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Importing data
Importing software
This function is usually used for restoring the complete system data or for cloning an
existing system.
During the installation process, existing data will be deleted, for example orders, results
(including Abs. Air/Water Calibration), bottle and electrode definitions. The admin
password is reset to its default value.
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6 Special operations cobas c111
Importing data
Importing certificates
Certificates are digital records that ensure the authenticity of reagent barcodes. On
each cobas c111 instrument there must be a certificate installed.
a To import certificates
1 Choose Utilities > Import > Certificate.
A screen is displayed, that lists the currently installed certificates.
2 Press .
A screen is displayed, asking you to insert the USB stick.
3 Insert the USB stick.
4 Press .
5 Select the certificate.
You recognize a certificate by its file extension .prm.
6 Press to confirm the selection.
The certificates are installed on the system.
The screen is displayed again, that lists the currently installed certificates.
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Preparing a new disk
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Operator’s Manual · Version 2.0 B-103
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Preparing a new disk
You can use up to eight different reagent disks on one cobas c111 instrument. Each
reagent disk is equipped with numbered tabs. For automatic disk identification by the
instrument, one—and only one—of these tabs is removed. The number of this
removed tab is the disk ID. When you label the disk, make sure that the number on
the label corresponds to that of the removed tab.
A
A
B
C
D
Defining the disk ID 1 Be sure to select an ID that is not used by any other reagent disk you intend to use
on this cobas c 111 instrument.
You can choose a number between one and eight.
2 Print the number on a label and stick the label on the disk (A).
3 Using pliers, break off the ID tab (C, D) with the same number as the one printed
on the label.
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Preparing a new disk
10 Remove the cap from the bottle and place it in the reagent bay.
11 Press to confirm the insertion.
If you confirm without placing the bottle, the system assumes that the bottle is
placed.
If you press after placing the bottle, the position is deemed empty.
When the first reagent bottle of a set is loaded, the reagent set is defined. From this
moment on, the reagents are handled as part of the set. You no longer handle
them as individual reagents.
12 Do one of the following:
If Do this
There is another bottle A screen is displayed, asking you to scan the bottle.
belonging to the set: 1. Scan the bottle
2. Insert the bottle.
3. Press to confirm the insertion.
All bottles of the set are 1. Close the main cover.
inserted: On the screen with the reagent set buttons, the button
for the new set is now present.
13 Press .
14 On the disk overview screen, press to load the next reagent. Proceed as
described in steps 9 through 14.
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Assigning tests to test tabs
The system provides two order modes: Easy and Full. When working in Easy mode,
the test selection screen consists of one panel, if working in Full mode, the screen
contains up to six panels, each is identified by a tab.
To make a test available for selection from the test selection screen, you need to assign
it to a test tab. This is done in two steps:
1. Naming the tabs (if required).
2. Assigning the tests to the tabs.
You need Lab Manager or Administrator rights for assigning tests to tabs.
Assignment when importing When you import applications, the tests are assigned to the tabs as follows:
applications
o If you work in Easy mode, the tests are added to the Easy panel. (If the panel is full,
they will not be displayed.)
o If you work in Full mode, the tests are added to the Easy panel (if there is space)
and to the first Full mode tab. If there is not enough space on the first Full mode
tab, the test is added to the next tab that has space available.
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Assigning tests to test tabs
7 Select the buttons for all the tabs where the test should be displayed.
8 Press .
The tests are now available on the corresponding tabs on the test selection screen.
To move a test from one tab to another, delete it from the original tab and assign it to the
new tab.
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Refilling printer paper
You can refill the printer paper any time, provided printing is not in progress.
Be sure to press down the release button firmly before you pull the panel. The panel
should open without resistance.
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Refilling printer paper
7 Insert the paper in the slot in the printer panel and pull some through.
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Removing condensation water from the reagent cooler
Figure B-42
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B-110 Operator’s Manual · Version 2.0
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Replacing the probe
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Replacing the probe
Figure B-43
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B-112 Operator’s Manual · Version 2.0
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Connecting and disconnecting the external fluid containers
Before switching on the system, make sure that all external fluid containers are placed
on the rack and properly connected.
A B C
3 Insert the tubing adapter in the container and push it down firmly.
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Connecting and disconnecting the external fluid containers
A B C
3 Insert the tubing adapter in the container and push it down firmly.
A B C
3 Insert the tubing adapter in the container and push it down firmly.
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B-114 Operator’s Manual · Version 2.0
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Connecting and disconnecting the external fluid containers
If Do this
You want to disconnect the water tubing: Press down the release clamp (A) on the
connecting socket and pull the connector
away from the socket.
You want to disconnect the diluent tubing: Turn the connecting screw (B)
counterclockwise until the connector is
released.
You want to disconnect the waste tubing: Press down the release clamp (C) on the
connector and pull the connector away
from the socket.
A B C
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Adjusting the touchscreen
With a touchscreen, it is important that the point where you press the screen
corresponds exactly with its hardware equivalent. If this were not the case, pressing a
screen item such as a button might not lead to the expected result.
If Do this
The red square is exactly where you pressed: 1. Press .
The red square is some distance from where 1. Press .
you pressed: 2. Repeat the whole procedure, make sure
that you press exactly in the center of
the crosses.
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Cleaning the touchscreen
Because the touchscreen gets easily soiled you should clean it regularly.
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Cleaning the touchscreen
Roche Diagnostics
B-118 Operator’s Manual · Version 2.0
cobas c111 7 Configuration
Table of contents
Configuration
Integrating the system in your environment
In this chapter, you will find information on how to define the way you work with the
cobas c111 instrument.
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B-120 Operator’s Manual · Version 2.0
cobas c111 7 Configuration
Introduction
Introduction
The process for viewing and changing configuration and application values is the
same. The following procedures use the example of a calibration value.
Viewing values
a To view values
1 Choose Utilities > Applications > Laboratory Parameters.
2 Expand the list.
a) Select a list item marked with .
b) Press .
c) Select a sublist item marked with .
d) Press .
e) Use the scrollbar, if required, to display the items you are interested in.
The definition items and their current values are displayed.
Figure B-49
Changing values
If the change of a value results in one or several other values needing to be changed, a
wizard is started when you change the first value. You recognize a wizard by the
presence of the and buttons.
a To change a value
1 Choose Utilities > Applications > Laboratory Parameters.
2 Expand the list to display the items and their values.
3 Select an item that shows a value.
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Introduction
4 Press .
A screen is displayed where you either can type a new value or select one by
pressing its corresponding button.
Figure B-50
If Do this
You are in a wizard and want to change a 1. Press .
further value: A screen is displayed for changing the
value.
2. Type the new value or press a value
button.
3. Continue with step 6.
4. When is no longer active, press
to confirm the changes.
This was the only value you want to change: 1. Press to confirm the changes.
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B-122 Operator’s Manual · Version 2.0
cobas c111 7 Configuration
Applications
Applications
Installing applications
If… Do this…
You intend to scan the barcode: 1. Scan the barcode from the barcode
sheet.
You intend to import from the USB stick: 1. Press .
2. Insert the USB stick.
3. Press .
4. Select the directory that contains the
application file.
You recognize the application packages
by their file extension .tsb.
5. Press to confirm the selection.
The system checks whether there is already an application on the system with
identical application code and short name.
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Operator’s Manual · Version 2.0 B-123
7 Configuration cobas c111
Applications
e For detailed information on possible conflicts when importing applications, see the
section on installing and configuring development channel applications in the
cobas c111 Development Channel Operator’s Manual.
If you want to replace both the laboratory parameters and the application definitions, you
first need to uninstall and delete the existing application and then to import the new
application.
a To install an application
1 Choose Utilities > Applications > Laboratory Parameters.
2 Select an application whose name is in square brackets, for example [GLU2].
3 Press .
4 Choose <Install Application>.
The system checks whether there is already an application installed on the system
with identical application code or short name.
On the applications list, the application name is displayed without brackets.
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Applications
You can deactivate an application to temporarily make unavailable the test on the test
panel. All associated fluids and data remain unchanged. You can activate the
application later again and continue using the test.
Preparing applications
Perform following steps for each new application. (Use the wizards to make the
definitions.)
e For the general procedure of making changes to definitions, see To change a value on
page B-121.
a To prepare an application
1 Choose Utilities > Applications > Laboratory Parameters.
2 Expand the application entry.
Code The Roche application code identifies the application. It is used for host
communication. If you work with a different code for a particular application, you
need to map the Roche application code to your own code.
e See Mapping the host codes on page B-142.
General definitions 3 Expand the [General] entry, select [Short Name], and press .
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7 Configuration cobas c111
Applications
Calibration definitions For Roche calibrators, recommended definitions are automatically defined for each
application. You can change the sequence, interval, and the replicate value, if
required.
Control definitions 14 Expand the [Control] entry, select Sequence, and press .
15 Define the sequence.
Choose [No Interval] for cases when, for example, you intend to perform QC as
part of standard sample testing and not as a separate task. Note that an accepted
QC result is required for a test before it can be used.
Choose [Interval Only] if QC should be performed whenever the reagent interval
has expired. The system automatically informs you about due QCs.
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Applications
Calculation definitions 19 Expand the [Calculation] entry, select [Factor], and press .
20 Change the factor and offset, if correlating two different methods.
21 Choose whether valuation (a reference range) should be employed or not.
If you choose <Reference Range>, you need to define an upper and lower limit
and decide which of them should be taken into account or whether both of them.
22 Define whether the lower limit is used, if required.
23 Define whether the higher limit is used, if required.
24 Change the lower limit value, if required.
25 Change the higher limit value, if required.
26 Define, for each control, whether patient results should be flagged that were
generated using a test whose QC results were marked with a flag.
27 Press to confirm the definitions.
Result Conversion definitions 28 Expand the [Result Conversion] entry, select [Laboratory Unit], and press .
29 Change the laboratory unit if you intend to work with units that are different from
the currently specified units.
30 Type the conversion factor, if required.
This factor is required if lab units were defined.
31 Choose whether values should be displayed in standard or laboratory units.
This definition affects displays on screens as well as printouts.
32 Change the decimal position, if required.
This value corresponds to the number of digits after the decimal point that are
displayed on the screens.
33 Press to confirm the definitions.
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7 Configuration cobas c111
Applications
Uninstalling applications
Before you can uninstall an application, you need to perform some preparation tasks:
2 Delete all associated QC results, both from the QC Status list and the QC History.
e See Deleting QC results on page B-85.
a To uninstall an application
1 Choose Utilities > Applications > Laboratory Parameters
2 Select the application.
Select an application that is not in square brackets, for example ALTL. (Brackets indicate
that the application is not currently installed.)
3 Press .
A confirmation screen is displayed.
4 Press to confirm the action.
All associated calibration results and lot data are deleted.
In the applications list, the application name is enclosed in square brackets, for
example [GLU2].
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Applications
Deleting applications
a To delete an application
1 Choose Utilities > Applications > Laboratory Parameters.
2 Select the application.
3 Press .
The following table lists possible situations and how they affect the process of
deleting.
Order profiles
Deleting profiles
See Deleting applications on page B-129.
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Applications
If… Do this…
The lot data are 1. Scan the barcode.
available from a The screen is displayed again that lists all installed control lots.
barcode The new lot is selected.
You want to type 1. Press .
the data manually 2. Type the name and press .
3. Type the material code and press .
You find this code in Utilities > Applications > select a test >
> Control.
4. Type the Lot ID and press .
5. Type the expiration date. Use the date format as indicated on
the screen.
6. Press to confirm the definitions.
If a lot with the same ID already exists on the system, a screen is
displayed, asking you whether you want to replace the existing
lot.
Press to confirm the definitions.
7. Press [*Add new test*].
8. Press .
A screen is displayed that contains all tests that use this control
and that have not yet been assigned to this lot.
9. Select a test and press .
10. Type the value for the mean concentration and press .
11. Type the value for the standard deviation.
12. Press to confirm the definitions.
The screen for handling control lot data is displayed again.
13. Perform steps 7 through 12 for all tests you want to use.
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Applications
If… Do this…
The lot data are 1. Scan the barcode.
available from a The screen is displayed again that lists all installed calibrator lots.
barcode The new lot is selected.
You want to type the 1. Press .
data manually 2. Type the name (up to 10 alphanumeric characters) and press .
3. Type the material code and press .
Refer to the package insert.
4. Type the lot ID (up to nine alphanumeric characters) and press .
5. Type the expiration date and press .
Use the date format as indicated on the screen.
6. Type the number of calibrators (cups) you need to place on the
instrument. Use the information given on the package insert.
(Exclude calibrators that use system water from this number. See
step 14.)
7. Press to confirm the definitions.
8. Press [*Add new test*].
9. Press .
A screen is displayed that shows all tests that have this calibrator
defined for them and that are not yet assigned to this lot.
10. Press one of the test buttons.
11. Press .
12. Define the first calibration value (target value).
13. Define the next calibration value.
You can define up to six calibration values, and you must define
them in descending order.
14. Select the value for [Last is Water].
Press <On> if you want to calibrate with system water as zero
calibrator. (In this case, no cup needs to be placed on the system.
(See step 7).
Press <Off> if you want to use a special zero calibrator for the
calibration. (The special zero calibrator needs to be placed on the
sample area.)
15. Press to confirm the definitions.
Calibration values (target values) in method sheets may be defined in increasing order of
concentration. Always define the values in decreasing order on the cobas c 111 instrument.
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Applications
The following tables provide reference information on the meaning and use of application
definitions the user might want to change.
Version
The version uniquely identifies a particular set of application definitions.
Code
The Roche application code identifies the application. It is used for host
communication. If you work with a different code for a particular application, you
need to map the Roche application code to your own code.
e See Mapping the host codes on page B-142.
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Applications
Calibration definitions
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Applications
Control definitions
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Applications
Calculation definitions
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B-136 Operator’s Manual · Version 2.0
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Configuration
Configuration
NOTICE Damage to data and programs due to unauthorized access to the cobas c 111
instrument
User access to the cobas c 111 instrument is controlled by a login name and password.
Users are administered by a system administrator.
Roche recommend to periodically change the password of the system administrator and to
store the current password in a safe place with adequate access control.
User name and password are case sensitive. This means that for example Admin and
admin are two different names.
If… Do this…
You are logged off: 1. Press <Log on>.
You are logged on: 1. Press the button showing your user
name.
2. Press <Log on>.
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Configuration
Concept of the main The main maintenance day is the day in the week when you want to perform the
maintenance day majority of the maintenance actions.
Let us suppose that you chose Monday as your main maintenance day. On the
Maintenance screen, actions that are due on Monday or an earlier day are marked in
red, actions that will fall due between Tuesday and Sunday will be marked in yellow.
The idea is to perform on the main maintenance day all red and yellow maintenance
actions. This way, between Tuesday and Sunday, you only need to perform
maintenance that need to be performed daily.
The definition of the minor maintenance day has currently no practical influence on the
maintenance scheduling, because there are no maintenance actions with intervals of
between two and six days.
You can choose from up to six languages. (You could install more than six languages,
but only the first six in the alphabetic sequence are available for selection.)
In the software and the user interface, the languages are identified by their two-letter
abbreviation (ISO 639-1). The following languages are available:
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Configuration
9 Press <Restart>.
The system will shut down and automatically restart.
When startup is complete, the [Overview] tab is displayed, and the system is in
Standby status.
10 Wait until the system is in Standby status.
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7 Configuration cobas c111
Configuration
8 Press <Restart>.
The system will shut down and automatically restart.
When startup is complete, the [Overview] tab is displayed, and the system is in
Standby status.
9 Wait until the system is in Standby status.
Uninstalling a language
You can uninstall a all languages except English.
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Configuration
User management
Defining a user
a To define a user
1 Choose Utilities > Users.
A screen is displayed that lists all currently defined users.
2 Press .
Deleting a user
a To delete a user
1 Choose Utilities > Users.
A screen is displayed that lists all currently defined users.
2 Select the user you want to delete.
3 Press .
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7 Configuration cobas c111
Configuration
When working with automatic accepting of results, results that are not flagged are
automatically accepted. Results with flags that are marked in an acceptable flags list
are accepted as well. There is such a list for sample, QC, and calibration results.
Applications are delivered with a unique ID called code. Laboratories often use their
own codes for applications. By mapping the codes used by the laboratory (host codes)
to those defined by the application manufacturer, the laboratory can work with their
own accustomed codes. The cobas c111 instrument provides a mapping table that
can easily be edited.
Editing a mapping table involves the following steps:
1. Exporting the mapping table to an USB stick. (The table is written as a text file.)
2. Editing the file on a computer and save it as a text file to the stick.
3. Importing the file to the cobas c111 instrument.
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Configuration
Workflow definitions
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Configuration
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Configuration
Host definitions
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Configuration
Result handling
Calibration
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Configuration
QC
System
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Configuration
Maintenance
Abs adjustment
The absorbance adjustment values cannot be changed.
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Configuration
If… Do this…
The definitions are available 1. Read the barcode.
on a barcode: The definitions will be installed on the system.
You want to define the 1. Press .
values manually: 2. Choose when, in relation to the pipetting action from
the bottle defined in [Trigger Bottle Code] and
[Pipetting Type], the extra wash cycle should be
performed, then press .
3. Type the trigger-bottle code and press .
The trigger-bottle code is the reagent set code. You find
it on the barcode sheet.
4. Choose the pipetting type. This defines the individual
bottle (bottle of the set or the sample tube) whose
pipetting triggers performance of the extra wash cycle.
5. Define whether the wash cycle should be active or not.
6. Type the cleaner bottle code to define which cleaner
should be used.
7. Type the volume of cleaner in µL that will be pipetted.
8. Press to confirm the definitions.
The new wash cycle is listed in the extra wash cycles list. Its name is made up of the
short name of the trigger bottle and the pipetting type.
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7 Configuration cobas c111
Configuration
You can deactivate an extra wash cycle if you do not want to use it. (The definitions
remain on the system. You can activate the extra wash cycle later again.)
To ensure the highest effectiveness of probe cleaning, extra wash cycles are performed
automatically by the cobas c111 instrument when using development channel
applications.
Roche strongly recommends to always use extra wash cycles with development channel
applications.
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Configuration
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Configuration
Roche Diagnostics
B-152 Operator’s Manual · Version 2.0
Maintenance C
General maintenance
Keeping the instrument going
In this chapter, you will find step-by-step instructions of the maintenance actions that
you must perform to keep the instrument running smoothly and efficiently.
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Operator’s Manual · Version 2.0 C-3
8 General maintenance cobas c111
Table of contents
Roche Diagnostics
C-4 Operator’s Manual · Version 2.0
cobas c111 8 General maintenance
Overview
Overview
Completing maintenance actions correctly and on time helps to ensure smooth and
uninterrupted operation of your instrument.
Maintenance scheduling The cobas c111 instrument facilitates performing the maintenance actions in
bundles at the times that suit your laboratory work processes. To that purpose, you
can define in the configuration settings one day of the week as your maintenance day.
e For information on scheduling maintenance actions, see Scheduling maintenance actions
on page B-138.
Interval For most maintenance actions a fixed maintenance interval is defined. (You cannot
change this interval.) This is the basis upon which the system calculates the date when
the actions need to be performed.
The interval timers and counters are reset whenever you confirm that the
maintenance action has been performed.
Maintenance actions without predefined intervals are performed whenever necessary,
or they are triggered by another maintenance action.
Due date The due date is the last possible maintenance day. This is the date you see when you
check the status of maintenance actions.
Ensuring smooth operation Performing all due maintenance actions during the daily Prepare or End Shift phase
ensures that routine operation does not have to be interrupted for performing
maintenance actions.
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Operator’s Manual · Version 2.0 C-5
8 General maintenance cobas c111
Overview
Figure C-1
Interpreting the colors The defined maintenance interval has expired. Perform this maintenance
action now.
Preparing the maintenance The maintenance actions are sorted according to the date by when they should be
actions performed. Use these dates for planning the maintenance actions, for example for
ordering the required materials.
Performing the maintenance 2 Select the maintenance action you want to perform.
action
The selected line turns blue.
3 Press .
The first screen of the wizard for performing the selected maintenance action is
displayed. Usually, this is the maintenance description screen.
Press if you want to print the instructions before you start.
4 Follow the instructions on the screen.
A message will inform you when the maintenance action is complete. In addition,
with maintenance actions that take some time, an acoustic signal is sounded. This
allows you to do work away from the instrument while the maintenance action is
in progress.
e For information on how to perform individual maintenance actions, see Maintenance
actions on page C-8.
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Overview
The following table lists the maintenance actions and shows how frequently they need
to be performed.
Every effort has been made to ensure that all the information contained in this table is
correct at the time of publication. However, Roche Diagnostics GmbH reserves the right to
make any changes necessary without notice as part of ongoing product development.
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Operator’s Manual · Version 2.0 C-7
8 General maintenance cobas c111
Maintenance actions
Maintenance actions
The following sections describe the maintenance actions of the main instrument.
e For ISE-specific maintenance actions, see ISE maintenance actions on page E-40.
Safety information
Roche Diagnostics
C-8 Operator’s Manual · Version 2.0
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Maintenance actions
Whenever the term "purified water" is used in this document, water of at least the quality
specified in chapter Technical specifications must be used.
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Operator’s Manual · Version 2.0 C-9
8 General maintenance cobas c111
Maintenance actions
Deproteinize probe
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Incorrect results due to build-up of contaminants on page C-9.
Roche Diagnostics
C-10 Operator’s Manual · Version 2.0
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Maintenance actions
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Operator’s Manual · Version 2.0 C-11
8 General maintenance cobas c111
Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Incorrect results due to build-up of contaminants on page C-9.
o Infection by biohazardous materials on page C-8.
Figure C-2
Roche Diagnostics
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Maintenance actions
6 Hold the assembly by the probe holder and clean the probe using a tissue
moistened with 70% ethyl alcohol.
Wipe from top to bottom several times.
7 Wipe the side of the probe holder that faces the level detection contact. Use a
tissue moistened with 70% ethyl alcohol.
Figure C-3
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8 General maintenance cobas c111
Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Infection by biohazardous materials on page C-8.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page C-8.
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Maintenance actions
Figure C-4
11 Wash the sample tray using detergent. (You can wash the tray in a dish washer.)
Figure C-5
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8 General maintenance cobas c111
Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Infection by waste solution on page C-9.
o Infection by biohazardous materials on page C-8.
Figure C-6
Figure C-7
3 Remove the bottle from the rack and place it on a firm and even surface.
4 Place the spare container on the rack.
5 Check that the tubing adapter is properly inserted.
6 Empty the removed waste container. Treat the fluid as biohazardous waste.
7 Pour 500 mL hypochlorite solution in the waste container.
8 Clean the container with a brush.
9 Dispose of the fluid. Treat it as biohazardous waste.
10 Clean the interior of the waste container manually using tissues. Remove any
residue.
11 Rinse the waste container with tap water.
12 Empty the container completely.
13 Wipe the waste inlet with a tissue.
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8 General maintenance cobas c111
Maintenance actions
14 Reinsert the tubing adapter into the waste container. Press down firmly.
15 Press .
The maintenance action [Prime Fluid System] is automatically performed.
A message will inform you when the maintenance action is complete.
16 Press .
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Maintenance actions
Prerequisites None
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
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8 General maintenance cobas c111
Maintenance actions
B C
A
D
Figure C-8
a) Remove the retaining ring by pulling it by its tab away from the filter casing (A,
D, E).
b) Remove the filter (B) and replace it with a new one.
c) Place the retaining ring.
Press it firmly on the filter casing by placing your thumb across it an applying
equal pressure all around.
7 Reinsert the tubing adapter into the water container. Press down firmly.
8 Press .
The maintenance action [Prime Fluid System] is automatically performed.
A message will inform you when the maintenance action is complete.
9 Press .
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Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Infection by biohazardous materials on page C-8.
To find out what steps are required, you can choose Utilities > Maintenance > Clean
Housing and then press . (The maintenance definition screen is displayed.)
Do not press at this stage. You do this only when you have completed the
maintenance action. Instead, press to close the screen.
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Maintenance actions
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Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Infection by biohazardous materials on page C-8.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page C-8.
Preparing the instrument 4 Open the main cover and the right service flap.
5 Remove the sample tray by lifting it.
Figure C-9
Roche Diagnostics
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8 General maintenance cobas c111
Maintenance actions
Figure C-10
Figure C-11
Hold the assembly by the screw and fit the lamp socket in the guides.
10 Fasten the screw of the lamp assembly.
11 Close the photometer lamp housing cover.
12 Plug the power connector into its socket.
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Maintenance actions
Figure C-12
Roche Diagnostics
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8 General maintenance cobas c111
Maintenance actions
Prerequisites None
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Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Infection by biohazardous materials on page C-8.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page C-8.
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8 General maintenance cobas c111
Maintenance actions
If at this stage, you press , the results are not stored and the maintenance action is
deemed not performed.
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Maintenance actions
Figure C-13
If Do this
You cannot see any air 1. Continue with step 6.
bubbles
You can see air bubbles or the 1. Press to abort this maintenance action.
tube is empty 2. Perform the maintenance action [Prime Fluid
System].
3. Restart the maintenance action [Initialize Degasser
Fluid Sensor].
Roche Diagnostics
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8 General maintenance cobas c111
Maintenance actions
Figure C-14
Roche Diagnostics
C-30 Operator’s Manual · Version 2.0
cobas c111 8 General maintenance
Maintenance actions
Make sure that you have read and understood section Safety information on page C-8. The
following warning messages in particular are relevant:
o Injury through working solutions on page C-8.
o Infection by biohazardous materials on page C-8.
Figure C-15
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Maintenance actions
Figure C-16
Figure C-17
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Maintenance actions
13 For each of the two rotor bearings to the right, loosen slightly one of the fixation
screws and completely unscrew the other. (Use a screw driver to loosen the screws,
if required.) Then pull away from the rotor the side of the bearing that you
completely unscrewed.
C D
A E
Figure C-18
14 From the rotor motor, slightly lift the retention pin, move the motor away from
the rotor and engage the pin to fix the motor in the removed position.
Make sure to use the hole nearer to the front of the instrument for arresting the
bearing with the pin.
15 With one hand, release the spring-loaded bearing from the rotor, and with the
other hand lift the rotor.
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8 General maintenance cobas c111
Maintenance actions
Cleaning the rotor 16 Rinse the cuvette ring (A) under running water.
Figure C-19
NOTICE Do not use any cloth to clean or dry the rotor. This could leave dust and lint on the Abs.
inspection holes and so prevent proper measurement.
Cleaning the heating channel 18 Clean the heating channel (B) with a lint free tissue or a cloth moistened with
ethyl alcohol.
Make sure not to touch the photometer lens (A).
Figure C-20
Reinstallation 19 With one hand, pull the spring-loaded bearing away from the rotor position, and
with the other hand insert the rotor.
20 Engage the right rotor bearings and fasten the fixation screws.
21 Move the rotor to test its smooth running.
22 Hold the spring-loaded rotor motor in position, lift the retention pin and release
the motor gently.
23 Move the transfer head to its leftmost position.
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Maintenance actions
Figure C-21
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8 General maintenance cobas c111
Maintenance actions
Roche Diagnostics
C-36 Operator’s Manual · Version 2.0
Troubleshooting D
In this chapter, you will find information on messages generated by the cobas c111
instrument, and on how to use them and react to them.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-3
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Table of contents
Roche Diagnostics
D-4 Operator’s Manual · Version 2.0
cobas c111 9 Messages and alarms
About messages
About messages
The system performs numerous checks. When a certain event has occurred or when
an irregularity is detected, a message is generated. Messages are displayed in two ways:
o Immediate feedback on user actions is displayed in a pop-up message screen.
o Information concerning a problem that occurred during operation is reported as
alarm messages in the alarm monitor.
Alarm messages are stored in a log file, which you can export.
e See Exporting the alarm message log on page D-8.
Message screen
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Operator’s Manual · Version 2.0 D-5
9 Messages and alarms cobas c111
Acoustic signals
Acoustic signals
Alarm monitor
The alarm button is always active, even if you are not logged on the system.
Roche Diagnostics
D-6 Operator’s Manual · Version 2.0
cobas c111 9 Messages and alarms
Alarm monitor
No color There are no alarm messages to be dealt with. (All alarm messages have
Off been acknowledged.)
Yellow There is at least one alarm message that you need to deal with as soon as
possible.
Red There is at least one alarm message that you need to deal with.
Processing cannot continue unless you do so.
An acoustic signal is sounded when an alarm is generated. You can adjust the volume
(Utilities > Configuration > System > Volume).
A B
Figure D-3
4 When you have dealt with the issue, press to delete the message from the
display. (It will still remain in the log file, which you can export.)
Roche Diagnostics
Operator’s Manual · Version 2.0 D-7
9 Messages and alarms cobas c111
Alarm monitor
When you print alarm messages, their details are included in the printout.
Deleting a message means confirming that you have dealt with the issue mentioned in
it. (It will still remain in the message log.)
a To delete a message
1 Press .
2 Select the message. (Use and to display the previous and next message
respectively.)
3 Press .
The current message is deleted from the display.
Roche Diagnostics
D-8 Operator’s Manual · Version 2.0
cobas c111 9 Messages and alarms
List of alarm messages
In the following table, the variables %s and %d are used, they represent text and numbers.
ID Message Comment
0000 Unknown message, nbr=%d!
0001 Fatal system exception, code=%d. Perform restart. If the problem persists, call your service
representative.
0002 Configuration update failed, code=%d
0003 Order rejected with unknown measuring mode, order
index=%d, measuring mode=%d"
0004 Unit not ready, order rejected, order index=%d
0005 A mathematical exception arose.
0006 Last calculation cycle too short, cycle index=%d
0007 Failed to calculate linear regression
0008 Invalid cycle range: %d..%d
0010 Invalid reaction direction=%d
0011 Illegal IPC message received state=%d, msgId=%d
0012 Problem with order handling in SW. Check if all requested results are available, if not, re-order
the test.
0017 The version of the installed language %s is older than the
required version %s
0018 Invalid system date! Warning: Using the system with an invalid date may lead
to incorrect results.
5001 Air in the fluid system. Water container or cleaner bottle is empty.
5002 Air detected in fluid system. Refill water container and/or replace cleaner bottle and
perform <Prime Fluid System>.
5003 Parameter outside specified values. Perform restart.
5004 Syringe motor error. Perform restart. If the problem persists, call your service
representative.
5010 Syringe assembly or initialization error. Check for mechanical blockage and perform restart.
5013 Mixing motor error. Perform restart. If the problem persists, call your service
representative.
5019 Mixing motor or initialization error. Check for mechanical blockage and perform restart.
5022 Heating channel temperature sensor error. Perform restart. If the problem persists, call your service
representative.
5024 Reagent cooler temperature sensor error. Perform restart. If the problem persists, call your service
representative.
5026 Heat sink temperature sensor error. Perform restart. If the problem persists, call your service
representative.
5028 Environment temperature sensor error. Perform restart. If the problem persists, call your service
representative.
Table D-1 List of alarm messages
Roche Diagnostics
Operator’s Manual · Version 2.0 D-9
9 Messages and alarms cobas c111
List of alarm messages
ID Message Comment
5030 Wash pump P1 error. Perform restart. If the problem persists, call your service
representative.
5032 Waste pump P2 error. Perform restart. If the problem persists, call your service
representative.
5034 Wash valve V1 error. Perform restart. If the problem persists, call your service
representative.
5036 Cleaner valve V2 error. Perform restart. If the problem persists, call your service
representative.
5038 Heating foil error. Perform restart. If the problem persists, call your service
representative.
5040 Peltier element error. Perform restart. If the problem persists, call your service
representative.
5044 Mainboard fan error. Perform restart. If the problem persists, call your service
representative.
5047 Cooling fan error. Perform restart. If the problem persists, call your service
representative.
5049 Sample area fan error. Perform restart. If the problem persists, call your service
representative.
5052 Peltier heat sink too hot. Check the cooling fan, and check for obstructions in the
air duct.
5054 Heating channel temperature too high. Switch off instrument. As soon as the heating channel is
cooled down (15 minutes) switch on again.
5055 Heating channel temperature too low. Perform restart. If the problem persists, call your service
representative.
5056 Transfer head fluid sensor adjustment error. Check the water container and cleaner bottle, and
perform <Prime Fluid System>.
5058 Transfer head fluid sensor error. Perform restart. If the problem persists, call your service
representative.
5060 MultiSControl error with code=%d. Perform restart. If the problem persists, call your service
representative.
5061 Air detected in supply pipe. Refill water container and perform <Prime Fluid
System>.
5062 Degasser fluid sensor is not initialized. Perform <Initialize Degasser Fluid Sensor>.
5063 Degasser Valve error. Perform restart. If the problem persists, call your service
representative.
6001 Photometer lamp error. Perform Clean Rotor and Heating Channel. If problem
persists, replace the photometer lamp. See the instructions
in the Operator's Manual.
6002 Photometer error. Make sure that all covers are mounted and closed. Switch
on the instrument. If the problem persists, call service.
6018 Photometer error with code=%d. Perform restart. If the problem persists, call your service
representative.
6019 ABS Signal overflow. Possible causes: Rotor dirty, rotor light barrier defect, ABS
photometer defect. Perform Clean Rotor and Heating
Channel (see Operator's Manual for instructions), check
light barrier. If problem persists, call service.
Table D-1 List of alarm messages (continued)
Roche Diagnostics
D-10 Operator’s Manual · Version 2.0
cobas c111 9 Messages and alarms
List of alarm messages
ID Message Comment
6020 Photometer lamp error. Perform Clean Rotor and Heating Channel. If problem
persists, replace the photometer lamp. See the Operator's
Manual for instructions.
7001 The Instrument Control software encountered an Perform restart. If the problem persists, call your service
exception. representative.
7002 Software error. Export the log files. Perform restart. If the problem
persists, call your service representative.
7004 Error due to a previous hardware error. Check for hardware messages.
7006 Hardware error with code=%d. Export the log files. Perform restart. If the problem
persists, call your service representative.
7007 Error caused by hardware module No %d. Check all cable connectors and perform restart.
7008 code raised by IC software caused by an unexpected Perform restart, if the problem persists call service.
handling or system situation.
7009 No connection to Instrument Control. Make sure that the ethernet cable is plugged in firmly.
Perform restart, if the problem persists call service.
7010 Instrument failed to initialize. Check for previous error messages and eliminate the
cause. Switch off the instrument and check the
mechanical system. Switch on instrument. If the problem
persists call service.
7011 Failed to aspirate sample from tube on position %d. Check if there is enough sample.
7012 Failed to identify the reagent disk. Remove reagent disk and check the ID tabs. Only one tab
should be removed. Reinsert the reagent disk properly.
7013 The transfer head is blocked. Check for obstacles blocking the transfer head. Perform
restart, if the problem persists call service.
7014 %s electrode is not stable during sample measurement. Perform restart. Perform <Electrode Service>. Check
reference tubing for obstructions. Replace electrode.
7015 %s electrode is not stable during calibrator measurement. Perform restart. Perform <Electrode Service>. Check
reference tubing for obstructions. Replace electrode.
7016 The ISE sample sensor could not detect ISE Deproteinizer. Check the ISE Deproteinizer level, proper electrode
mounting, tube leakages and obstructions.
7017 The ISE sample sensor could not detect ISE Etcher. Check the ISE Etcher level, check for proper electrode
mounting, tube leakages and obstructions.
7018 The probe is not straight or not properly mounted. Check that the probe is properly mounted. Perform
<Replace Probe>.
7019 The transfer init with the probe failed due to level Check for obstructions and properly mounted probe.
detection problem. Perform restart, if the problem persists call service.
7020 The transfer initialization failed. Transfer head movement failed due to open main cover.
Close the main cover. Perform restart. If the problem
persists, call your service representative.
7021 Instrument failed to initialize due to dirty init plate or Perform <Clean Probe Manually> and restart. If the
probe. problem persists, call service.
7022 Rotor movement impeded. Perform Clean Rotor and Heating Channel (see the
Operator's Manual for instructions). If the problem
persists call your service representative.
7033 Z-Motor mechanically blocked. Switch off the instrument. Check for smooth movement.
Switch on again, if the problem persists call service.
Table D-1 List of alarm messages (continued)
Roche Diagnostics
Operator’s Manual · Version 2.0 D-11
9 Messages and alarms cobas c111
List of alarm messages
ID Message Comment
7034 Motor error (movement). Check for blockages on rotor and transfer systems. Then
perform restart. If the problem persists, call your service
representative.
7036 Level detection error (conductivity). Use water quality according to Operator's Manual.
Perform restart, if the problem persists call service.
7037 Level detection error (connection). Check probe mounted properly, white level detection
cable, contact on the probe holder. Perform restart. If the
problem persists, call service.
7038 Motor error (overheated). Switch off the instrument. Check for smooth movements.
Switch on again, if the problem persists call service.
7039 Internal voltage failed. Perform restart. If the problem persists, call your service
representative.
7042 Check Fuse F1. Replace if necessary.
7043 Check Fuse F2. Replace if necessary.
7044 Check Fuse F3. Replace if necessary.
7045 Check Fuse F4. Replace if necessary.
7046 Rotor error. Check for properly mounted rotor bearing motor drive.
Perform restart, if the problem persists call service.
7051 Rotor motor error (electrical). Perform restart. If the problem persists, call your service
representative.
7052 Transfer X-motor error (electrical). Perform restart. If the problem persists, call your service
representative.
7053 Transfer Z-motor error (electrical). Perform restart. If the problem persists, call your service
representative.
7057 The ISE sample sensor has no valid data. Perform <Initialize ISE unit>.
7058 The ISE sample sensor could not detect liquid. Check ISE tower, electrodes, and tubing for clogging and
leakages. Check for proper mounting. Perform restart.
7059 The ISE sample sensor could not detect the segment end. Check electrodes, ISE tubing for clogging and the
peristaltic pump for proper function. Perform restart.
7060 The ISE sample sensor could not calibrate. Check the ISE Calibrator indirect/urine bottle and the
tubing. Perform <Initialize ISE unit> maintenance action.
7061 The ISE sample sensor calibration is out of range. Check the ISE tubing for proper mounting (around
sensor) and check for leakages and clogging.
7062 The ISE sample sensor could not detect calibrator. Check the ISE Calibrator indirect/urine level. Check the
ISE tubing for leakages and clogging. Perform restart.
7063 The ISE sample sensor could not detect end of calibrator Check the electrodes and ISE tubing for leakages and
segment. clogging, and the peristaltic pump for proper functioning.
Perform restart.
7064 The ISE sample sensor did not detect liquid when Check Activator, electrodes, ISE tubing for leakages/
initializing. clogging and peristaltic pump.
7065 The ISE reference sensor did not initialize. Check level of the ISE Reference Solution, electrodes, ISE
tubing for leakages/clogging and peristaltic pump.
7066 Controller %d reports wrong software version. Download Instrument Controller software.
7067 Controller %d reports a boot, checksum or attach error. Perform restart. If the problem persists, call your service
representative.
7068 Wash aborted due to open cover. Close the cover and perform restart.
Table D-1 List of alarm messages (continued)
Roche Diagnostics
D-12 Operator’s Manual · Version 2.0
cobas c111 9 Messages and alarms
List of alarm messages
ID Message Comment
7069 Procedure stopped due to open cover. Keep all covers closed while the instrument is in
Operating mode or during initialization.
7070 Probe crashed or bottle set %s became unexpectedly Check for obstructions of probe movement and for filling
empty. level of reagent bottle.
7071 End of photometer lamp life reached. Perform restart. If message reoccurs, replace the
photometer lamp using the maintenance function. See the
Operator's Manual for instructions.
7072 Reagent mixing failed due to level detection problem. Check the filling level of the reagent bottle.
7073 ISE pump speed is out of range. Check the ISE pump tubing and perform <Initialize ISE
Unit>.
7074 ISE - The detected sample or calibrator segment was too Check the electrodes and the ISE tubing for leakages and
short. clogging. Perform restart.
7075 ISE measuring failure. Perform restart. If the problem persists, call your service
representative.
7076 ISE - ISE fluid transportation timing problem. Check the ISE tower and tubing for leakages and clogging.
Perform <Initialize ISE Unit>.
7083 ISE bypass tube blocked. Perform restart. Perform <Replace ISE Unit Tubing>.
Follow the instructions in the Operator's Manual.
7084 ISE valve defect. Check pinch valves and tubing for proper mounting.
Perform restart. If the problem persists, call your service
representative.
7086 ISE air pressure is outside range. Check the tubing to the air pressure sensor. Perform
restart. If the problem persists, call your service
representative.
7087 ISE air pressure sensor detected that the pressure is too Perform restart. If the problem persists, call your service
low. representative.
7088 ISE unit detected an internal power supply failure. Check the fuses. Perform restart. If the problem persists,
call your service representative.
7099 ISE bottle weight sensor not fully initialized. Perform restart. Perform completely the procedure for
initializing both bottle weight sensors.
7100 System restart after power fail.
7103 ISE bottle weight mismatch. Perform restart, then perform completely the procedure
for initializing both bottle weight sensors.
7107 ISE unit error reported by Instrument Control software, Perform restart. If the problem persists, call your service
code=%d. representative.
7108 DC controller error reported by Instrument Control Perform restart. If the problem persists, call your service
software, code=%d. representative.
7109 Sample probe is bent or not properly aligned. Check probe and/or adjust transfer head.
7110 Time scale for dispensing into cuvette exceeded. Possible reason: Preceding hardware problem. Check
previous error messages, eliminate the cause and perform
restart. If the problem persists, call service.
7111 Transfer movement failed due to open cover. Keep covers closed while the instrument is in Operating
mode.
7112 The ISE reference sensor has detected too much air during Check the level of the ISE Reference Solution, check
ISE Reference Solution transport. electrodes, ISE tubing for leakages and clogging, check
peristaltic pump. Perform restart.
7113 Prime failed due to open main cover. Keep main cover closed during operation and
maintenance.
Table D-1 List of alarm messages (continued)
Roche Diagnostics
Operator’s Manual · Version 2.0 D-13
9 Messages and alarms cobas c111
List of alarm messages
ID Message Comment
7114 Problem during initialization. Possible cause: Wrong zero positions for transfer head
movement. Check for obstructions of x-movement. Make
sure that all covers, including ISE cover, are closed.
Perform restart.
7115 Dispensing into ISE Tower failed because it was not Check tubing between tower and waste pump. Check fluid
empty. movement in ISE tubing. Check tubing and electrodes for
obstructions or leakages, make sure valves work properly.
Perform restart.
7116 Probe crashed. Possible causes: Magnetic slider does not work properly,
reagent lid not removed, obstruction during pipetting
into cuvette. Restart the run and observe the probe
actions.
7117 This is consequential error. Procedure stopped due to HW Check previous error messages for HW problem,
or SW problem. eliminate the cause. Perform restart. If the problem
persists, call your service representative.
7118 Rough Init of rotor failed. Possible causes: Blocked rotor, defective or dirty light
barrier. Perform Clean Rotor and Heating Channel (see
the Operator's Manual for instructions). If the problem
persists call service.
7119 This is a consequential error. Procedure stopped due to HW or SW problem. Check
previous error messages for HW problem, eliminate the
cause. Perform restart.
7120 Rotor or transfer head position error. Possible reasons: Transfer head or motor has been moved
manually while it was in idle state. Perform restart and
observe the transfer head movement until system is in
Standby status.
7121 This is a consequential error in case of connection Check other messages.
problems.
7122 Prepare run failed due to open cover. Keep cover closed while instrument is starting up to
operating.
12001 Host computer did not answer the order query for sample Check communication and existing order on the host.
%s within the time limit.
12002 The communication port is not accessible,
communication with the Host Server is not possible.
12003 Sending a message to the host computer failed. Enable host tracing in the Host Settings to track
communication activities.
12004 Receiving or processing a message from the host Enable host tracing in the Host Settings to track
computer failed. communication activities.
12005 The host server could not send a message to the host. Try <Resend Result> later. If the problem persists, enable
host tracing in the Host Settings and call service.
12006 Changes of the host communication settings could not be Perform restart. if the problem persists, call your service
applied. representative.
13001 Software error. Export the log files. Perform restart. If the problem
persists, call your service representative.
13002 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
13003 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
Table D-1 List of alarm messages (continued)
Roche Diagnostics
D-14 Operator’s Manual · Version 2.0
cobas c111 9 Messages and alarms
List of alarm messages
ID Message Comment
13004 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
13005 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
13006 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
13007 Reagent disc %d was replaced with disc %d while the Make sure the reagent disk information on the screen
system was switched off. agrees with the content of the reagent disk.
13008 Load or reload of the database failed. An old version was
provided. (detected V %d ; expected V %d ).
13009 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
13010 Software error with code %d. Export the log files. Perform restart. If the problem
persists, call your service representative.
13011 DC validation failed (%d DC applications found, %d
channels installed).
20001 Replacing filter and external water container complete.
20002 Cleaning of water and waste containers complete.
20003 Replacing photometer lamp complete.
20004 Manual cleaning of probe complete.
20005 Priming of fluid system complete.
20006 Cleaning and disinfecting the housing complete.
20007 Deproteinizing the probe complete.
20008 Cleaning of reagent disc and sample area complete.
20009 Data backup complete.
20010 Service representative was called for preventive
maintenance.
20011 Manual cleaning of the ISE tower complete.
20012 Replacing the ISE unit tubing complete.
20013 Replacing the ISE pump tubing complete.
20014 %s electrode replacement complete.
20015 ISE reference sensor initialization complete.
20016 Automatic cleaning of the ISE tower complete.
20017 ISE unit initialized.
20019 Electrode service complete.
20020 Activating the electrodes complete.
20021 Priming the ISE calibrator and reference complete.
20022 Conditioning of the ISE tubing complete.
20023 Unknown action (id=%d) completed.
20024 Installation complete.
20025 Abs. Air/Water calibration complete.
20026 Water bottle refilled.
20027 Empty waste bottle done.
20028 Prepare actions done.
Table D-1 List of alarm messages (continued)
Roche Diagnostics
Operator’s Manual · Version 2.0 D-15
9 Messages and alarms cobas c111
List of alarm messages
Roche Diagnostics
D-16 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
Table of contents
Result flags
In this chapter, you will find a list of the flags generated by the cobas c111
instrument, their associated error messages, and the possible user actions.
Roche Diagnostics
D-18 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
About flags
About flags
Flags are automatically generated with results if during processing certain technical
checks were not passed or if the result exceeds or does not reach predefined limits.
Measurements that did not generate flags can be considered technically correct.
Flags are displayed and printed with the results.
If Do this
You want to look at patient results: Choose Workplace > Result Review
You want to look at calibration results: Choose Workplace > Calibrations
You want to look at QC results: Choose Workplace > QC Status
A screen is displayed that lists the results. If flags were generated, the flag with the
highest priority is displayed.
2 Select the flagged result.
3 Press to display all flags that were generated for this test (A). They are sorted
according to their priority.
Figure D-4
4 Look up the flag in section List of flags on page D-22 for detailed information on
the flag.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-19
10 Result flags cobas c111
About flags
Flags and error messages Some flags trigger error messages if they appear in consecutive measurements. Each
flag has its own counter. If one measurement does not generate the flag, the counter is
reset to zero.
Flag priority If the conditions in the cobas c111 instrument are such that multiple flags were
generated for a single measurement, only the flag with the highest priority is
displayed in the results lists.
Flags and user actions With each flag description contained in this chapter, the recommended user actions
are given.
e See List of flags on page D-22.
Roche Diagnostics
D-20 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
Safety
Safety
Before you start troubleshooting, it is essential that you both read and understand the
safety information listed below.
Read carefully all safety notices given in instructions and make sure you understand
them.
Where a flag description gives a list of recommended actions, work through each step in
turn until you have solved the problem. Proceed to the next step only after you have
completed the previous one.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-21
10 Result flags cobas c111
List of flags
List of flags
This section lists the general flags and those that concern absorbance measurements
only, and it provides information on each of the flags.
e For information on ISE-specific flags , see List of ISE flags on page E-69.
>
Meaning Result generated by re-performing the test with the same running parameters
(repeated).
Message ID 120
Priority 32
Message ID 121
Priority 33
Message ID 122
Priority 34
Roche Diagnostics
D-22 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
List of flags
AG Excess
Message ID 6
Priority 19
? Cal
Message ID 110
Priority 29
Possible cause The calibration was in question and has been flagged, however the calibration could
be used to calculate the result (compare with CAL ERROR where the calibration did
not provide a usable result).
Cal Due
Meaning A result where the calibration is due but not yet executed.
Message ID 112
Priority 31
Roche Diagnostics
Operator’s Manual · Version 2.0 D-23
10 Result flags cobas c111
List of flags
Cal Error
Message ID 43
Priority 24
Possible cause Caused by an alarm that occurred during calibration because the calibration could
not provide a usable result.
Recommended actions Check the flags of the calibration and proceed to deal with the calibration first.
Calc Error
Message ID 16
Priority 13
Calc Range
Message ID 46
Priority 25
Possible cause The concentration of the sample is outside the calibration curve.
Roche Diagnostics
D-24 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
List of flags
Curv Dir
Message ID 14
Priority 10
EP Unstab
Message ID 9
Priority 8
Roche Diagnostics
Operator’s Manual · Version 2.0 D-25
10 Result flags cobas c111
List of flags
High Abs
Message ID 5
Priority 1
High Act
Message ID 56
Priority 9
Roche Diagnostics
D-26 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
List of flags
Message ID 11
Priority 11
Possible cause o The first and last parts of the reaction curve have different slopes.
o Not enough kinetic readings.
o Insufficient absorbance readings were found in the linear part of the reaction to be
able to calculate a rate.
o Not enough readings in kinetic range for calc mode Kinetic.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-27
10 Result flags cobas c111
List of flags
Non Linear
Message ID 11
Priority 11
Possible cause o The first and last parts of the reaction curve have different slopes.
o Not enough kinetic readings.
o Insufficient absorbance readings were found in the linear part of the reaction to be
able to calculate a rate.
o Not enough readings in kinetic range for calc mode Kinetic.
Non Mono
Message ID 80
Priority 14
Recommended actions 1. If the calibrators were incorrectly positioned, re-place the calibrators correctly and
rerun the calibration.
2. Check the fluid system
3. Repeat the calibration
Roche Diagnostics
D-28 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
List of flags
Out of Rng
Message ID 84
Priority 16
? QC
Message ID 111
Priority 30
Possible cause The last QC measurement before this measurement was flagged. The dependency is
derived from the time sequence.
R 1(2.5s)
Meaning One control value is above 2.5 standard deviation or below -2.5 standard deviation.
Message ID 36
Priority 28
Possible cause o The reagent has deteriorated (linearity of working curve degraded).
o One control is concentrated or has deteriorated.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-29
10 Result flags cobas c111
List of flags
R 1(3s)
Meaning One control value is above 3 standard deviation or below -3 standard deviation.
Message ID 35
Priority 27
R 2(2s)
Meaning Two sequential control measurements are above 2 standard deviation or below -2
standard deviation.
Message ID 29
Priority 26
Reag Rng
Meaning During calibration, the absorbance value of the lowest calibrator is below the lower
defined range or above the upper defined range.
Message ID 12
Priority 7
Roche Diagnostics
D-30 Operator’s Manual · Version 2.0
cobas c111 10 Result flags
List of flags
Message ID 13
Priority 12
Recommended actions 1. Check the calibrators for air bubbles and repeat the calibration.
2. If the flag reappears, repeat with fresh calibrators.
3. Check the probe.
4. Check the fluid system.
> RR
Message ID 40
Priority 22
< RR
Message ID 41
Priority 23
Roche Diagnostics
Operator’s Manual · Version 2.0 D-31
10 Result flags cobas c111
List of flags
Message ID 17
Priority 17
Message ID 26
Priority 20
Message ID 27
Priority 21
Roche Diagnostics
D-32 Operator’s Manual · Version 2.0
cobas c111 11 Troubleshooting
Table of contents
Troubleshooting
Dealing with exceptional situations
In this chapter, you will find information on how to deal with selected exceptional
situations.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-33
11 Troubleshooting cobas c111
Table of contents
Roche Diagnostics
D-34 Operator’s Manual · Version 2.0
cobas c111 11 Troubleshooting
Introduction
Introduction
Preventive maintenance You can avoid most unforeseen situations if you observe the recommended
procedures at all times and if the operating environment is effectively controlled by
performing all maintenance actions when they become due in the manner described
in the Operator’s Manual.
e See Maintenance actions on page C-8.
Information about the status of The system performs numerous checks. When a certain event has occurred or when
the system an irregularity is detected, a message is generated. Messages are displayed in two ways:
o Immediate feedback on user actions is displayed in a pop-up message screen.
e See Message screen on page D-5.
o Information concerning a problem that occurred during operation is reported as
alarm messages in the alarm monitor.
e See Alarm monitor on page D-6.
Roche Diagnostics
Operator’s Manual · Version 2.0 D-35
11 Troubleshooting cobas c111
Dealing with exceptional situations
The following table list possible exceptional situations, provides information on the
possible causes, and suggests ways of remedying the situation. (Subsequent sections
contain detailed procedures for selected remedies.)
Roche Diagnostics
D-36 Operator’s Manual · Version 2.0
cobas c111 11 Troubleshooting
Dealing with exceptional situations
Roche Diagnostics
Operator’s Manual · Version 2.0 D-37
11 Troubleshooting cobas c111
Reacting to messages
Reacting to messages
A cobas c111 error message starts with a message ID, which consists of a number
followed by the date and time, for example:
7009.19.19.32.1402 [25.08.2006 8:53]
Providing information to service Whenever you are asked to provide message information to a service representative,
representatives provide the error codes contained in the explanatory text, not the message ID of the
first line. If there are no error codes in the text, supply the complete message text.
Also keep in mind that an event may trigger several messages, therefore it is important
to provide the information for all messages that were generated within about one
minute.
Basically there are three kinds of error message texts:
o Messages that contain text only.
o Messages that contain an error code of the format a.bbb.xxx, for example
[3.000.121].
o Messages that contain a nine digit error code, for example [104000551].
The following table lists selected messages and provides more detailed information on
how to react to them.
In the "Message or error code" column of the following table, the most relevant
information is the number, the texts may be different on the actual instrument.
Roche Diagnostics
D-38 Operator’s Manual · Version 2.0
cobas c111 11 Troubleshooting
Reacting to messages
Roche Diagnostics
Operator’s Manual · Version 2.0 D-39
11 Troubleshooting cobas c111
Detailed procedures
Detailed procedures
Press down the release button (A) firmly before you pull the panel. The panel should open
without resistance.
Roche Diagnostics
D-40 Operator’s Manual · Version 2.0
cobas c111 11 Troubleshooting
Detailed procedures
6 Insert the paper in the slot in the printer panel and pull some through.
3 Using a screwdriver disengage the clips on both sides of the fuse box cover.
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Detailed procedures
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D-42 Operator’s Manual · Version 2.0
cobas c111 11 Troubleshooting
Detailed procedures
a) Insert the screwdriver in the slot and turn anticlockwise until the holder
disengages.
b) Remove the holder with the fuse.
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Detailed procedures
2 Insert a pencil in the opening in the center of the underside of the reagent disk.
3 Turn the reagent disk until the arrows of the reagent disk and the cover face each
other.
A B
A Incorrect position: The two arrows do not B Correct position: The two arrows face each
face each other. other.
When performing diagnostics actions you can export the content of the screen to the
USB stick.
Prerequisites You need Lab Administrator or Administrator user rights to perform diagnostics
actions.
Roche Diagnostics
D-44 Operator’s Manual · Version 2.0
ISE E
ISE description
Overview of the ISE unit
In this chapter, you will find a general overview of the cobas c111 ISE unit. You also
will find a description of the main components and their principle operation.
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Table of contents
Roche Diagnostics
E-4 Operator’s Manual · Version 2.0
cobas c111 12 ISE description
Overview
Overview
The Ion-Selective Electrode (ISE) module is a measurement system for electrolytes that
runs independently of the main instrument. The ISE unit uses the same samples and
sample tubes that are used for photometric measurements, and the samples are
transferred using the same probe. The ISE unit uses specific solutions, some of which
are kept in bottles on the ISE unit itself, the others are transferred to sample tubes and
placed on the sample area.
Abbreviations
Abbreviation Definition
C
CL-I Chloride indirect
CL-U Chloride urine
F
F Solution 1 factor
K
K-I Potassium indirect
K-U Potassium urine
FM
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12 ISE description cobas c111
Overview
Measuring modes
The ISE unit makes, in serum, plasma and urine, quantitative determinations of the
following electrolytes:
o Sodium (Na+)
o Potassium (K+)
o Chloride (Cl -)
Measurements are done using indirect mode. The samples, controls, and standard
solutions are diluted with system water 1:6 (1+5). The dilution and mixing are
performed automatically in the ISE tower.
ISE measurements ISE measurements and photometric measurements can be carried out at the same
time and are independent of each other. (ISE measurements do not use cuvettes, the
reagent rotor, or the photometer.) All requested ISE measurements on a specific
sample, control, or standard solution are performed in parallel, that is, measurements
are made at each electrode at the same time.
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Overview
Principles of operation
The ISE unit uses flow-through ion-selective electrodes and a reference electrode with
an open liquid junction. Each electrode has a membrane that is sensitive to a
particular type of ion.
Measuring process 1. The ISE maintenance and standard solutions (ISE Deproteinizer, ISE Etcher,
Activator, and ISE Solution 1 and 2) are pipetted from sample tubes on the sample
area to the ISE tower as required.
2. The sample is pipetted from the sample tube (located on the sample area) into the
ISE tower. The sample is diluted with system water. Mixing is performed with four
air jets arranged in a circle. These jets blow air into the tower to produce a
homogenous mixture.
3. The sample is divided into segments with the aid of a special arrangement of
valves. The first (shorter) segments are used for cleaning, these are followed by a
longer segment, on which the measurements are made.
4. The sample is passed to the ion-selective electrodes by the action of the peristaltic
pump.
The exact positioning of segments is ensured by the ISE sample sensor.
5. In the meantime, the ISE tower is washed with distilled water and dried.
6. ISE Reference Solution is passed through the ISE Reference Electrode and into the
measuring channel downstream of the electrodes. The ISE Reference Solution
completes the electrical circuits for each electrode so that measurements can be
made. While the measurements are made, the sample and ISE Reference Solution are
stationary.
7. A one-point calibration is performed after each sample measurement using the
ISE Calibrator indirect/urine, which is located on ISE unit.
8. The electrolyte concentration of the sample is calculated.
A B
F
Ref Na Cl K
G H I J K
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Overview
ISE solutions
The ISE unit requires several specific solutions for performing the analyses and
maintaining the system. They are listed in the following table.
Fluid stability For information on the stability of fluids see the package insert of the fluid in
question.
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cobas c111 12 ISE description
Hardware
Hardware
The ISE unit is designed as an add-on unit to the cobas c 111 main instrument. (It
will be installed by your service representative.)
Panels
The ISE cover has two joints. The front cover provides access to the parts you may
need to handle during daily operation. Opening the back cover as well provides access
to the peristaltic pump and its tubing.
ISE LED
The ISE LED is color coded.
Blinking The fluid level in the ISE Reference or ISE Calibrator indirect/urine
bottle is low.
Main components
A B
C
D
G H I J K
A Electrode block with ISE Sodium, Potassium, G Peristaltic pump with pump tubing
Chloride, and Reference Electrode H Exit-valve plate
B ISE Reference Solution sensor I Measuring channel
C ISE tower J ISE sample sensor
D Input-valve plate K Entry-valve plate with tubing
E ISE Reference Solution bottle (red label)
F ISE Calibrator indirect/urine bottle (blue
label)
Peristaltic pump A fluid pump that draws the solutions through the electrode block and then pumps it
to the internal waste tank.
Input-valve plate A set of valves to create cleaning segments and to control the flow of waste fluids.
Entry-valve plate A set of valves to control and monitor the flow of fluids.
Exit-valve plate A set of valves to control the aspiration action of the peristaltic pump.
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Hardware
ISE tower A hollow, transparent cylinder with multiple inlets and outlets for air and solutions.
In the ISE tower, samples and diluents are mixed using an air stream.
Tubing Tubing is used for transporting the fluids. It connects the ISE unit with the water and
waste system, and also with the ISE Reference Solution and ISE Calibrator indirect/
urine bottles, which are placed on the ISE unit.
Sensors The ISE sample sensor detects the presence of liquid (sample, control, standard
solution, or ISE Calibrator indirect/urine) or air and enables the correct placing of
segments for measurement and cleaning.
The ISE Reference Solution sensor detects the presence of ISE Reference Solution.
ISE fluid bottles Two bottles are placed on the ISE unit:
o ISE Calibrator indirect/urine bottle (blue label)
o ISE Reference Solution bottle (red label)
Level monitoring is performed on the basis of weight, the bottles are placed on scales.
Fluid containers
The following table shows which container is used for which fluid:
The term tube includes all kinds of tubes, as long as their dimensions lay within prescribed
limits. It also includes secondary tubes (cups). See Tubes on page A-52.
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Basic operation
Basic operation
Operation of the ISE unit is integrated in the operation of the main instrument.
The following sections contain some ISE specific information on operation-related
issues.
e For general information on operating the main instrument, see the corresponding
sections in Chapter 2 Introduction to the instrument and Chapter 5 Daily operation.
For ISE-specific tasks, see Chapter 13 ISE operation.
Samples
The sample tubes are placed on the sample area of the main instrument.
Calibration
The ISE unit requires frequent calibration to ensure the accuracy of the test results
obtained.
Main calibration The electrodes are calibrated with a two-point calibration using ISE Solution 1 and 2.
The main calibration is typically performed during the Prepare phase.
One-point calibration The electrodes are calibrated after each ISE measurement using the on-board ISE
Calibrator indirect/urine. This calibration is an integral part of each ISE
measurement and is performed automatically.
ISE Standby
If there is no measurement for more than three minutes, the ISE unit switches to
Standby status. In this status, ISE Calibrator indirect/urine and ISE Reference
Solution are pumped into the measuring channel and moved a short distance at
regular intervals. Also, every two hours the ISE tubing is primed with ISE Calibrator
indirect/urine and ISE Reference Solution. This is done to prevent the following
problems:
o Flow of ISE Reference Solution backwards into the measuring channel, which can
damage the electrodes because of the high ion concentration of the ISE Reference
Solution.
o Crystallization of salts in the tubing, causing blockages.
The ISE unit has a separate power supply. Therefore, the Standby status is maintained
even if the main instrument is switched off.
NOTICE If you intend not to use the ISE unit for more than one week, you should deactivate it. This
saves ISE fluids and reduces wear and tear of the tubing. (See Deactivating the ISE unit on
page E-62.)
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Technical specifications
Maintenance actions
Maintenance of the ISE unit is integrated in the maintenance of the main instrument.
The system software guides you through the maintenance procedures.
Maintenance actions are performed after a certain event, after a defined interval has
expired, or when a counter has reached a certain value.
e For ISE-specific maintenance actions, see Chapter 14 ISE maintenance.
Technical specifications
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Technical specifications
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Table of contents
ISE operation
In this chapter, you will find information on performing the routine tasks that are
required for processing tests using the ISE unit.
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Table of contents
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Daily operation
Daily operation
Daily operation of the ISE unit is integrated in the daily operation of the main
instrument.
e See Chapter 5 Daily operation.
The following table gives an overview of the tasks you might need to perform during
daily operation.
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Daily operation
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Daily operation
Safety information
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Daily operation
Short guide
The following table provides an overview on the steps that make up the preparation
process.
2 Check the status of the external 1. Refill the water container, if required, and con-
containers. firm by pressing the water button. (If you refill
the water, empty the waste as well.)
2. Empty the waste container, if required, and
confirm by pressing the waste button.
3. Replace the cleaner bottle, if required, and con-
firm by pressing the cleaner button.
4. Press to proceed to the next stage in the
Prepare wizard.
3 Check the onboard ISE fluids. 1. Replace the ISE fluid bottles, if required.
2. Replace the electrodes, if required.
3. Press to proceed to the next stage in the
Prepare wizard.
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Daily operation
When checking external fluid containers without using the Prepare wizard:
Choose Overview > > .
Replacing electrodes
a To replace an electrode
1 Follow the instructions given in Replacing electrodes on page E-30 .
Replacing ISE fluid bottles A bottle with a blue label for ISE Calibrator indirect/urine and a bottle with a red
label for ISE Reference Solution are located on the ISE unit. The procedure for
exchanging these bottles is the same.
After replacing an ISE fluid bottle, the [Prime ISE Reference and Calib.] maintenance
action needs to be performed. This action will be performed as part of the maintenance
procedure of the Prepare wizard.
After replacing an ISE fluid bottle, a main calibration needs to be performed. This action
will be performed as part of the [Daily Prepare Actions].
2 When you have finished replacing electrodes and ISE fluid bottles, press to
proceed to the next stage in the Prepare wizard.
A screen is displayed that lists the maintenance actions.
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Daily operation
Performing calibrations
The ISE calibrations are integrated in the [Daily Prepare Actions] maintenance
action.
e See Daily prepare actions on page E-42.
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Daily operation
Defining orders
ISE sample analysis is integrated in the operation of the main instrument. The process
of defining orders is the same.
a To define orders
1 Follow the instructions given in Defining orders on page B-35.
ISE tests are defined and requested as profiles. (There is hardly ever the need for
electrolytic measurements of just one electrode.)
A
A Relevant instrument status buttons
Figure E-4
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Daily operation
Acoustic signal An acoustic signal informs you of the fact that all tests are finished and the system
status has changed to Standby.
ISE result handling is integrated in the operation of the main instrument. The process
of reviewing results is the same.
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Daily operation
Main calibration
The main calibration of the electrodes must be performed periodically. It also needs
to be performed after certain maintenance actions.
For the indirect method, the sodium (NA-I), potassium (K-I), and chloride (CL-I)
tests are calibrated with a two-point calibration using ISE Solution 1 and 2.
For urine, the sodium (NA-U), potassium (K-U), and chloride (CL-U) tests are
calibrated with a two-point calibration using ISE Solution 1 and 2.
The main calibration is typically performed during the Prepare phase and, if there
follows a second shift, at the end of a shift. It is integrated in the [Daily Prepare
Actions] maintenance action.
e For details on performing the [Daily Prepare Actions] maintenance action, see Daily
prepare actions on page E-42.
For details on performing individual calibrations, see Process of performing calibrations on
page B-54.
Performing QC
a To perform QC
e Follow the instructions given in Performing QC on page B-59.
ISE Standby status If there is no measurement for more than three minutes, the ISE unit switches to
Standby status. In this status, ISE Calibrator indirect/urine and ISE Reference
Solution are pumped into the measuring channel and moved a short distance at
regular intervals. Also, every two hours, the ISE tubing is primed with ISE Calibrator
indirect/urine and ISE Reference Solution. This is done to prevent the following:
o Flow of ISE Reference Solution backwards into the measuring channel, which can
damage the electrodes because of the high ion concentration of the ISE Reference
Solution.
o Crystallization of salts in the tubing, which can cause blockages.
The ISE unit has a separate power supply. Therefore, the Standby status is maintained
even if the main instrument is switched off.
End Shift wizard The end of shift activities are organized in a single wizard. By performing the steps as
suggested by this wizard, you put the system in a condition that allows you to hand
over operation to another operator or to switch off the instrument.
The following table provides an overview on the steps that make up the end of shift
process.
e For details on performing the individual tasks, see the instructions in Finishing the shift on
page B-68.
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Daily operation
Short guide
2 Start the End Shift wizard. 1. On the [Overview] tab, press the <End Shift>
button.
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Daily operation
7 Check the cuvette status. 1. Press to proceed to the next stage in the
(Not relevant for ISE operation.) End Shift wizard.
If you intend not to use the ISE unit for more than one week, you should deactivate it. This
saves ISE fluids and reduces wear and tear of the tubing. (See Deactivating the ISE unit on
page E-62.)
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Replacing ISE fluid bottles
ISE fluid bottles are supplied with a barcode that contains information on their expiry
date, which is monitored by the system.
Roche recommend replacing ISE fluid bottles as soon as their expiry date has elapsed.
(Their icon on the screen turns yellow.)
For information on the stability of fluids, see their package inserts.
Tools and materials required o ISE Calibrator indirect/urine or ISE Reference Solution bottle
o Tissues
Figure E-5
Interpreting the bottle status No fluid registered by an ISE fluid sensor. (Operation has stopped.)
screen You need to replace the bottle now.
The fluid level in the bottle is low. (Operation will proceed until one of the
sensors detects that there is no fluid.)
The fluid’s expiration date has expired.
You should replace the bottle as soon as possible.
No action is required.
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Replacing ISE fluid bottles
5 Press .
A screen is displayed, asking you to scan the bottle barcode or to type it manually.
6 Scan the bottle barcode.
7 Press .
8 Observe the messages on screen and react accordingly.
If the barcode cannot be read, type it manually.
When the scanning process is finished, a message is displayed, asking you to
replace the bottle.
9 Open the ISE cover.
10 Remove the tubing adapter by lifting it and placing it on a clean lint-free tissue.
11 Remove the bottle.
12 Remove the cap of the new bottle.
13 Place the new bottle.
14 Insert the tubing adapter.
15 Close the ISE cover.
16 On the screen, press to confirm the placement.
The system performs the [Prime ISE Reference and Calib.] maintenance action.
17 Press to close the screen for reading barcodes.
You need to perform a main calibration before you can process orders.
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Replacing electrodes
Replacing electrodes
There are up to three ion-selective electrodes and one ISE Reference Electrode on the
ISE unit. The replacement procedure is the same for all of them.
As part of replacing electrodes, the [Electrode Service] maintenance action and a
main calibration need to be performed.
Replacing an electrode takes about 15 minutes.
Make sure that you have read and understood section Safety information on page E-19.
The following warning messages in particular are relevant:
o Injury through reagents and other working solutions on page E-19.
o Injury through reagents and other working solutions on page E-19.
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Replacing electrodes
a To replace an electrode
1 Check that the system is in Standby status.
2 Choose Overview > .
The ISE status is displayed.
A Electrode buttons
Figure E-6
A Tension lever
Figure E-7
Turning the tension lever releases the electrodes. You may have to push the
anchoring piece towards the tension lever to create enough space for removing the
electrodes.
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Replacing electrodes
Figure E-8
9 On the screen, press the electrode button to confirm that you have removed the
electrode.
You are asked to scan the barcode of the new electrode or to type its ID manually.
10 Scan the electrode barcode on the package insert or type the ID manually.
(If you want to install a dummy electrode scan its barcode.)
You are asked to insert the new electrode.
At this stage, if you want to replace another electrode, press its button and continue with
step 7.
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Replacing electrodes
18 Place the Activator, ISE Deproteinizer, ISE Etcher, ISE Solution 1, and ISE
Solution 2 on the sample area positions indicated on the screen.
19 Press to confirm the placement and to start the action.
The system performs the [Electrode Service] maintenance action.
20 Press to perform the main calibration.
A message will inform you when the action is complete.
21 When the system is in Standby status, remove the Activator, ISE Deproteinizer, ISE
Etcher, ISE Solution 1, and ISE Solution 2 from the sample area.
22 Press .
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Cleaning the ISE tower off the instrument
If performing the [Clean ISE Tower Manually] maintenance action did not lead to the
desired results, you need to remove the ISE tower to clean it.
Cleaning the ISE tower off the instrument consists of the following steps:
1. Removing the ISE tower
2. Soaking the ISE tower in ISE Deproteinizer
3. Cleaning and drying the ISE tower
4. Installing the ISE tower
5. Performing the maintenance action [Clean ISE Tower Automatically].
Make sure that you have read and understood section Safety information on page E-19.
The following warning messages in particular are relevant:
o Infection by biohazardous materials on page E-19.
o Injury through reagents and other working solutions on page E-19.
Removing the ISE tower 1 Make sure the system is in Standby status.
2 Switch off the instrument.
3 Move the transfer head to its rightmost position.
4 Open the main cover and the left service flap.
5 Remove the ISE overflow collector by pulling it upwards and turning it from side
to side as you do so.
B
C
Figure E-9
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Cleaning the ISE tower off the instrument
6 Remove the locking ring from the base of the ISE tower by turning it counter-
clockwise one quarter of a turn and then lifting it over the ISE tower.
7 Lift the ISE tower and carefully disconnect the tubing.
Check whether any O-ring is stuck to the ISE tower. If so, remove it and place it
back in its position on the ISE tower base.
A O-ring positions
Figure E-10
Cleaning the ISE tower 8 Clean the inside of the ISE tower with a cotton swab to remove any visible clots.
9 Pour ISE Deproteinizer in the beaker.
10 Soak the ISE tower in the ISE Deproteinizer for about 5 minutes.
(If there are clots in the tower, you can extend the soaking time to 30 minutes.)
11 Rinse the ISE tower with deionized water and leave it to dry.
Reinstalling the ISE tower 12 Reconnect the tubing to the ISE tower.
13 Make sure that both O-rings are present and seated on the tower base.
14 Place the ISE tower on its base.
Align the two pins on the base with the two holes in the ISE tower.
A Alignment pins
Figure E-11
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Cleaning the ISE tower off the instrument
Roche Diagnostics
E-36 Operator’s Manual · Version 2.0
cobas c111 14 ISE maintenance
Table of contents
ISE maintenance
In this chapter, you will find step-by-step instructions of the ISE-specific maintenance
actions that you must perform to keep the instrument running smoothly and
efficiently.
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Table of contents
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E-38 Operator’s Manual · Version 2.0
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Introduction
Introduction
The maintenance actions of the ISE unit are integrated in the maintenance actions of
the main instrument.
e For general information on performing maintenance actions, see Overview on page C-5.
The following table lists the ISE maintenance actions and shows how frequently they
need to be performed.
Every effort has been made to ensure that all the information contained in this table is
correct at the time of publication. However, Roche Diagnostics GmbH reserves the right to
make any changes necessary without notice as part of ongoing product development.
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ISE maintenance actions
Safety information
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cobas c111 14 ISE maintenance
ISE maintenance actions
Whenever the term "purified water" is used in this document, water of at least the quality
specified in chapter Technical specifications must be used.
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ISE maintenance actions
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Incorrect results due to build-up of contaminants on page E-41.
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ISE maintenance actions
Activate electrodes
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
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ISE maintenance actions
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
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ISE maintenance actions
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
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ISE maintenance actions
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ISE maintenance actions
Electrode service
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
You need to perform a main calibration before you can process orders.
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ISE maintenance actions
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
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ISE maintenance actions
When the ISE tower is blocked, perform first the [Clean ISE Tower Automatically]
maintenance action (See Clean ISE tower automatically on page E-48). If this does not help,
perform the [Clean ISE Tower Manually] maintenance action. If the ISE tower is still
blocked, clean the ISE tower off the instrument. (See Cleaning the ISE tower off the
instrument on page E-34.)
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
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ISE maintenance actions
7 Clean the inside of the ISE tower with a cotton swab to remove any residual of ISE
Deproteinizer.
Figure E-12
8 Close the left service flap and then the main cover.
9 Press to confirm the cleaning of the ISE tower.
The ISE tower is first washed.
The transfer head moves to the right side of the instrument.
You are asked to clean the ISE tower.
10 Open the main cover and then the left service flap.
11 Clean the inside of the ISE tower with a cotton swab to remove any residual water.
12 Close the left service flap and then the main cover.
13 Press to confirm the cleaning of the ISE tower.
The ISE tower is first washed and dried and then conditioned with Activator.
A message will inform you when the maintenance action is complete.
14 Remove the Activator and ISE Deproteinizer from the sample area.
15 Press .
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ISE maintenance actions
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Infection by biohazardous materials on page E-40.
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ISE maintenance actions
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
o Infection by waste solution on page E-40.
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ISE maintenance actions
Figure E-13
A Connector plate
Figure E-14
Figure E-15
Installing the tubing Install the tubing in the reverse order of removing it.
11 Pull the new tubing set over the pump head, with the connector plate facing the
electrode block.
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ISE maintenance actions
12 Align the tubing connector plate with the tube connectors on the ISE unit.
Figure E-16
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ISE maintenance actions
Always replace the ISE tubing with the help of the [Replace ISE Unit Tubing] maintenance
action.
Make sure that you have read and understood section Safety information on page E-40.
The following warning messages in particular are relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40.
o Infection by waste solution on page E-40.
o Personal injury or damage to the analyzer due to contact with instrument mechanism on
page E-40.
Disconnecting the ISE solution Your are asked to remove the tubing adapters from the ISE solution bottles.
bottles
7 Remove the tubing adapters from ISE Calibrator indirect/urine and ISE Reference
Solution bottles.
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Figure E-17
Removing the pinch valve caps 10 Remove the pinch valve caps and clamps of the input (B), entry (C), and exit (A)
and clamps valve-plates.
Figure E-18
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ISE maintenance actions
Figure E-19
a) Push the cap horizontally in the direction of the arrow, away from the cut-out.
b) Lift and put it aside.
c) Lift the valve clamp and put it aside.
Disconnecting the tubing from 11 Disconnect the tubing from the ISE tower
ISE tower
A
B
C
Figure E-20
a) Remove the ISE overflow collector (B) by pulling it upwards and turning it
from side to side as you do so.
Place the collector behind the wash station.
b) Remove the locking ring (C) from the base of the ISE tower by turning it
counter-clockwise one quarter of a turn and then lifting it over the ISE tower.
c) Lift the ISE tower (A). Check whether any O-ring is stuck to the ISE tower. If
so, remove it and place it back in its position on the ISE tower base.
d) Disconnect the tubing.
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ISE maintenance actions
Figure E-21
A Tension lever
Figure E-22
Removing the tubing 15 Lift the tubing from its routing, follow carefully the individual tubes.
16 Dispose of the tubing. Treat it as biohazardous waste.
Installing the new tubing Install and connect the tubing in the order recommended on the illustration on the
ISE tubing set cover.
When installing the single items, perform the individual steps in reverse order of
removing the items.
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ISE maintenance actions
Make sure to keep the piece of tubing designed to fit at the underside of the mixing tower.
It will be required when a service representative performs periodic maintenance.
2 Place the tubing roughly in position on the ISE unit. Refer to the illustration on
the ISE tubing set cover.
Take care not cut the tubing, avoid any sharp objects.
3 Press the tubes into their routing.
Take care not to compress the tubes or to kink them.
Make sure to press the tubing firmly in its routing around the ISE Reference
Solution sensor.
4 Connect the tubing to the ISE tower and then install the tower.
5 After connecting the tubing to the electrode block, make sure the electrodes are
properly mounted when closing the tension lever. Close the electrode block cover.
6 When connecting the tubing to the peristaltic pump connector block, take care
not to introduce sharp angles in the tubing. (Sharp angles may lead to flow
problems.)
Always insert the tubing connectors in the lower set of holes in the pump
connector block, and make sure to fully insert the tubing in the connectors.
A B
Figure E-23
7 Install all clamps and pinch valve caps. Be sure to place the clamps in the correct
position, covering the tubing.
8 Install the lid of the fluid distributor.
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ISE maintenance actions
9 Install the tubing on the tubing adapters of the ISE Calibrator indirect/urine and
ISE Reference Solution bottles.
The two tubing adapters are slightly different, but the process of installing the tube
is the same.
Figure E-24
a) Pull the tube through the hole that aligns with the clips.
b) Insert the nozzle in the tube.
c) At the top of the adapter, pull through the tube until the nozzle is flush with
the end of the adapter. There should be no slack.
d) Fix the tube to the clips.
With the adapter that offers two clip positions, use the inner position.
e) Insert the tubing adapter in the appropriate bottle.
10 Close the ISE cover, then the left service flap and the main cover.
11 Press to confirm completion of the action.
Conditioning the tubing The system now performs the maintenance action [Prime ISE Reference and
Calib.].
A message will inform you when the maintenance action is complete.
The system now performs the maintenance action [Initialize ISE Reference
Sensor].
You are asked to remove the tubing adapter from of the ISE Reference Solution
bottle.
12 Open the ISE cover.
13 Remove the tubing adapter from of the ISE Reference Solution bottle.
a) Have a clean lint-free tissue ready.
b) Lift the tubing adapter and place it on the tissue.
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If you intend not to use the ISE unit for more than one week, you should deactivate it.
This saves ISE fluids and reduces wear and tear of the tubing.
This situation may occur, for example, if you need close the laboratory temporarily,
or if you want to relocate the cobas c111 instrument with the ISE unit.
Make sure that you have read and understood section Safety information on page E-40.
The following warning message in particular is relevant:
o Injury through working solutions on page E-40.
o Infection by biohazardous materials on page E-40
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Figure E-25
A Connector plate
Figure E-26
15 Remove all pinch valve caps and clamps, store them in secure place.
e See Removing the pinch valve caps and clamps on page E-56.
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Table of contents
ISE troubleshooting
How to deal with exceptional ISE situations
In this chapter, you will find information on the result flags that may be generated
with ISE measurements, and also guidance for general troubleshooting procedures
and on how to deal with error messages.
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Introduction
Introduction
Effective troubleshooting on the ISE unit requires a good understanding of all basic
operating procedures. However, you can avoid most of the common problems if you
observe the recommended procedures at all times and if the operating environment is
effectively controlled.
e For information on ISE maintenance, see ISE maintenance actions on page E-40.
The user interface keeps you informed about the status of the ISE unit as a whole, and
about particular hardware, software, and chemistry events as they arise. It does this in
the following ways:
o Color coded LEDs on the instrument inform you when to open covers or place
sample tubes.
e See Color concept on page A-72.
o The colors of buttons tell you whether you need to intervene.
You can check the meaning of a button and its color using the Online Help .
o Buttons on the [Overview] tab lead to detailed information on the status of
selected processes and hardware items.
o Messages on the screen provide information on individual tasks and events.
o The text in the Status line provides information on the status and activities of the
analyzer unit.
o Flags with results from samples, calibrations, and controls are automatically
generated if during processing certain technical checks were not passed or if the
result exceeds or does not reach predefined limits.
Messages
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Safety
Safety
Before you start troubleshooting, it is essential that you both read and understand the
safety information listed below.
Read carefully all safety notices given in instructions and make sure you understand
them.
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List of ISE flags
This section lists the general and ISE-specific flags in alphabetic order and provides
information on each of the flags.
e For information on flags that concern absorbance measurements only, see List of flags on
page D-22.
Where a flag description gives a list of recommended actions, work through each step in
turn until you have solved the problem. Proceed to the next step only after you have
completed the previous one.
>
Meaning Result generated by re-performing the test with the same running parameters
(repeated).
Message ID 120
Priority 32
Air Fluid
Message ID 19
Priority 4
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List of ISE flags
Air Isecal
Message ID 91
Priority 5
Recommended actions o Ensure that the ISE Calibrator indirect/urine on the ISE unit is available and check
the level of fluid; replace if necessary.
o Repeat the measurement.
o Check the ISE tubing for leaks and blockages.
? Cal
Message ID 110
Priority 29
Possible cause The calibration was in question and has been flagged, however the calibration could
be used to calculate the result (compare with CAL ERROR where the calibration did
not provide a usable result).
Cal Error
Message ID 43
Priority 24
Possible cause Caused by an alarm that occurred during calibration because the calibration could
not provide a usable result.
Recommended actions Check the flags of the calibration and proceed to deal with the calibration first.
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List of ISE flags
Calc Error
Message ID 16
Priority 13
Ise Unstab
Meaning The signal from the electrode(s) was not stable during the measurement.
Message ID 18
Priority 6
Recommended actions 1. Perform the maintenance action [Electrode Service] and repeat the measurement.
2. Repeat the measurement with a suitable sample (where pH > 5.5 and sample
concentration within the test range) to establish that the ISE module is OK.
3. Check the position and condition of the O-rings and replace if necessary.
4. Check the adapter of the ISE Reference Solution bottle for salt deposits and
obstruction.
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List of ISE flags
No Fluid
Meaning The ISE sample sensor could not detect any liquid. It takes too long for a sample
segment to reach the electrodes.
Message ID 68
Priority 2
No Isecal
Meaning The ISE sample sensor could not detect any calibrator. It takes too long for a
calibrator segment to reach the electrodes.
Message ID 90
Priority 3
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List of ISE flags
Out of Rng
Message ID 20
Priority 15
? QC
Message ID 111
Priority 30
Possible cause The last QC measurement before this measurement was flagged. The dependency is
derived from the time sequence.
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List of ISE flags
R 1(2.5s)
Meaning One control value is above 2.5 standard deviation or below -2.5 standard deviation.
Message ID 36
Priority 28
Possible cause o The reagent has deteriorated (linearity of working curve degraded).
o One control is concentrated or has deteriorated.
R 1(3s)
Meaning One control value is above 3 standard deviation or below -3 standard deviation.
Message ID 35
Priority 27
R 2(2s)
Meaning Two sequential control measurements are above 2 standard deviation or below -2
standard deviation.
Message ID 29
Priority 26
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List of ISE flags
> RR
Message ID 40
Priority 22
< RR
Message ID 41
Priority 23
Seg Fluid
Seg Isecal
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List of ISE flags
Sol1 F Dev
Meaning The ISE Solution 1 factor determined during a main calibration was outside the check
limits.
Message ID 22
Priority 18
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List of ISE flags
Message ID 26
Priority 20
Message ID 27
Priority 21
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Reacting to error messages
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E-78 Operator’s Manual · Version 2.0
Glossary and Index F
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-3
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-11
cobas c111 Glossary
2-dimensional barcode - barcode type
Glossary
This glossary is a compendium in which to look up the alphanumeric sorting The listing of information, in a
meaning of technical terms used in conjunction with the printout or on a screen, in a pre-defined order by letters
cobas c111 instrument. or numbers.
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Glossary cobas c111
biohazardous - database
biohazardous A classification used to identify material conditioning The process of letting serum-type liquid
that poses a health threat, for example something flow through the flow path before electrolyte
contaminated with biological material. measurement.
button A button is found on a screen or pop-up consumables A generic term for items that are used
window. It can be touched either to initiate an action or during test processing and must be replaced on a regular
to move to a different screen. basis by the operator. Examples of consumables include
printer paper and cuvette segments.
calculated result A test result calculated from control ID The abbreviated name for a control
different individual analytical methods with a given material. Control IDs are used on screens where limited
formula such as ratio A/B. space prevents the use of longer names.
calibration The set of operations that establish, under control material A material used to assess the
specified conditions, the relationship between values performance of an analytical procedure or part of an
indicated by the analytical instrument and the analytical procedure. Also called the control sample.
corresponding known values of an analyte.
control name The name of a control material, for
calibration interval A specified interval at which an example PreciControl Universal.
assay should be calibrated. Typically found on reagent
package inserts. CPU The Central Processing Unit of the system or
computer.
calibration type Describes the event that triggers the
calibration, for example lot change, and interval CSF Abbreviation for cerebral spinal fluid. A sample
expiration. type for clinical analysis.
carryover A process by which materials are carried into cuvette Disposable plastic container into which sample,
a reaction mixture where they do not belong. reagents, diluent, and water is pipetted, and where the
sample pre-dilution and reaction takes place.
check digit A verification number used in barcodes
and software. cuvette port Section of the analyzer unit where cuvette
segments are inserted and removed.
check sum The result of a mathematical procedure to
validate the integrity of a set of data. cuvette segment Cuvette holder containing 10
cuvettes.
cleaner A solution used to wash the probe.
cycle The instrument time interval during which
clot detection 1. A device built into the pipetting pipetting or measurement can be carried out.
system to detect clots and to avoid false pipetting.
2. The procedure of detecting a clot.
D
cobas A modular range of in vitro diagnostics systems
from Roche Diagnostics/Hitachi High-Technologies. DAT Abbreviation for Drugs of Abuse Testing. The
abbreviation DAU is also used.
communication The exchange of data between
different computers. database A defined section of the computer memory
where all instrument, assay, and patient-relevant data are
processed and stored.
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F-4 Operator’s Manual · Version 2.0
cobas c111 Glossary
DAU - ISE
default value A set value registered in advance (initial global button A button that allows access to the global
setting). software screens and that can be used at any time. For
example, <Start>, <Stop>, or <Alarm>.
demographics Patient-related data such as name, date
of birth, and gender.
H
diluent (DIL) A liquid agent used to reduce the
concentration of a sample. home position The position to which a certain part of
the instrument returns on reset. The start position of a
dilution factor A preset dilution ratio that is used by mechanism.
the analyzer to perform a requested dilution.
host computer 1. A computer used for overall
disposable Typically a plastic tip, vessel, or cuvette that management and control of the computer network.
is discarded after a single use. 2. A clinical laboratory computer that stores and
processes patient requests and results. A host is able to
dynamic range The reportable range of an assay. This communicate with analytical instruments.
range extends from the lower detection limit to the limit
of linearity. host communication Data exchange with a clinical
laboratory information system (LIS).
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Glossary cobas c111
ISE Reference Electrode - operating system
ISE Reference Electrode The electrode through maintenance action A maintenance procedure
which the ISE Reference Solution flows to set the performed by the system or the operator; and that must
electronic baseline to zero for ISE measurement. be performed on a regular basis (for example daily,
weekly, or monthly) to secure reliable operation of the
ISE Reference Solution A KCl solution pulled analyzer.
through the ISE Reference Electrode to set the electronic
baseline to zero for ISE measurement. Also known as the maintenance procedure See maintenance action.
REF or reference electrode solution.
manual dilution An off-system, pre-analytical step
IVD Abbreviation for in vitro diagnostics. A diagnostic performed by laboratory staff to reduce the analyte
procedure performed outside the living body with concentration in a sample.
specimen body fluid.
mean The sum of values divided by the number of
values.
L measure point Time at which absorbance reading is
level detection A check for the availability of sufficient taken and used to calculate results.
liquid in a container.
measuring range See reportable range.
linear barcode A conventional one-dimensional
barcode with limited data capacity. message In computing, a defined set of alphanumeric
data that transfers information from computer to
liquid level detection (LLD) The ability of an computer or from an analytical instrument to the
analytical instrument to sense liquid by using the probe. operator.
log file A set of data, typically stored in the control unit, Microcup A secondary sample cup made by Hitachi
that traces instrument-related or operator-related with a small dead (residual) volume.
activities such as maintenance.
minimum sample volume The amount of residual
log off The procedure of terminating access to a system. sample material plus the volume required for assaying all
Also known as log out or logoff. The reverse procedure is requested tests to ensure faultless sample aspiration.
known as log on or log in.
monochromatic Absorbance measurement at one
Log off button A button used to terminate access to a (primary) wavelength.
system. See also log off.
multi-wavelength spectrophotometer A
log on The procedure of gaining access to a system by spectrophotometer in which detectors are placed at
entering a user name and, if required, a password. Also multi-wavelength positions to enable simultaneous light
known as log in or logon. The reverse procedure is reception.
known as log off or log out.
Roche Diagnostics
F-6 Operator’s Manual · Version 2.0
cobas c111 Glossary
operator - reagent bottle
operator The person who uses and controls the preventive maintenance A series of actions,
analytical instrument or a computer system. suggested by the system, that the operator should
See also user. perform to ensure smooth and uninterrupted operation
of the instrument (for example, emptying the waste
operator ID An alphanumeric ID that a system uses to container or replenishing reagents).
identify a particular operator.
primary tube The original tube containing the sample
order Collection of all tests that are defined to be that has been drawn from the patient.
performed for a particular sample. See sample tube.
order ID A set of alphanumeric data that unmistakably prime The process of flushing a system, for example the
identifies a particular sample order in the lab and is often tubing, with ISE Calibrator indirect/urine and water to
manually written on the sample label. clear it of possible obstacles, traces of fluid, and of air
bubbles.
precision The closeness of agreement between raw data The unprocessed values obtained during the
independent test results obtained under prescribed analytical process on an instrument (for example mVolt
conditions. or absorbance).
pre-dilution A dilution step performed before samples reagent A composition of chemicals used to determine
are analytically processed on the analyzer. the concentration of substances in body fluid.
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Glossary cobas c111
reagent disk - STAT
reagent disk The removable device into which the sample splitting The act of making one or more
reagent bottles are placed. aliquots from a primary or secondary specimen.
reagent disk position One of the multiple positions sample tube A glass or plastic container for liquid
on the reagent disk. samples to be used with the system. It may or may not
have a bar code label, which may be used for positive
reagent port Section of the analyzer unit where reagent sample identification. A sample tube contains sample of
bottles are inserted and removed. one specific specimen (sample) type.
reference electrode See ISE Reference Electrode. sample type A type of sample that can be analyzed:
serum, plasma, whole blood, or urine.
reference range See expected range.
sampling stop An alarm level that indicates a problem
reference solution See ISE Reference Solution. with the sampling system.
See also S.Stop.
repeat The performance of the same test on a sample
again with identical dilution. scan See barcode scan.
reportable range The range of results that can be scroll The action of moving through text or graphics
reported for the assay. It stretches from the lower (up, down, left, or right) to see parts of the file or list that
detection limit to the high end of the calibration curve. cannot fit on the screen.
request See order. scroll arrow An arrow on either end of a scroll bar that
you use to scroll through the contents of the screen or list
rerun The performance of the same test on a sample box.
again with a different dilution.
scroll bar A bar that appears at the bottom or right
result The value reported by an analytical device during edge of a screen whose contents are not entirely visible.
or after the assay of a sample or control.
SD Abbreviation for standard deviation.
ROM Abbreviation for read-only memory.
Semiconductor memory devices used in computers. secondary tube A sample container of variable size
ROM content remains when a computer is switched off. into which aliquots are transferred.
rotor Assembly consisting of cuvette ring and plastic shutdown The process of powering off an instrument.
frame.
software A computer-operated program that processes
data in a defined manner. Software is usually intellectual
S property of the software supplier or its licensee.
sample area Area on the instrument where sample specimen Generic term for a calibrator, control and
tubes are placed. sample.
sample cup A small container that is used for samples standard Traceable reference material used to create the
and also for calibrator and control material. A sample master calibration curve.
cup can be placed either directly on the sample area, or
on sample tubes. Compared to a sample tube, a sample standard deviation A statistic used as a measure of the
cup allows the use of smaller liquid volumes and so dispersion or variation in a distribution of data.
reduces the dead volume.
Start button A button used to start system operation
sample ID A set of alphanumeric data that (Operating status) and begin the pipetting of samples,
unmistakably identifies a particular sample within a measurement, and the result calculation process.
whole organization, for example the hospital. It is used
on barcodes and is the unique identifier used to STAT Abbreviation for Short Turn Around Time.
communicate with a laboratory information system. Terminology used by the medical clinical professionals to
prioritize the processing of a sample in a laboratory.
Roche Diagnostics
F-8 Operator’s Manual · Version 2.0
cobas c111 Glossary
status - worklist
test sheet A document that lists all the information worklist A report generated by an analytical
necessary to perform a specific assay or test on an instrument. A worklist aids a user by listing calibrators,
instrument. controls, and samples currently loaded on the sample
area.
touchscreen An input device that allows the user to
interact with the computer by touching the display
screen.
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Operator’s Manual · Version 2.0 F-9
Glossary cobas c111
worklist - worklist
Roche Diagnostics
F-10 Operator’s Manual · Version 2.0
cobas c111 Index
Index
A applications, B-123
– activating, B-125
abbreviations, 9 – calculation definitions, B-136
abbreviations, ISE, E-5 – calibration definitions, B-134
aborting the process, A-113 – control definitions, B-135
Abs. air/water calibration, maintenance action, C-27 – deactivating, B-125
absorbance adjustment, definitions, B-148 – definitions, B-133
absorbance measurements, process, A-17 – deleting, B-129
absorbance photometer, A-61 – general definitions, B-133
acceptable flags list, editing, B-142 – importing, B-99, B-123
accepting – installing, B-100, B-124
– calibration results, B-58 – preparing, B-125
– patient results, B-51 – result conversion definitions, B-136
– QC results, B-65 – screen, A-110
acoustic signals, A-81, D-6 – uninstalling, B-128
Activate electrodes, maintenance action, E-43 approvals, 3
adding lots, B-89 approved parts, A-8
adjusting, touchscreen, B-116 assemblies, syringe, A-44
air/water calibration, C-27 auto accept
alarm button, A-80 – patient results, B-46
alarm LED, A-80 – QC results, B-56, B-63
alarm messages
– deleting, D-8
– exporting log, D-8 B
– overview, A-81
– printing, D-8 backup, B-72
– reacting to, D-7, D-38 barcode scanner, A-59, B-79
alarm monitor barcode sheets, reading, B-80
– overview, A-80, D-6 barcodes
alarms – reading from reagent bottles, B-79
– LED, A-80 – reading from sample tubes, B-80
– LED colors, A-81 – reading from sheets, B-80
– monitor, A-80 – reagent bottles, A-59
analyzer – samples, A-60
– See, instrument. – scanner, A-59
analyzing biohazardous materials, safety, A-6
– checking the progress, B-40 bottles
– samples, B-32 – cleaner, A-50
application codes, mapping, B-142 – external cleaner, B-18
– external fluid containers, B-15
– external waste container, B-17
– external water container, B-16, B-76
– ISE fluids, E-11
– reagents, A-51
– reagents, specifications, A-65
– replacing ISE, E-21, E-28
bottom detection, A-47
buttons
– alarms, A-80
– global action, A-71
– overview, A-116
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Roche Diagnostics
F-12 Operator’s Manual · Version 2.0
cobas c111 Index
connecting defining
– external cleaner bottle, B-114 – calibrator lots, B-90, B-132
– external waste container, B-114 – control lot, B-90
– external water container, B-113 – control lots, B-131
connectivity, host, A-30 – lots, B-89
connectors – orders, B-35
– fluids, A-45 – users, B-141
– overview, A-62 definitions, applications, B-133
contact addresses, 3 degasser, A-42
Contact service representative, deleting
maintenance action, C-26 – alarm messages, D-8
containers – applications, B-129
– fluids, A-48 – calibration results, B-84
– reagent disks, A-57 – orders, B-83
– waste, A-48 – patient results, B-83
– water, A-49 – profiles, B-130
control lot, defining, B-90 – QC results, B-85
controls – results at end of shift, B-74
– definitions, B-135 – users, B-141
– placing, B-61 demographics, patients, A-30
conventions used in manual, 8 Deproteinize probe, maintenance action, C-10
cooling, reagents, A-57 detection
copyrights, 2 – fluid levels, A-47
covers – tube bottom, A-47
– ISE, E-9 diagnostics data, exporting, D-44
– overview, A-37 diagnostics, screen, A-111
cross-contamination, A-9 dilutions, A-29
csv files, B-73 dimensions, specifications, A-64
cups, A-52 disconnecting tubes from instrument, B-115
cuvette ring, A-58 disinfecting housing, C-21
cuvette status, screen, A-89 display items, A-71
cuvettes, A-52 disposing
– checking the status, B-27 – instrument, A-11
– handling, A-53 – waste, B-76
– replacing, B-27, B-75 document information, 2
– ring, A-58
– segments, A-53
– specifications, A-65 E
edition notice, 2
D electrical safety, A-5
electrode block, E-10
daily backup, B-72 Electrode service, maintenance action, E-47
daily operation, B-3 electrodes
– introduction, A-20 – activating, E-43
– overview table, A-20 – maintenance, E-47
Daily prepare actions, maintenance action, E-42 – position in block, E-32
database – replacing, E-30
– exporting, B-92 electromagnetic devices, safety, A-8
– importing, B-101 emptying, waste container, B-17, B-76
– restoring, B-101 End of Shift short guide, B-68
date and time, definitions, B-148 environment, specifications, A-64
deactivating ISE unit, E-62 error messages, reacting to, D-38, E-78
Default QC exceptional situations
– overview, B-59 – ISE unit, E-78
– performing, B-61 – main instrument, D-36
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F-14 Operator’s Manual · Version 2.0
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Operator’s Manual · Version 2.0 F-15
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maintenance actions O
– Abs. air/water calibration, C-27
– Activate electrodes, E-43 obsolete calibration, A-26
– Clean housing, C-21 online Help, using, 7, A-79
– Clean ISE tower automatically, E-48 operation
– Clean ISE tower manually, E-49 – overview, B-7
– Clean probe manually, C-12 – principles, A-17
– Clean reagent disk, C-14 – routine, B-3
– Clean rotor and heating channel, C-10 – routine ISE, E-17
– Clean rotor heating channel, C-31 – safety, A-6
– Clean water and waste, C-16 operators
– colors of entries, B-19 – qualifications, A-8
– Condition ISE tubing, E-44 – regular breaks, A-9
– Contact service representative, C-26 optical safety, A-6
– Daily prepare actions, E-42 order of processing, B-40
– Deproteinize probe, C-10 order profiles, B-130
– Electrode service, E-47 orders
– Initialize ISE reference sensor, E-45 – changing, B-38
– Initialize ISE unit, E-51 – changing with sample on board, B-38
– intervals, C-7 – checking for unfinished, B-70
– intervals for ISE, E-39 – defining, B-35
– performing, C-6 – defining profiles, B-130
– performing during End Shift phase, B-75 – deleting, B-83
– performing during Prepare phase, B-19 – handling, A-30
– Prime fluid system, C-11 – IDs, A-30
– Prime ISE calibrator and reference, E-46 – introduction to handling, A-30
– Replace ISE pump tubing, E-52 – list, A-95
– Replace ISE unit tubing, E-55 – order of processing, B-40
– Replace photometer lamp, C-23 – overview, A-30
– Replace water inlet filter, C-19 – STAT, B-38
maintenance days, B-148 – workflow setup, B-34
manual, how to use, 7 overview
mapping, application codes, B-142 – buttons, A-116
measurements, specifications, A-64 – calibration, A-24
measuring modes, ISE, E-6 – daily operation, A-20
messages – flags, D-19
– alarms, A-81, D-9 – instrument, A-13, A-15
– list, D-9 – ISE, E-5
– overview, A-80, D-5 – ISE operation, E-17
– screen, A-80, D-5 – maintenance, C-5
mixing information, importing, B-102 – messages, A-80, D-5
mixing motor, A-47 – order handling, A-30
mixing reagents, B-67 – reagent handling, A-23
– during Prepare phase, B-28 – result handling, A-31
monitor – routine operation, B-7
– See, alarm monitor. – sample handling, A-29
monitoring – user interface, A-18, A-69
– analysis process, B-40 – wizards, A-19
– ISE status, E-23 Overview tab, A-82
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P printer
– clearing paper jam, D-40
panels – overview, A-60
– ISE, E-9 – refilling paper, B-108
– overview, A-37 – specifications, A-65
– See also, test panels. printer status, checking, D-40
paper jam, clearing, D-40 printing
paper, refilling, B-108 – alarm messages, D-8
password – overview, A-78
– changing, B-137 – patient results, B-51
– typing, B-11 – stopping, A-78, B-51
patient results priority, flags, D-20
– accepting, B-51 probe
– auto accept, B-46 – cleaning manually, C-12
– checking for not accepted, B-70 – deproteinizing, C-10
– deleting, B-83 – description, A-47
– printing, B-51 – hardware, A-44
– validating, B-46 – replacing, B-111
– validating if sample on board, B-47 processing, stop, B-45
– validating if sample removed, B-48 profiles, B-130
performing – adding tests, B-130
– calibration, B-52 – deleting, B-130
– calibration during Prepare phase, B-29 pumps, ISE, E-10
– Default QC, B-61
– Interval QC, B-62
– maintenance actions, C-6 Q
– QC, B-59
– reagent mixing, B-67 QC
– reagent mixing during Prepare phase, B-28 – Default QC, B-59
– tests, B-32 – definitions, B-147
peristaltic pump, E-10 – interpreting history, B-65
photometer – Interval QC, B-59
– overview, A-61 – list, A-98
– specifications, A-65 – overview, A-28
photometer lamp, replacing, C-23 – performing, B-59
power – performing Default QC, B-61
– interruption, A-8 – performing Interval QC, B-62
– requirements, A-64 – short guide, B-60
precalibration, A-27 – status list, A-98
Prepare phase, short guide, B-12 – when due, A-28
Prepare wizard, B-14 QC history
preparing – graph, B-66
– applications, B-125 – interpreting, B-65
– ISE unit, E-20 – screen, A-99
– new reagent disks, B-103 QC history graph, screen, A-100
– reagents, B-22 QC results
– system, B-12 – auto accept, B-63
Prime ISE reference and calibrator, – deleting, B-85
maintenance action, E-46 – validating, B-63
Prime the fluid system, maintenance action, C-11 QC status list, screen, A-98
principles qualifications, of operators, A-8
– absorbance measurements, A-17 quality control
– calibration, A-24 – See, QC.
– ISE measurements, E-7
– specifications, A-64
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R result handling
– definitions, B-146
reagent bottles, A-51 – overview, A-31
– reading barcodes, B-79 result list, screen, A-96
– specifications, A-65 results
reagent cooler, removing condensation, B-110 – calibration, B-57
reagent disks – checking for not accepted patient results, B-70
– cleaning, C-14 – checking for transmission, B-71
– ID, A-56 – cleaning up at end of shift, B-74
– loading, B-21 – deleting of calibration, B-84
– overview, A-56 – deleting of patients, B-83
– preparing, B-103 – deleting of QC, B-85
– realigning, D-44 – exporting, B-73, B-93
– removing, B-77 – flags, D-17
– storage container, A-57 – handling, A-31
reagent handling, overview, A-23 – introduction to handling, A-31
reagent sets, A-23 – list, A-96
reagent status, screen, A-90 – patients, B-46
reagents – patients, if sample on board, B-47
– barcodes, A-59 – patients, if sample removed, B-48
– bottles, A-51 – printing of patients, B-51
– cooling, A-57 – validating for QC, B-63
– exchanging, B-24 – validating of patients, B-46
– handling, A-54 revision history, 2
– introduction to handling, A-23 rotor
– loading, B-25 – cleaning, C-10
– preparing, B-22 – overview, A-55
– removing, B-24
– replacing, B-24
– safety, A-7 S
– sets, A-23
refilling safety, A-3
– printer paper, B-108 – approved parts, A-8
– water container, B-16, B-76 – biohazardous materials, A-6
removing, B-45 – calibration, B-52
– reagent disk, B-77 – classification, A-5
– reagents, B-24 – cross-contamination, A-9
– sample tubes, B-45 – disposal of instrument, A-11
repeating, tests, B-49 – during End of Shift phase, B-68
Replace ISE pump tubing, maintenance action, E-52 – during Prepare phase, B-12
Replace ISE unit tubing, maintenance action, E-55 – during routine operation, B-5
Replace photometer lamp, maintenance action, C-23 – electrical, A-5
Replace water inlet filter, maintenance action, C-19 – electromagnetic devices, A-8
replacing – insoluble contaminants, A-9
– cleaner bottle, B-18 – installation, A-7
– cuvettes, B-27, B-75 – instrument covers, A-6
– electrodes, E-30 – ISE operation, E-19
– ISE bottles, E-21, E-28 – operation and maintenance, A-6
– printer paper, B-108 – operator breaks, A-9
– probe, B-111 – operator qualifications, A-8
– reagents, B-24 – optical, A-6
– water container, B-16, B-76 – performing ISE maintenance, E-40
rerunning, tests, B-50 – performing QC, B-59
restarting the system, A-113 – power supply, A-8
restoring database, B-101 – reagents and working solutions, A-7
result conversion, B-136 – spillages, A-9
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safety screens
– third-party software, A-8 – QC history, A-99
– transport, A-5 – QC history graph, A-100
– waste, A-7 – QC list, A-98
– when analyzing samples, B-32 – QC status, A-98
– when exchanging external bottles, B-15 – reagent status, A-90
– when handling cuvettes, B-27 – result list, A-96
– when handling external bottles, B-15 – sample overview, A-84
– when handling reagents, B-22 – scrolling, A-73
– when removing reagent disk, B-77 – stopping processing, A-113
– when troubleshooting ISE, E-68 – system status, A-92
– when using the barcode scanner, B-79 – test selection, A-86
– with flags, D-21 – test status, A-87
– with maintenance actions, C-8 – users, A-112
sample area – worklist, A-104
– cleaning, C-14 scrolling, A-73
– overview, A-42 segments of cuvettes, A-53
sample handling, overview, A-29 selecting groups of list items
sample ID, A-29 – See, filtering.
sample overview, screen, A-84 selecting, tests to be calibrated, B-55
samples sensors, ISE, E-11
– analyzing, B-32 service representative, contacting, C-26
– barcodes, A-60 setting up, order definition, B-34
– checking the status, B-40 sheets, barcodes, B-80
– handling, A-29 shift
– introduction to handling, A-29 – finishing, B-68
– overview, B-45 – starting, B-10
– reading barcodes, B-80 short guides
– short guide, B-32 – analyzing samples, B-32
– specifications, A-64 – calibration, B-53
sampling stop, A-113 – End of Shift, B-68
scanners, A-59 – ISE Prepare phase, E-20
scheduling, calibration, B-85 – Prepare phase, B-12
screens – QC, B-60
– alarms, A-80 shutting down the system
– applications, A-110 – end of shift, B-78
– calibration list, A-101 – stop option, A-113
– configuration, A-106 software
– cuvette status, A-89 – importing, B-101
– diagnostics, A-111 – updating, B-101
– display items, overview, A-71 software data handling, specifications, A-65
– expanding and collapsing lists, A-74 solutions, ISE, E-8
– export, A-108 special characters, A-76
– external bottle status, A-93 specifications, technical, A-64
– host codes, A-111 spillages, safety, A-9
– import, A-108 standby, ISE status, E-12
– ISE status, A-91 starting
– keyboards, A-74 – a run, B-40
– layout, A-70 – processing, B-40
– Loadlist, A-104 – shift, B-10
– lot data, A-102 STAT orders, B-38
– lot list, A-103
– maintenance, A-107
– messages, A-80, D-5
– navigation, A-72
– orders list, A-95
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F-20 Operator’s Manual · Version 2.0
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V W
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F-22 Operator’s Manual · Version 2.0
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G-4 Operator’s Manual · Version 2.0