® VITEK DENSICHEK ® 048641-02 - en - 2022-02 User Manual EN IVD Table of Contents Introduction to the System.....................................................................................1-1 Intended Use and Users.............................................................................................. 1-1 Intended Use.....................................................................................................1-1 Intended Users and Environments....................................................................1-1 Benefits and Limitations of Use................................................................................... 1-1 Warning and Safety Messages.................................................................................... 1-2 Statement Types............................................................................................... 1-3 General Statements..................................................................................................... 1-3 Standard Symbols........................................................................................................1-6 Safety Information...................................................................................................2-1 System Compliance..................................................................................................... 2-1 Instrument Labels........................................................................................................ 2-1 Safety Precautions.......................................................................................................2-4 System Description and Basic Operations...........................................................3-1 System Description...................................................................................................... 3-1 Reagents......................................................................................................................3-2 List of Components...................................................................................................... 3-2 List of Accessories....................................................................................................... 3-2 List of Consumables.................................................................................................... 3-3 Technical Data and Specifications............................................................................... 3-3 Dimensions....................................................................................................... 3-3 Weight............................................................................................................... 3-4 Electrical Specifications.................................................................................... 3-4 Radio Specifications..........................................................................................3-5 Environmental Conditions................................................................................. 3-5 Computer Specifications................................................................................... 3-6 System Basics............................................................................................................. 3-6 Overview of Operation Elements...................................................................... 3-7 Graphical User Interface................................................................................. 3-11 System Installation and Configuration................................................................. 4-1 Unpacking the Instrument............................................................................................ 4-1 Connecting the Device.................................................................................................4-1 Charging the Pod.............................................................................................. 4-4 Pairing a Pod with a Base................................................................................. 4-4 Configuring the Display Base Settings..............................................................4-4 Configure VITEK® FLEXPREP™ with the Instrument..................................................4-6 Downloading and Installing the DENSICHEK® Communication Bridge............4-6 Configuring the DENSICHEK® Certificates in VITEK® FLEXPREP™.............. 4-8 Configuring the Connectivity Base Settings.................................................... 4-10 User Management...........................................................................................4-11 Workflow and Instructional Procedures............................................................... 5-1 Starting the System......................................................................................................5-1 Shutting Down the System...........................................................................................5-1 Understand McFarland Reference Ranges................................................................. 5-1 Performing McFarland Reference Checks........................................................ 5-3 Zeroing Saline-Filled Test Tube................................................................................... 5-5 Prepare Suspensions...................................................................................................5-6 Standalone Workflow (Display Base only)................................................................... 5-8 048641-02 i VITEK® DENSICHEK® Table of Contents Preparing Suspensions for ID and AST Cards (Standalone)............................ 5-8 Connectivity Workflow (Connectivity Base or Display Base)..................................... 5-10 Logging in to the VITEK® FLEXPREP™ Software.......................................... 5-10 Navigating the VITEK® FLEXPREP™ Software..............................................5-10 Preparing Suspensions for ID and AST Cards (Connectivity).........................5-12 Entering Multiple McFarland Values at Once..................................................5-14 Preparing a QC Suspension in Quality Control Mode.....................................5-15 Updating Firmware..........................................................................................5-15 User Maintenance................................................................................................... 6-1 Required Tools............................................................................................................. 6-1 Calibration and Adjustments........................................................................................ 6-1 Preventive Maintenance Operations............................................................................6-1 Cleaning Procedures................................................................................................... 6-1 Decontamination Procedures.......................................................................................6-3 Appendix - Maintenance Records.........................................................................A-1 Maintenance Schedule................................................................................................ A-1 Maintenance Checklist................................................................................................ A-1 Appendix - Troubleshooting..................................................................................B-1 Error Messages and Recovery Procedures.................................................................B-1 Appendix - Third-Party Software...........................................................................C-1 Appendix - Glossary...............................................................................................D-1 Connectivity Base........................................................................................................D-1 Connectivity Workflow................................................................................................. D-1 Display Base............................................................................................................... D-1 McFarland References................................................................................................ D-1 McFarland Reference Check.......................................................................................D-1 Pod.............................................................................................................................. D-1 Standalone Workflow.................................................................................................. D-1 Revision History 048641-02 ii VITEK® DENSICHEK® General Information The content of this document is based on the VITEK® 2 Systems software release 9.01 or higher. Please discard any previous copies of this document if relevant. This document may contain information or references relating to certain bioMérieux products, software or services which are not available in the country of release; this shall not mean that bioMérieux intends to market such products, software or services in such country. To request copies of publications or for any technical request / assistance, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). IMPORTANT: VITEK® DENSICHEK® is a new device and this user manual is not referring to previous instrument models, such as the DENSICHEK® Plus. Note: The screens and figures shown are intended as illustrations only and must not be interpreted as actual representations of data, results or equipment. Screens and equipment are not shown to scale. IMPORTANT: Please read this document carefully before using the system. Limited Warranty bioMérieux warrants the performance of the product for its stated intended use provided that all procedures for usage, storage and handling, shelf life (when applicable), and precautions are strictly followed as detailed in the instructions for use (IFU). Except as expressly set forth above, bioMérieux hereby disclaims all warranties, including any implied warranties of merchantability and fitness for a particular purpose or use, and disclaims all liability, whether direct, indirect or consequential, for any use of the reagent, software, instrument and disposables (the "System") other than as set forth in the IFU. Customer acknowledges and agrees that use of the System for testing of sample types or for indications other than those described in the IFU is done solely at the Customer’s own risk. Customer acknowledges and agrees that it is Customer’s sole and exclusive responsibility to validate the System for any such intended use, and to determine whether the System is suitable for that intended use. The performance of any validation studies and the subsequent use of the System based on Customer’s validation studies shall be the Customer’s sole risk and responsibility. Product warranty details can be obtained from bioMérieux or your local distributor (contact information available on www.biomerieux.com). Intellectual Property BIOMÉRIEUX, the BIOMÉRIEUX logo, VITEK, DENSICHEK, and FLEXPREP are used, pending, and/or registered trademarks belonging to bioMérieux, or one of its subsidiaries, or one of its companies. Any other name or trademark is the property of its respective owner. © 2022 bioMérieux, Inc. All rights reserved Compliance Statements FCC Compliance (Part 15.19(a)(3)) CAUTION: Changes or modifications not expressly approved could void your authority to use this equipment. This device complies with Part 15 of the FCC Rules. Operation to the following two conditions: 1. 2. This device may not cause harmful interference, and This device must accept any interference received, including interference that may cause undesired operation. Per FCC Part 2.925 (f), a radio with the following FCC ID: 2AQJ2-VTK01 and T9JRN4020 is included as an operational function of this product. Industry Canada (IC) Compliance This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: 1. 2. This device may not cause interference, and This device must accept any interference, including interference that may cause undesired operation of the device. Conformité Industrie Canada (IC) Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : 1. 2. l'appareil ne doit pas produire de brouillage, et l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement. FCC and IC Identifiers The following are applicable to the Pod and the base units: • • Contains FCC ID: T9JRN4020 Contains IC: 6514A-RN4020 The following are also applicable to the Pod: • • FCC ID: 2AQJ2-VTK01 IC: 24083-VTK01 1 Introduction to the System Intended Use and Users The VITEK® DENSICHEK® instrument measures the optical density of a microorganism suspension in 0.45-0.50% saline. Related Links Graphical User Interface Display Base Screen VITEK FLEXPREP Software Interface Screen Intended Use The VITEK® DENSICHEK® instrument is an accessory intended for use with the VITEK® 2 Systems to measure the optical density of a microorganism suspension. The instrument provides values in McFarland units, proportional to the microorganism concentrations. VITEK® DENSICHEK® is intended for use with polystyrene tubes, and the reading range is 0.00 to 4.00 McFarland. The VITEK® DENSICHEK® has applications as an in vitro diagnostic medical device, or in an industry setting. Intended Users and Environments The VITEK® DENSICHEK® instrument is intended for professional use by laboratory health professionals (ex. Microbiology Laboratory Technologists) in clinical or industry settings. The VITEK® DENSICHEK® can be used to prepare suspensions for testing with VITEK® 2 automated ID/AST system. Though the reading range may be 0.00 to 4.00 McFarland, the acceptable McFarland ranges vary for specific card types. Refer to the User Interface section for more information. The VITEK® DENSICHEK® operates in the same use environments as specified for the VITEK® 2 Systems. The instrument is intended for the following specified users and environments: • • • • • The instrument can be used in a large, medium, and small hospital and in private or industry laboratories for daily processing of a few to several hundred specimens. The instrument can help users create a standardized test suspension. The instrument can be used by intended users without risk of shock or injury during use. The instrument can be used as a portable device on a sample preparation bench. The instrument can be used in a biosafety cabinet, if required by standard operating procedures at the customer’s laboratory. Benefits and Limitations of Use Benefits and limitations of using the VITEK® DENSICHEK® instrument include the following: • • • 048641-02 The instrument provides accurate digital readings reported in McFarland units (i.e., estimates the number of organisms in a suspension by measuring the turbidity of the fluid). The instrument works with clean 12 mm x 75 mm polystyrene test tubes that are clear, colorless, and free of scratches. The instrument is not intended for use with glass test tubes. 1-1 VITEK® DENSICHEK® Warning and Safety Messages • • • • • • • Note: Introduction to the System The Pod has a minimum of four hours of continuous battery life before it requires a charge. The McFarland References provide a way to verify the performance of the instrument. The instrument automatically enters Power Save mode when a test tube is not inserted into the Pod after the configured amount of time. The Pod and the base can be cleaned and disinfected. The instrument is not intended for use with test tubes that contain seams in the optical path of the Pod. The base unit can connect to the VITEK® 2 Systems PC to transmit information via USB if the user has the compatible software. The instrument is compatible with VITEK® 2 ID/AST cards and should be used to ensure suspensions are within an acceptable range. Suspensions outside of an appropriate range can compromise card performance. Any information that refers to VITEK® 2 Systems PCs is limited to use with the VITEK® 2 Systems software that is compatible with the VITEK® DENSICHEK® (ex. 9.01 software or later). If this software is not available to the user, then this information is not applicable. Figure 1: Optical Path Area 1. 2. No seams, scratches, or imperfections are allowed in this optical path area Bottom of the test tube Figure 2: Test Tube Optical Safe Zone 1. Optical Safe Zone - Label and marking applied here Warning and Safety Messages The user documentation uses several types of statements to alert you to important information. Important information is labeled in text and identified using symbols. 048641-02 1-2 VITEK® DENSICHEK® Statement Types Introduction to the System Statement Types The statement types are Warning, Caution, Important, and Note. The following examples define each statement type. The general caution symbol is used in these examples, but other symbols (see Standard Symbols) may be used instead. The warning messages in this document mainly refer to: WARNING A Warning statement alerts the user to the possibility of injury, death, or other serious adverse reactions associated with the use or misuse of the device. CAUTION: A Caution statement alerts the user to the possibility of a problem with the device associated with its use or misuse. Such problems include device malfunction, device failure, damage to the device, or damage to other property. Where applicable, a Caution statement may include a precaution that should be taken to avoid the hazard. IMPORTANT: Note: An Important statement relates to content presented in the user documentation. It is used to reinforce the user’s understanding of selected information. A Note statement supplies additional information about a topic. General Statements This section provides important statements that apply to all products. Equipment meets the requirements and standards stated in the certificate supplied with it. WARNING Equipment is intended for professional use only. Laboratory personnel should be qualified and adhere to the principles of good laboratory practice. All the user documents supplied must be read prior to use of the equipment. Under no circumstance should the user dismantle equipment due to the risk of touching dangerous parts, including parts that may be infectious or connected to a source of electric power. Do not obstruct the equipment and hardware ventilation apertures, and leave sufficient clearance around the equipment for the circulation of air. All biological materials should be considered as potentially infectious. Suitable individual protective equipment is required when handling chemical or biological substances. bioMérieux is in no case liable for the harmful consequences of incorrect use or improper handling of these substances. 048641-02 1-3 VITEK® DENSICHEK® General Statements Introduction to the System WARNING Electromagnetic Compatibility (EMC): The EMC class of the equipment is indicated on the certificate supplied with it. If equipment is a class B product, it may cause radio interference in a domestic environment, in which case the user will be required to correct the interference at his own expense. Do not use this device near strong sources of electromagnetic radiation (for example, intentionally unprotected radio-electric sources), which could interfere with the operation of the equipment. It is recommended to evaluate the electromagnetic environment before starting the device. WARNING In order to avoid computer viruses or abnormal functioning of your equipment, never download any software other than those ensuring the protection of your network and those provided or recommended by bioMérieux. It is your responsibility to secure your network and ensure this protection is appropriate and maintained. It is recommended to use all appropriate means (including antivirus software, security patches, firewall) to protect your network from virus intrusion, unauthorized use, alteration, manipulation and disclosure. In an effort to reduce the risk of spreading a virus to bioMérieux equipment, it is recommended that only bioMérieux supplied USB devices are used with bioMérieux equipment. The use of personal USB devices is not recommended. To avoid computer viruses and the potential loss of functionality and/or results, use caution when transferring USB devices between computers. Do not use USB devices intended for bioMérieux equipment in other computers that do not have current antivirus software installed and active. All computer media (CD, DVD, USB key) supplied with this equipment should be stored and stocked in a suitable location. Only modify the software configuration parameters you are authorized to modify and which are described in the user documentation. 048641-02 1-4 VITEK® DENSICHEK® General Statements Introduction to the System WARNING Decontamination of equipment at the end of its life cycle: The following instructions must be followed by all users in countries where local legislation imposes the treatment and recycling of equipment at the end of its life cycle. As a general rule, and as a precautionary measure, any part of the equipment (including sub-assemblies, components and materials) considered to be potentially infectious, must be decontaminated, whenever possible, or removed if decontamination is impossible or presents a risk. Any part considered to be potentially infectious, which is not decontaminated, must be removed from the instrument before following the normal channels for elimination of infectious products, in accordance with local regulations. The decontamination instructions in the user documentation correspond to the parts of the equipment that are potentially infectious according to their intended use. These operations must be performed before the equipment is transferred to a third party. However, bioMérieux cannot exclude that other parts of the equipment have not been contaminated in other circumstances, in particular as the result of spillage of infectious substances. In this case, the user is solely responsible for decontaminating these parts or removing them before they follow the normal channels for elimination of infectious products. WARNING This statement only applies to European countries with regard to the waste electrical and electronic equipment European directive: You can play an important role in contributing to reuse, recycling, and other forms of recovery of waste electrical and electronic equipment. Sorting this type of waste significantly reduces potential negative effects on the environment and human health as a result of the presence of hazardous substances in electrical and electronic equipment. At the end of the life cycle of this product, do not dispose of the product as unsorted municipal waste, even if it is decontaminated. It is imperative that you contact bioMérieux to assure its appropriate disposal. WARNING Electrical or other connections should only be made using the accessories supplied with the equipment. IMPORTANT: 048641-02 It is important to follow all the restrictions on use, particularly concerning temperature, storage, installation and voltage, which are indicated on the product label or in the user documentation. 1-5 VITEK® DENSICHEK® Standard Symbols Introduction to the System IMPORTANT: The accuracy of results obtained with this equipment depends on the maintenance operations described in the user documentation (user maintenance and/or periodic preventive maintenance performed by bioMérieux). IMPORTANT: The user should be aware that if the maintenance operations are not performed, are only partially performed, or are not performed as described in the user documentation, bioMérieux is in no case liable for any false test results obtained. IMPORTANT: It is recommended to keep the original packaging materials in case the equipment needs to be moved. Any damage directly or indirectly resulting from the transport of the equipment without adequate containers will not be covered by the warranty. WARNING Use of other devices, including those that comply with CISPR emission requirements, could interefere with the instrument's performance. Standard Symbols 048641-02 CE-Marking of Conformity Compliance with US and Canadian Safety Standards certified by CSA Compliance with China RoHS Regulation (Chinese Standard SJ/ T11364) UL Listed to US and Canadian Safety Standards In Vitro Diagnostic Medical Device Batch code Authorized Representative in the European Community Catalogue number Serial number Consult Instructions for Use Use by date Manufacturer Date of manufacture This way up Do not stack Caution, consult accompanying documents Contains sufficient for <n> tests Do not reuse 1-6 VITEK® DENSICHEK® Standard Symbols 048641-02 Introduction to the System Keep dry Keep away from light Fragile, handle with care Humidity limitation Keep away from magnetic field Temperature limitations Upper limit of temperature Lower limit of temperature Sterile Positive control Negative control Biological risk Electric shock warning Radiation warning Hot surface Potential pinch-point warning Laser beam Shearing hazard High temperature Hazardous magnetic field Potential tip-over/crush hazard Acute toxicity 1-7 VITEK® DENSICHEK® Standard Symbols Introduction to the System Corrosives Sodium azide Irritant Recyclable Separate collection for waste electrical and electronic equipment Environmentally friendly use period. Actual number of years may vary by product. This symbol is typically orange in color. Fuse Direct current Alternating current Both direct and alternating current Three-phase alternating current Earth (ground) terminal Protective conductor terminal Frame or chassis terminal Equipotentiality ON (supply) OFF (supply) ON (only for a component of the system equipment) OFF (only for a component of the system equipment) Equipment protected throughout by double insulation or reinforced insulation (Equivalent to Class II of IEC 536) Ethernet port Regulatory Compliance Mark (RCM) for Electrical Quipment Safety System (EESS) from the Electrical Regulatory Authorities Counsil (ERAC) in Australia For US Only - Caution: US Federal Law restricts this device to sale by or on the order of a licensed practitioner 048641-02 1-8 VITEK® DENSICHEK® 2 Safety Information It is essential that the warnings, cautions and safety requirements contained in this document are read and understood by the user before operating the system. Warning symbols have been placed on the system to draw your attention to areas of potential hazards. System Compliance This IVD instrument complies with the emissions and immunity requirements of IEC 61326. This instrument complies with: Base Standard(s): IEC 61010-1:2010 (Third Edition) Additional Standard(s): IEC 61010-2-101: 2015 (Second Edition) This is a Class B device per FCC 47CFR Subpart 15 and CISPR11. Instrument Labels The VITEK® DENSICHEK® instrument has labels on parts of the instrument to provide information and to make the user aware of potential hazards. Be familiar with the location and meaning of the labels on the instrument. There is an instrument label on the bottom of the Pod component and on the bottom of the base component. The labels contain the serial number (SN), voltage information, reference number, and other information specific to the device.. A user interface screen on the Display Base is located on the front of the instrument and provides functions to operate the VITEK® DENSICHEK® instrument. The Pod contains a biohazard symbol to inform the user about biological risks. The instrument requires McFarland References to verify the instrument performance after receiving it, before its first use, at least on a monthly basis, after cleaning the device, and after relocating the instrument to a new lab environment.. There are four plastic dual-vial test tube McFarland References located inside the plastic container. Each reference is identified by a McFarland value: 0.0 (blank), 0.5, 2.0, and 3.0. The McFarland References have an outer container label that includes the part number of the McFarland Reference (REF), the date of manufacture, and the lot number (LOT). 048641-02 2-1 VITEK® DENSICHEK® Instrument Labels Safety Information Figure 3: Biohazard Label on the Pod (Overhead View of the Pod) On each McFarland Reference, you can view the legal manufacturer (bioMérieux), the product name (VITEK® DENSICHEK®), the LOT number, and the McFarland Reference Value label. An RFID tag is in the bottom of the vial displaying the legal manufacturer, product name, and McFarland Reference Value. Figure 4: Labels for McFarland Reference Test Tubes - McFarland Value View 048641-02 2-2 VITEK® DENSICHEK® Instrument Labels Safety Information Figure 5: Labels for McFarland Reference Test Tubes - Side View Figure 6: Instrument Label Example- Charging Base Figure 7: Instrument Label Example- Pod 048641-02 2-3 VITEK® DENSICHEK® Safety Precautions Safety Information Figure 8: Instrument Label Example - Display Base Figure 9: Instrument Label Example - McFarland References Figure 10: Instrument Label Example - UDI (Intended for the Pod and Base Units) Safety Precautions Pay particular attention to the following safety precautions. If these safety precautions are ignored, injury to the operator or damage to the instrument may occur. Each individual precaution is important. 048641-02 2-4 VITEK® DENSICHEK® Safety Precautions Safety Information WARNING If the equipment is used in a manner not specified by the manufacturer, the protection provided by the equipment may be impaired. WARNING Treat waste material, including consumable items, and any components coming into contact with waste material as having the potential hazards of the samples used. All service personnel should be familiar with the Material Safety Data Sheet (MSDS) for all materials used in the procedures relating to this instrument, and the correct procedures for handling these materials. WARNING Electronic equipment can be the source of electrical shocks. Installation, service, and repair should only be performed by authorized and qualified bioMérieux personnel. WARNING Cleaning and disinfecting solutions have corrosive properties. Always wear protective (chemical resistant) gloves and safety glasses when handling cleaning and disinfecting solutions. WARNING Any liquid spilled on the system may result in system malfunctioning. If liquid is spilled on the system, wipe it up immediately. CAUTION: The computer and its operating system have been carefully configured for optimal system performance. Altering the configuration may severely hamper the usability of the instrument. Note: 048641-02 Before performing electrical safety or other compliance testing on the instrument, contact bioMérieux or your local distributor. 2-5 VITEK® DENSICHEK® Safety Precautions Safety Information WARNING The user must only perform the maintenance operations described in this document and rigorously follow each of the steps. The use of tools not specified by bioMérieux is forbidden. Powder-less gloves, a lab coat and protective glasses or goggles must be worn when performing maintenance operations. Always use personal protective equipment, including gloves, a lab coat and safety glasses or goggles when handling reagents. WARNING Handle all materials according to safe microbiological practices in compliance with the installation site's biohazard procedures. Use the personal protective equipment recommended by the facility when handling any of these components, including gloves, safety glasses, and a lab coat. Ensure that appropriate decontamination is carried out if hazardous materials are spilled on or into the equipment or surrounding areas. WARNING You must follow the storage and/or transport temperature specifications indicated in this user manual. Failure to do so, may cause the device to malfunction. WARNING Other wireless equipment that complies with CISPR8 emission requirements could interfere with the medical device or device system. 048641-02 2-6 VITEK® DENSICHEK® 3 System Description and Basic Operations System Description The VITEK® DENSICHEK® instrument measures microorganism suspensions for AST and ID testing in support of VITEK® 2 Systems. It measures the McFarland value of a suspension prepared in 0.45-0.50% saline in a polystyrene test tube. The VITEK® DENSICHEK® instrument contains a base unit with a detachable optical interface, the Pod. With the Pod, the user can visually examine samples with optical readings that are transmitted automatically to the base unit and to the VITEK® 2 software, which allows a user to trace the McFarland values for each specimen prepared. Note: The optical readings are sent to the VITEK® 2 software only if the user has the VITEK® 2 software compatible with the VITEK® DENSICHEK® (ex. 9.01 software or later), and has configured it to do so. The VITEK® DENSICHEK® instrument has the following features: • • • • • • • • • • Uses updated optical technologies to determine the turbidity of a suspension, while also continues to support the current McFarland range for VITEK® 2 ID and AST cards and 12 mm x 75 mm test tubes. Senses turbidity of suspensions, and provides synergy with the new VITEK® product family. Measures across the reading range of 0.20–1.00 McFarland, accurate in the reading range of 0.20 - 1.00 to within +/-0.11 McFarland, when referenced to a calibrated spectrophotometer reading at 635 nm using a reference of E. coli (ATCC® 25922). Measures across the reading range of 1.01–4.00 McFarland, accurate to within +/-(6.5% +0.06) McFarland, when referenced to a calibrated spectrophotometer reading at 635 nm using a reference of E. coli (ATCC® 25922). Reads and displays McFarland readings within two seconds of insertion of a tube, without requiring any additions, modifications, or calibration adjustments by the operator (in normal operation). Is a handheld, portable accessory for the VITEK® 2 automated ID/AST system. Provides an easier way to create a standardized microorganism suspension for improved efficiency in setting up VITEK® 2 ID test cards. Contains a rechargeable battery. Is available for use 24 hours a day and seven days per week. Assists the Laboratory Technologist in easily and accurately preparing a standardized McFarland microorganism suspension. The instrument is intended for use with pure microorganism cultures. The VITEK® DENSICHEK® instrument is capable of measuring organism suspensions created from the following specimen types: • • 048641-02 Clinical Specimen Industry Specimen - Water, air, food samples. 3-1 VITEK® DENSICHEK® Reagents System Description and Basic Operations Figure 11: Task Workflow Overview Reagents To get ordering information, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). List of Components • • • • VITEK® DENSICHEK® McFarland References Kit VITEK® DENSICHEK® Pod (IVD) Single USB 2.0 to micro-USB Cable (Included with each Connectivity Base) Dual USB 2.0 USB connector to micro-USB Cable, single USB 2.0 to micro-USB Cable, and A/C Power Adapter (Included with each Display Base) To get ordering information, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). List of Accessories To get ordering information, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). • • 048641-02 VITEK® DENSICHEK® Display Base VITEK® DENSICHEK® Connectivity Base (for the VITEK® 2 software compatible with the DENSICHEK® users) 3-2 VITEK® DENSICHEK® List of Consumables System Description and Basic Operations List of Consumables • 12 x 75 mm Polystyrene Test Tubes To get ordering information, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). Materials that are required, but not provided with the device include: • • • Sterile saline (aqueous 0.45% to 0.50% NaCl, pH 4.5 to 7.0) Loops, sterile sticks, or swabs Appropriate agar medium (See the Culture Requirements Table.) Optional accessories include: • • Pre-dispensed saline test tubes (aqueous 0.45% to 0.50% NaCl, pH 4.5 to 7.0) Test tube caps Technical Data and Specifications The VITEK® DENSICHEK® must be used on a flat, horizontal surface and operated in an area free of dust. Dimensions Table 1: VITEK® DENSICHEK® Pod Dimensions Parameter Characteristics Length 76.5 mm Width 76.5 mm Height 79.9 mm Table 2: VITEK® DENSICHEK® Display Base Dimensions Parameter Characteristics Length 121.6 mm Width 175.0 mm Height 59.8 mm Table 3: VITEK® DENSICHEK® McFarland Reference Kit (with Casing) Dimensions 048641-02 Parameter Characteristics Length 120.0 mm Width 102.0 mm Height 35.2 mm 3-3 VITEK® DENSICHEK® System Description and Basic Operations Table 4: VITEK® DENSICHEK® Connectivity Base Dimensions Parameter Characteristics Length 95.6 mm Width 98.0 mm Height 22.3 mm Weight Table 5: VITEK® DENSICHEK® Pod Weight Parameter Characteristics Weight 0.2 lbs/0.09 kg Table 6: VITEK® DENSICHEK® Display Base Weight Parameter Characteristics Weight 0.6 lbs/0.27 kg Table 7: VITEK® DENSICHEK® McFarland Reference Kit (with Packaging) Weight Parameter Characteristics Weight 0.21 lbs/0.10 kg Table 8: VITEK® DENSICHEK® Connectivity Base Weight Parameter Characteristics Weight 0.2 lbs/0.09 kg Electrical Specifications Mains Supply The VITEK® DENSICHEK® Display Base instrumentmay be powered directly with the customer facility's Mains Supply. The VITEK® DENSICHEK® Display Base or VITEK® DENSICHEK® Connectivity Base instrument may be powered indirectly with the customers USB 2.0 PC. The USB adapter must follow the specifications identified in the following table: 048641-02 Specification Value Voltage 100-240 VAC Frequency 50-60 Hz Current 1A Power 30 Watts 3-4 VITEK® DENSICHEK® Radio Specifications Note: System Description and Basic Operations The equipment is designed to be connected to building installations which conform to the IEC 60364 standard. The USB cable used for the low-voltage connection to the PC must follow the specifications identified in the following table: Specification Value USB 2.0 5 VDC, 0.5A Radio Specifications • • Blue-tooth 2.402 – 2.480 GHz (max output 7dBm) RFID 200 milliwatts per 2 in - (max output 13.56 MHz) Environmental Conditions WARNING You must operate the device within the specified environmental conditions, including the specific ambient laboratory humidity conditions and the specified ambient laboratory lighting conditions. Failing to do so, may cause the device to malfunction. The instrument is designed to operate indoors. The instrument is also intended to be placed on top of a lab bench or a flat, horizontal surface and operated in an area free of dust . Specification Value Pollution degree 2 The device meets the environmental safety requirments defines in clause 1.4 of the standard IEC 61010-1:2010 (Third Addition) and IEC 61010-2-101:2015 (Second Addition) Environmental Conditions Table 9: Temperatures for VITEK® DENSICHEK® Instrument and McFarland References Specification Value Operating temperature 15°C to 30°C Temperature for storage and during shipping -20°C to 55°C Humidity Table 10: Humidity for VITEK® DENSICHEK® Instrument and McFarland References 048641-02 Specification Value Relative humidity 20% to 80% non-condensing Humidity during storage and transport 20% to 85% non-condensing 3-5 VITEK® DENSICHEK® Altitude System Description and Basic Operations Altitude Specification Value Maximum altitude 2000 m Specification Value In Operating Mode Sound level is lower than 70 dB Sound Level Operating Lighting Conditions Specification Value Maximum Ambient Light in In Operating Mode 750 Lux Computer Specifications See the bioMérieux User Management User Manual for information about accessing, creating, and managing user accounts. Also refer to these user manuals, as well as the VITEK® FLEXPREP™ User Manual, for information about computer specifications, settings, material properties, performance, and limitations for use. System Basics Communication between the Pod and the base unit is via Bluetooth. While off the base, the Pod does not charge and the Pod firmware updates cannot start. When the Pod is placed on the base unit and paired, firmware updates can be completed and the Pod battery can be charged. The Pod must be within 10 meters of the base in order for the Bluetooth to function properly. If the Pod is out of Bluetooth range, then the device fails to pair. The following figures demonstrate the possible configurations for the device. Figure 12: VITEK® DENSICHEK® System Configurations - Display Base 048641-02 3-6 VITEK® DENSICHEK® Overview of Operation Elements System Description and Basic Operations The Display Base can be plugged into the wall using the provided single USB 2.0 to microUSB cable (with no connection to the PC), or the Display Base can be plugged into a PC using the provided dual USB 2.0 Connector to micro-USB. Overview of Operation Elements Figure 13: Display Base and Pod Overview Main Components of the VITEK® DENSICHEK® Instrument • • • Display Base or Connectivity Base Unit – Syncs to and charges the Pod. Pod - Optically reads the McFarland value of microorganism suspensions for the user and communicates the value to the base unit. McFarland References – Verifies the calibration of the optics contained within the Pod. These references are dual-vials and labeled 0.0, 0.5, 2.0, and 3.0 McFarland. Secondary Components of the VITEK® DENSICHEK® Instrument • • 12 mm x 75 mm clear polystyrene test tubes. VITEK® 2 software compatible with the DENSICHEK® - Assists with the following tasks: ◦ ◦ Tracks individual McFarland values from the Pod. Communicates between the Pod, the base unit, and a PC. (The Pod communicates via a Bluetooth wireless connection to the base unit. The base unit communicates to the PC running VITEK® FLEXPREP™ software via a USB wired connection.) Pod The Pod optically reads the turbidity of a microorganism suspension and sends the information to the base unit, so the user has an assessment of the suspension. The Pod is intended to be used with polystyrene test tubes. Pod Lights The Pod has two lights on the front: one for the status of the pairing connection to the base and one for the McFarland status. The Pairing Light demonstrates connectivity by: • • 048641-02 A blinking red light or solid colored light that does not match that of the base unit indicates that the Pod is not synced to the base unit, or it is out of range from the base unit. A solid colored light matching that of the base unit indicates that the Pod is synced to the base unit. 3-7 VITEK® DENSICHEK® Pod System Description and Basic Operations Note: • • The solid colored light is configured on the Configuration screen by the user. The color options are cyan, blue, pink, white, green, and yellow. No illumination of the light indicates that the Pod is not charged. A blinking colored light (excluding red) indicates that the Pod entered Power Save mode. If you want to exit Power Save mode, insert a test tube into the paired Pod, tap the display screen, or remove and re-seat the Pod on the base unit. The Pod turns on again. Note: Power Save mode does not affect connected PCs. The McFarland Status light demonstrates performance by: • • • • A green light indicates that the suspension is within the selected card type performance range. A red light indicates that the suspension is above the selected card type performance range. A yellow light indicates that the suspension is below the selected card type performance range. No light indicates that a suspension is being measured with the N/A card selected, that the pod is in the process of taking a McFarland measurement, or that no measurement is in progress. Note: When you have selected the N/A screen, the system does not alert you when a suspension is in or out of range. N/A provides the McFarland value for suspensions, but it does not provide an acceptable range. Pod Button The Pod has one button on the back of it. If the Pod is paired with a base and a test tube is inserted, when this button is pressed once, the McFarland value for the current suspension is captured on the VITEK® FLEXPREP™ screen (if configured). IMPORTANT: After pressing the button on the Pod, the following happens: The saved McFarland value appears above the main number on the screen. If the button is held down for approximately three seconds after the reading period has ended, and, while a saline tube or 0.0 McFarland reference is inserted, the pod enters zeroing mode. Figure 14: Pod 048641-02 3-8 VITEK® DENSICHEK® Display Base System Description and Basic Operations 1. 2. 3. McFarland Status Light Pod Pairing Light Pod Button A contrast plate is included with the Pod. The contrast plate can be used to aid in assessing the turbidity of a suspension. This contrast plate cannot be used as an alternative manual inoculation measurement method. Figure 15: Contrast Plate Within the Pod 1. Contrast Plate Display Base The Display Base syncs to and charges the Pod. This base has a display screen that displays the McFarland reading measurement of the tube inserted into the Pod. This base can also transmit information to the VITEK® 2 software compatible with the VITEK® DENSICHEK®, if the user has access to the software. When a Pod is synced to a Display Base, the McFarland Status light on the Pod matches the McFarland Meter color on the display screen. Additionally, the Pod icon color in the corner of the display screen matches the Pairing Light color on the Pod. 048641-02 3-9 VITEK® DENSICHEK® Connectivity Base System Description and Basic Operations Figure 16: VITEK® DENSICHEK® Display Base with the Pod 1. 2. McFarland Status Light Display Screen Connectivity Base The Connectivity Base syncs to and charges the Pod. This base unit does not have a display screen, so the values are transmitted directly to the VITEK® FLEXPREP™ software. Both the Display Base and the Connectivity Base work with the Connectivity workflows; however, the connectivity base does not work with Standalone workflows. To use the Connectivity Base, you must have the instrument connected to the compatible PC with VITEK® FLEXPREP™ software using the provided USB cable. When a Pod is synced to a Connectivity Base, the Pod Pairing Light color matches the Base Pairing Light color. WARNING If the Connectivity Base fails to communicate with the PC, the following occurs: (1) the McFarland measurement data is not displayed; (2) the Connectivity Base cannot download software or firmware updates; and (3) the Connectivity Base cannot send data to the connected VITEK® 2 Systems PC. Figure 17: VITEK® DENSICHEK® Connectivity Base with the Pod 048641-02 3-10 VITEK® DENSICHEK® Graphical User Interface 1. 2. 3. 4. 5. System Description and Basic Operations McFarland Status Light Pod Pairing Light Base Pairing Light Pod Button Base Charging Port Graphical User Interface With the graphical user interface of the VITEK® DENSICHEK®, you can easily identify and capture the McFarland value of your suspension. When using the Display Base, the graphical user interface is on the instrument in the form of a display screen, and, if configured, a software interface called FLEXPREP. When using a Connectivity base, the graphical user interface is with the FLEXPREP software interface. Display Base Screen On the Display Base touch screen, users can tap the Card Type button on the bottom of the display to select the appropriate card type (GN-GP, BCL-YST, ANC-CBC-NH, or N/A), or users can tap the Configuration button to view or alter the instrument configuration settings. Figure 18: VITEK® DENSICHEK® Display Base 1. 2. 3. 4. 5. 6. 7. Configuration button McFarland Range Meter Card Type button Pod Battery Life icon Pod Pairing Color icon McFarland Value (Example:0.53 McFarland Reading) PC Connection icon This screen is applicable for all suspension types (ex. GN, GP, ANC, etc.) The display screen offers unique reading ranges for each of the following screen views: • • • • 048641-02 GN - GP BCL - YST ANC - CBC - NH N/A 3-11 VITEK® DENSICHEK® Display Base Screen System Description and Basic Operations Table 11: VITEK® DENSICHEK® Display Base Symbols and Screens Symbol or Screen Description Pod Battery Life icon - Pod not charging Pod Battery Life icon - Pod needs to be charged Pod Battery Life icon - Pod is charging Configuration button - Base and Pod pairing settings and more PC Connection icon - Base connected to and communicating with the PC Home button - McFarland screen access Left (decrease) Arrow button Right (increase) Arrow button Pod Pairing Color button Display Brightness button Base Sleep Time button (to enter Power Save mode) Tube Light Intensity button Pod Pairing Color buttons - Pod pairing color options Configuration screen 048641-02 3-12 VITEK® DENSICHEK® Display Base Screen System Description and Basic Operations Symbol or Screen Description Welcome screen McFarland screen Update screen - Pod firmware update is occurring McFarland Reference screen - A McFarland Reference is inserted in the Pod (LOT number value appears) McFarland screen - Card type is locked by VITEK® FLEXPREP™ (Card type selected from McFarland meter in VITEK® FLEXPREP™) McFarland screen - No tube is inserted 048641-02 3-13 VITEK® DENSICHEK® VITEK® FLEXPREP™ Software Interface Screen System Description and Basic Operations Symbol or Screen Description McFarland screen - Tube is inserted into Pod, and Pod is zeroed McFarland screen - McFarland value is captured IMPORTANT: After pressing the button on the Pod, the following happens: The saved McFarland value appears above the main number on the screen. VITEK® FLEXPREP™ Software Interface Screen The software interface of the VITEK® 2 software is compatible with the VITEK® DENSICHEK® and mimics the look of the Display Base screen. The software offers the following features when the VITEK® DENSICHEK® Display Base or Connectivity base is connected to a VITEK® FLEXPREP™ PC: • • • • • • 048641-02 VITEK® FLEXPREP™ software mimics the VITEK® DENSICHEK® Display Base, including configuration settings. (Display Base configuration is only performed on the device.) The DENSICHEK Gauge window appears on the PC when the instrument is actively being used (i.e., a tube is inserted ) with FLEXPREP on 'Quick McFarland Entry' window, or 'Defining the Cassette' window. Pressing the button on the VITEK® DENSICHEK® sends the McFarland value to the PC. VITEK® FLEXPREP™ only saves the value if it is configured to use a VITEK® DENSICHEK®. The following information appears on the connected PC: ◦ McFarland Value ◦ DENSICHEK Gauge window with McFarland Range ◦ LOT Number (with the McFarland Reference inserted in the Pod) The PC Connection icon appears on the Display Base screen of the VITEK® DENSICHEK® when the instrument is communicating with the connected PC. The PC displays the McFarland meter range based on card type. The card type is locked on the base when a card type selection is made within VITEK® FLEXPREP™. The card type and meter range unlock if the connection is lost, or if the isolate is validated or cancelled in VITEK® FLEXPREP™. 3-14 VITEK® DENSICHEK® VITEK® FLEXPREP™ Software Interface Screen System Description and Basic Operations Figure 19: VITEK® FLEXPREP™ with VITEK® DENSICHEK® - Locked Card Type on Display Base Figure 20: Configuration Screen 1. 2. 3. Application Configuration section VITEK® 2 Configuration section McFarland Reference Standard button Figure 21: Quick McFarland Entry Screen 048641-02 3-15 VITEK® DENSICHEK® VITEK® FLEXPREP™ Software Interface Screen 1. 2. 3. 4. 5. System Description and Basic Operations Quick McFarland Entry button McFarland field Isolate field Lab ID field Row Number Figure 22: Cassette Identification Screen 1. 2. 3. 4. 5. 6. 7. 8. 9. 048641-02 Lab ID and Isolate fields VITEK® 2 PC field Cassette ID field User Account Full Screen button Cancel button Validate button Quick McFarland Entry button Layout button 3-16 VITEK® DENSICHEK® VITEK® FLEXPREP™ Software Interface Screen System Description and Basic Operations Figure 23: Cassette Definition Screen 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 048641-02 Lab ID and Isolate fields Abbreviated Summary view User Account Full Screen button Full Summary button Send Cassette button Cancel button Validate button McFarland Entries button Card Navigation buttons Delete Card button Add Card button New Cassette button Card Fields QC (Quality Control) button (disabled) Layout button 3-17 VITEK® DENSICHEK® VITEK® FLEXPREP™ Software Interface Screen System Description and Basic Operations Figure 24: Quality Control Screen 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Lab ID and Isolate fields Abbreviated Summary view User Account Full Screen button Full Summary button Send Cassette button Cancel button Validate button McFarland Entries button Card Navigation buttons Delete Card button Add Card button New Cassette button Card Fields QC (Quality Control) button (enabled) Layout button Figure 25: Cassette Definition Screen with Test Cards 048641-02 3-18 VITEK® DENSICHEK® System Description and Basic Operations Figure 26: Configuration Screen - Connectivity Base Configuration Section Performance Ranges Suspensions for specific cards (ex. GN - GP) must fall within the correct performance ranges. There are unique screen views with specific ranges for different types of cards. The McFarland reading ranges are as follows: Table 12: Display Screens and Corresponding Ranges Display Screen Displayed Reading Ranges Performance Ranges GN - GP 0.00 - 2.00 0.50 - 0.63 YST- BCL 0.00 - 4.00 1.80 - 2.20 CBC - NH - ANC 0.00 - 4.00 2.70 - 3.30 N/A 0.00 - 4.00 N/A The McFarland meter on the screen appears green, yellow, or red to relay whether the values are in or out of range: • • • • If no organism suspension is inserted, the meter appears gray. If the organism suspension has a McFarland value that is above the defined performance range for the selected card type, the meter appears red. If the organism suspension has a McFarland value that is below the defined performance range for the selected card type, the meter appears yellow. If the organism suspension has a McFarland value that is within the defined performance range for the selected card type, the meter appears green. Related Links Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) GN and GP The GN - GP screen shows a McFarland range of 0.00 to 2.00. The GN and GP suspensions must fall within the 0.50 and 0.63 range to show an appropriate McFarland reading. Figure 27: VITEK® DENSICHEK® Display Base Screen - GN and GP 048641-02 3-19 VITEK® DENSICHEK® YST and BCL System Description and Basic Operations YST and BCL The YST - BCL screen shows a McFarland range of 0.00 to 4.00. The YST and BCL suspensions must fall within the 1.80 and 2.20 range to show an appropriate McFarland reading. Figure 28: VITEK® DENSICHEK® Display Base Screen - YST and BCL CBC, NH, and ANC The CBC - NH - ANC screen shows a McFarland range of 0.00 to 4.00. The CBC, NH, and ANC suspensions must fall within the 2.70 and 3.30 range to show an appropriate McFarland reading. Figure 29: VITEK® DENSICHEK® Display Base Screen - CBC, NH, and ANC N/A The N/A screen shows a McFarland range of 0.00 to 4.00. When you have selected the N/A screen, the system does not alert you when a suspension is in or out of range. N/A provides the McFarland value for suspensions, but it does not provide an acceptable range. Figure 30: VITEK® DENSICHEK® Display Base Screen - N/A 048641-02 3-20 VITEK® DENSICHEK® 4 System Installation and Configuration Unpacking the Instrument 1. 2. 3. 4. Inspect the shipping container for external damage. Open the shipping carton, and then remove the instrument from the shipping carton. Carefully remove the instrument from the plastic bag. Remove the remaining parts and documentation from the carton: • • Product Certificates VITEK® DENSICHEK® Instrument User Manual CD 5. Place the VITEK® DENSICHEK® instrument on a flat, horizontal surface that is dust free and away from direct sunlight. WARNING Failing to follow the proper installation procedures will result in incorrect device performance. Connecting the Device One of two methods may be used to power the Display base. One method is to connect the Display Base directly to AC power by use of a Single USB 2.0 to micro-USB and the provided AC Power Adapter. The second is to connect the Display Base to the PC by use of the 2.0 Dual USB connector to micro-USB. Only one method may be used to power the Connectivity Base. That is by connecting the Connectivity Base to the PC by use of the Single USB 2.0 to micro-USB . If the battery life of the Display Base's Pod is completely depleted, it should be recharged on the Display Base. When doing so, ensure that either power is applied with the provided AC Power Adapter, or ensure both ends of the Dual USB connector are plugged into a PC. 048641-02 4-1 VITEK® DENSICHEK® Connecting the Device System Installation and Configuration Figure 31: Two USB Connectors Inserted into 2.0 USB ports of PC Figure 32: Display Base with Cable (2.0 Dual USB connector to micro-USB) 048641-02 4-2 VITEK® DENSICHEK® Connecting the Device System Installation and Configuration Figure 33: 2.0 Dual USB connector to micro-USB Figure 34: Single USB 2.0 to micro-USB Figure 35: AC/DC Adapter - Front View 048641-02 4-3 VITEK® DENSICHEK® Charging the Pod System Installation and Configuration Figure 36: AC/DC Adapter - Back View Related Links Graphical User Interface Display Base Screen VITEK FLEXPREP Software Interface Screen Charging the Pod 1. Ensure the base is plugged into a power source. (See above: Connecting the Device.) Note: To use the instrument, the base unit must have power applied. 2. Place the Pod on the base unit. The Pod charges while placed on the base unit.The status of the Pod battery life can be viewed on the Display Base or the VITEK® FLEXPREP™ software. Note: The Pod will continue to charge, even if the display of the Display Base is asleep. Pairing a Pod with a Base 1. Ensure the base unit is plugged into a power source. A blinking red light on the Pod indicates that the Pod is not synced to the base unit. 2. Place the Pod on the base unit. Note: No illumination of the light indicates that the Pod is not charged. Note: If the Pod was previously paired with a base, once the Pod is placed onto the base unit, the Pod LED stops flashing red and turns the solid pairing color that was previously configured. A solid colored light on the Pod matching that of the base indicates that the Pod is synced to the corresponding base unit. Configuring the Display Base Settings Customize your Display Base screen to select LED colors, adjust brightness, and more. 048641-02 4-4 VITEK® DENSICHEK® Configuring the Display Base Settings System Installation and Configuration 1. Place the Pod on the Display base unit. Figure 37: Display Base - McFarland Screen - No tube is inserted A solid colored light on the Pod matching that of the base unit indicates that the Pod is synced to the base unit. The Display Base lights up and shows dashes for the McFarland value. 2. Tap the Configuration button . Figure 38: Configuration Screen 1. 2. 3. 4. 5. 6. 7. 8. 9. Home button Left (Decrease) Arrow button Pod Pairing Color button Tube Light Intensity button Display Brightness button Base Sleep Time button Selection Indicator Right (Increase) Arrow button Firmware Version The Configuration screen appears. 3. Tap the Pod Pairing Color button, and tap the Left Arrow or Right Arrow buttons to change the pairing LED color (ex. cyan, blue, pink, white, green, or yellow LED light options). 4. Tap the Tube Light Intensity button, and tap the Left Arrow button to decrease the LED brightness, or click the Right Arrow button to increase the LED brightness. 048641-02 4-5 VITEK® DENSICHEK® Configure VITEK® FLEXPREP™ with the Instrument System Installation and Configuration 5. Tap the Display Brightness button, and tap the Left Arrow button to decrease the LCD screen brightness, or click the Right Arrow button to increase the LCD screen brightness. 6. Tap the Base Sleep Time (min) button, and tap the Left Arrow button to decrease the amount of time before Power Save mode automatically turns on, or click the Right Arrow button to increase the amount of time before Power Save mode automatically turns on. Note: In the Base Sleep Time configuration screen, the zero setting (far left) disables the Power Save mode, so the base screen never turns off. The incremental marks represent 5, 10, 20 and 30 minutes from left to right, which is the amount of time that must occur before the base unit enters Power Save mode. 7. Tap the Home button to return to the McFarland Reading screen. Note: A Pod sitting on the Display Base will continue to charge even when the Display Base is asleep. Configure VITEK® FLEXPREP™ with the Instrument To use the VITEK® FLEXPREP™ software with the VITEK® DENSICHEK® instrument, you must complete the following configuration tasks: 1. 2. 3. Downloading and Installing the DENSICHEK® Communication Bridge Configuring the DENSICHEK® Certificates in VITEK® FLEXPREP™ Downloading and Installing the DENSICHEK® Communication Bridge These tasks must be completed in the order written before using the VITEK® FLEXPREP™ program with your VITEK® DENSICHEK® instrument. Note: These configurations must be completed for every VITEK® 2 System PC and remote PC accessing VITEK®FLEXPREP™. Related Links Graphical User Interface Display Base Screen VITEK FLEXPREP Software Interface Screen Configuring the DENSICHEK Certificates in VITEK FLEXPREP Downloading and Installing the DENSICHEK Communication Bridge Downloading and Installing the DENSICHEK® Communication Bridge 1. Ensure the instrument is connected to a VITEK® 2 PC or a remote PC that's accessing VITEK® FLEXPREP™, and the PC desktop is displayed. 2. Double click the VITEK 2 Systems (legacy) icon on the Desktop. 3. Log in to the system software. Administrator or Supervisor level login access is required. Refer to the bioMérieux User Management User Manual for information about accessing, creating and managing user accounts. 4. When the VITEK® 2 home screen appears, click the Configuration View icon on the left, and then click General Configuration The System screen appears. 048641-02 4-6 VITEK® DENSICHEK® Downloading and Installing the DENSICHEK® Communication Bridge System Installation and Configuration 5. Click the Lock/Unlock icon at the top-middle of your screen, and then click Yes to continue. 6. Click the Settings tab, and then under the Miscellaneous section, select the Enable McFarland checkbox. Refer to VITEK® 2 System User Manuals for more user information regarding the additional setting options. Note: Once Enable McFarland is saved, it is configured for all users. You cannot configure this setting differently for each user from the VITEK® 2 System application. However, you will configure user settings in FLEXPREP™, as described in the following steps. 7. Click Save.Click the Lock/Unlock icon and then Quit or Close the VITEK® 2 Systems application. 8. For the VITEK® 2 PC, access VITEK® FLEXPREP™ on the desktop, and then doubleclick the FLEXPREP icon. For a remote PC, access VITEK® FLEXPREP™ by launching the Firefox® browser. Refer to the VITEK® FLEXPREP™ User Manual for configuration of VITEK® FLEXPREP™ from a remote PC. Note: If Firefox browser states "Your connection is not secure", refer to the VITEK® FLEXPREP™ User Manual for instructions about adding Exceptions. The VITEK® FLEXPREP™ program launches in a Firefox browser window. 9. At the bioMérieux Single Sign-On screen, log in with the appropriate lab credentials. Note: See the bioMérieux User Management User Manual for information about accessing, creating, and managing user accounts. To reconfigure your VITEK® FLEXPREP™ settings or certificates, refer to the VITEK® FLEXPREP™ User Manual. The VITEK® FLEXPREP™ home screen appears with the Sample Preparation and Configuration options. 10. Click Configuration, and Display VITEK DENSICHEK, and select Yes for Use VITEK DENSICHEK. Note: This configuration must be completed for each VITEK® 2 System user. Once it is configured, it is only configured for that particular user. 11. Shortly thereafter, the Download DENSICHEK Communication Service window appears to alert you that installation of the Communication service is needed. 048641-02 4-7 VITEK® DENSICHEK® Configuring the DENSICHEK® Certificates in VITEK® FLEXPREP™ System Installation and Configuration Figure 39: Download DENSICHEK Communication Service Window 12. Remove all USB memory devices, CDs, and DVDs. 13. After reading the Communication Service Window instructions, follow step 1 by clicking the link here. The Opening install-dce-bridge.exe window appears. 14. Click Save File. 15. When the File Explorer appears ensure that Downloads folder is selected, and then click Save. The file will download into the Downloads folder. The download may take several minutes to finish. 16. Navigate to the Downloads folder, locate the install-dce-bridge.exe file, and then double-click it to execute the file installation. 17. If the Open Executable File? warning appears, click OK. 18. If the User Account Control warning appears, click Yes. (This may appear as a flashing shield in the Windows task bar which you must first click.) 19. Select your corresponding language from the dropdown and click OK. Note: This Language selection is only for the text display of the InstallAnywhere wizard. Language options: English, French, German,Italian, Portuguese, Spanish. 20. The DENSICHEK Bridge 1.0 install wizard launches. When the "Congratulations! DENSICHEK Bridge has been successfully installed" message appears, keep all the default setting that has "Yes, restart my system" pre-selected, and click Done. 21. If the computer does not restart automatically, restart the computer from the desktop to complete the install. Configuring the DENSICHEK® Certificates in VITEK® FLEXPREP™ Note: This configuration must be completed for every VITEK® 2 System PC and remote PC accessing VITEK® FLEXPREP™. Once it is configured, it is configured for all users. You cannot configure these settings differently for each user. Note: Administrator or Supervisor level login access is required. Refer to the bioMérieux User Management User Manual for information about accessing, creating and managing user accounts. 1. For the VITEK® 2 PC, double-click the FLEXPREP icon. For a remote PC, access VITEK® FLEXPREP™ by launching the Firefox® browser. Refer to the VITEK® 048641-02 4-8 VITEK® DENSICHEK® Configuring the DENSICHEK® Certificates in VITEK® FLEXPREP™ System Installation and Configuration FLEXPREP™ User Manual for configuration of VITEK® FLEXPREP™ from a remote PC. The VITEK® FLEXPREP™ program launches in a Firefox browser window. 2. After the software initializes, the bioMérieux Single Sign-On screen appears; log in with the appropriate lab credentials. Note: See the bioMérieux User Management User Manual for information about accessing, creating, and managing user accounts. To reconfigure your VITEK® FLEXPREP™ settings or certificates, refer to the VITEK® FLEXPREP™ User Manual. Click Configuration, and Display VITEK DENSICHEK, and select Yes for Use VITEK DENSICHEK. Figure 40: Download DENSICHEK Communication Service Window 3. After reading the instructions, follow step 2 by clicking Click Here. Certificates have to be configured to use the VITEK® DENSICHEK® with VITEK® FLEXPREP™.Refer to the VITEK® FLEXPREP™ User Manual for information about handling security exceptions. A tab appears that states, Your connection is not secure, indicating that certificates have not been accepted yet. 4. Click Advanced. Information appears about security certificates. 5. Click Add Exception. The Add Security Exception window appears. 6. Ensure Permanently store this exception is enabled and click Confirm Security Exception. The screen is refreshed, and the version is displayed in the top-left corner. 7. Close the current tab. The VITEK® FLEXPREP™ screen reappears. 8. In the Download DENSICHEK Communication Service window, click OK. 9. On the Configuration page, select Yes for 'Display VITEK DENSICHEK' to display the McFarland Meter in the Software during appropriate workflows detailed in 'Workflow and Instructional Procedures', if desired. 10. Click the Save button, and click OK. 11. Close and re-open VITEK® FLEXPREP™ to refresh the settings. 12. Re-login to VITEK® FLEXPREP™. Reinstall any required USB devices, CDs, DVDs. 048641-02 4-9 VITEK® DENSICHEK® Configuring the Connectivity Base Settings System Installation and Configuration Configuring the Connectivity Base Settings You can customize your VITEK® DENSICHEK® Connectivity Base settings through VITEK® FLEXPREP™. With the compatible VITEK® 2 software, you can customize your screen to select your LED colors, adjust your brightness, and more on the VITEK® 2 Systems PC by launching the VITEK® FLEXPREP™ program. Figure 41: Configuration Settings Note: This configuration must be completed for every VITEK® 2 System PC and remote PC accessing VITEK® FLEXPREP™. Once it is configured, it is configured for all users. You cannot configure these settings differently for each user. 1. Ensure the instrument is connected to a VITEK® 2 PC or a remote PC that's accessing VITEK® FLEXPREP™, and the PC desktop is displayed. 2. Place the Pod on the base unit. A solid colored light matching that of the base unit indicates that the Pod is synced to the base unit. 3. For the VITEK® 2 PC, access VITEK® FLEXPREP™ on the desktop, and then doubleclick the FLEXPREP icon. The VITEK® FLEXPREP™ program launches in a Firefox browser window. 4. At the bioMérieux Single Sign-On screen, log in with the appropriate lab credentials. Note: See the bioMérieux User Management User Manual for information about accessing, creating, and managing user accounts. To reconfigure your VITEK® FLEXPREP™ settings or certificates, refer to the VITEK® FLEXPREP™ User Manual. The VITEK® FLEXPREP™ home screen appears with the Sample Preparation and Configuration options. 5. Click Configuration, and navigate to the Connectivity Base Configuration section. 048641-02 4-10 VITEK® DENSICHEK® User Management System Installation and Configuration The Connectivity Base Configuration settings only appear if the VITEK® DENSICHEK® Communication Bridge is set up in VITEK® FLEXPREP™ and if a Connectivity Base is connected to the VITEK® 2 PC. 6. For the Pod Color, select a color to change the pairing LED color (ex. cyan, blue, pink, white, green, or yellow LED light options). A solid colored light matching that of the base unit indicates that the Pod is synced to the base unit. 7. For the Tube Light Intensity, click the left/right arrow to decrease/increase the LED brightness or click the scale to adjust it from 0-100% brightness. 8. For the Base Sleep Time (min), click the left/right arrow to decrease/increase the amount of time or click the scale to adjust it from 0-30 minutes before the Power Save mode automatically turns on. Note: In the Base Sleep Time configuration screen, the zero setting (far left) disables the Power Save mode, so the base power never turns off. For the 5-30 minute values, the value indicates the amount of inactivity time in minutes that must occur before the base unit and the Pod enters Power Save mode. 9. Click Save. The Confirmation message appears. 10. Click OK to save the settings. IMPORTANT: The contents of your VITEK® 2 cassette is discarded upon saving the configuration if the cassette has not been sent to the VITEK® 2 server. The settings have been updated and the pairing color changes. IMPORTANT: To complete installation, the user must perform a zeroing with the 0.0 McFarland Reference on each pod. Refer to Performing McFarland Reference Checks in Chapter 5. User Management See the bioMérieux User Management User Manual for information about accessing, creating, and managing user accounts. Refer to these documents for a list of all possible user groups and rights. 048641-02 4-11 VITEK® DENSICHEK® 5 Workflow and Instructional Procedures Starting the System The base unit must be plugged in, and the Pod must be charged by placing it on the base. Before use, the device is in Power Save mode. The device turns on once a tube is inserted into the Pod, when the display screen is tapped, or when the Pod is removed and re-seated onto the base unit. When the Connectivity Base enters Power Save mode, the base pairing light blinks and the Pod pairing light blinks. However, if the Pod is on the Connectivity Base when the device enters Power Save mode, the base light remains on, without blinking. For instructions to start the VITEK® 2 software and PC compatible with the device, refer to the VITEK® 2 User Manuals. Shutting Down the System After the configured amount of time, the instrument enters Power Save mode. The amount of time before entering the Power Save mode can be chosen by the user on the Configuration screen. The default amount of time is five minutes. The device turns on again once a tube is inserted into the instrument, once the base screen is touched, or when the Pod is removed and re-seated onto the base unit. When the Display Base enters Power Save mode, the display screen turns off and the Pod pairing light blinks. The Pod cannot be turned off. Battery power is depleted over time when it has not been charged on the base. For instructions to shut down the VITEK® 2 software and PC compatible with the device, refer to the VITEK® 2 User Manuals. Note: The base unit can only be turned off by unplugging it from its power source. The Pod will turn off when the battery is depleted. Understand McFarland Reference Ranges The McFarland References are labeled with values to indicate a target range. When a McFarland Reference is inserted, a screen similar to the following appears: 048641-02 5-1 VITEK® DENSICHEK® Understand McFarland Reference Ranges Workflow and Instructional Procedures Figure 42: McFarland Reference Screen 1. 2. 3. McFarland Range Meter LOT Number (Received from RFID tag) McFarland Reference Value The screen is different from the normal McFarland screen, because a LOT number appears. The McFarland Reference value is recorded in the RFID tag. When performing the reference check for the 0.5, 2.0 and 3.0 references, the McFarland meter appears green when the device is reading within the acceptable ranges. Additionally, the McFarland Status light on the Pod indicates the status of the McFarland Reference--red indicates a failing value and green indicates a passing value. This must be confirmed in order for users to determine that the McFarland References and the device are working properly. WARNING : Values for McFarland References in Table 13 are specific to the McFarland Reference set and must not be used with a different set. Table 13: Values for McFarland References 048641-02 McFarland Reference Acceptable Range Explanation 0.0 McF N/A This McFarland Reference must be used before inserting a 0.5, 2.0, or 3.0 McFarland Reference. It is specific to the McFarland Reference set and must not be used with a different set. After completing the McFarland Reference checks, you must perform the Zeroing Saline-Filled Test Tubes procedure using a test tube with saline. 0.5 McF 0.39 - 0.61 McF This value represents the McFarland value for GP/GN cards. The value is not intended to be exact. 5-2 VITEK® DENSICHEK® Performing McFarland Reference Checks IMPORTANT: Workflow and Instructional Procedures McFarland Reference Acceptable Range Explanation 2.0 McF 1.81 - 2.19 McF This value represents the McFarland value for YST/BCL cards. The value is not intended to be exact. 3.0 McF 2.75 - 3.25 McF This value represents the McFarland value for CBC/NH/ANC cards. The value is not intended to be exact. The RFID tag within each of the McFarland References sends the McFarland Reference value to the instrument. Use the McFarland meter on the screen to determine whether the device is reading within the acceptable ranges. Performing McFarland Reference Checks If you are using the VITEK® 2 software compatible with VITEK® DENSICHEK®, follow the Logging in to VITEK® FLEXPREP™ procedure before performing these steps. Users are expected to perform a McFarland Reference check prior to the first use of the device, at least once a month, after cleaning the device, and after relocating the instrument to a new lab environment. The user never calibrates the device. It is calibrated at the manufacturing site during assembly. The user must perform McFarland Reference checks to confirm that the device performance is within the acceptable range. Before use, the device is in Power Save mode. The device turns on once a tube is inserted. Use the device to perform the McFarland Reference checks and record the McFarland values that appear on the meter. WARNING If you insert a McFarland Reference tube and any of the following issues occur, then the McFarland Reference or device may be malfunctioning: • • • • A McFarland range or McFarland value fails to appear on the screen. A LOT number fails to appear on the screen. The tube does not illuminate (if configured to do so). The McFarland Reference tube is out of range. Failure to resolve a malfunctioning McFarland Reference or device may lead to incorrect McFarland results. Contact your bioMérieux representative for more information. WARNING Failure to perform regular McFarland Reference checks could cause incorrect McFarland readings when creating suspensions. Users must run a McFarland Reference check once a month to confirm that the device is reading within the acceptable ranges. 048641-02 5-3 VITEK® DENSICHEK® Performing McFarland Reference Checks Workflow and Instructional Procedures WARNING If a McFarland Reference tube or a saline-filled test tube with specimen is smeared, has debris on it, is scratched, or is damaged, do not use it. Using a dirty or damaged McFarland Reference or test tube can cause incorrect results. WARNING If the McFarland References are free of damage, scratches, and debris, and the reading is red, then thedevice or the McFarland Reference is not functioning properly. If the issue persists, contact a local bioMérieux representative for assistance. CAUTION: When performing a McFarland Reference check, if the McFarland reading appears outside an acceptable range for multiple McFarland References, there may be an issue with your device. Contact a local bioMérieux representative for assistance. CAUTION: If the McFarland Reference tube is inserted incorrectly, then the McFarland Reference value does not appear on the screen. Note: DO NOT mix McFarland References between different reference sets. 1. Ensure the test tubes are free of damage, scratches, and debris before use. 2. Optional: If interfaced with the FLEXPREP™ software, navigate to the Configuration screen within FLEXPREP before inserting the 0.0 McFarland Reference. 3. Insert the 0.0 McFarland Reference into the instrument so that the tube with the McFarland Reference value faces you and is in the front tube location of the Pod. The device illuminates the tube and measures the McFarland Reference. Either a McFarland value or X.XX in red appears on the screen, along with the LOT number of the McFarland Reference . 4. Press and hold the button on the back of the Pod until the Tube Light flashes and the two second reading period begins. After the reading period ends, the McFarland value appears as 0.00 on the screen. Note: The Pod McFarland Status Light will remain the color red when zeroing it with the 0.0 McFarland Reference. A 0.00 on the screen indicates the Pod has successfully zeroed. The Pod is zeroed. 5. Insert the next McFarland Reference into the instrument. 048641-02 5-4 VITEK® DENSICHEK® Zeroing Saline-Filled Test Tube Note: Workflow and Instructional Procedures Zeroing with the 0.0 McFarland Reference must be performed first. You do not have to insert the other McFarland References (0.5, 2.0, and 3.0) in a particular order. The instrument illuminates the tube and measures the McFarland Reference, during the two second reading period. The corresponding McFarland value and status of the McFarland Reference appears on the screen.The McFarland Status light on the Pod also indicates the status of the McFarland Reference--red indicates a failing value and green indicates a passing value. The LOT number appears on the screen, which indicates it is a McFarland Reference and not a sample tube. 6. When the screen displays the McFarland value, confirm that the value displays with a green colored meter gauge. If the meter gauge displays as the color red, the McFarland Check has failed. Clean the McFarland Reference tube and try again. If the problem persists, try another McFarland Reference set or contact a local bioMérieux representative for assistance. A McFarland value appears on the meter. This value can be manually recorded for your record. 7. Remove the McFarland Reference. The McFarland meter disappears when the tube is removed. 8. Repeat steps 5-7 for each McFarland Reference (0.5, 2.0, 3.0). The McFarland Reference check is complete. Related Links Logging in to the VITEK FLEXPREP Software Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) Maintenance Schedule Preventive Maintenance Operations Zeroing Saline-Filled Test Tube This procedure must be performed after a McFarland Reference check and as needed to ensure that the results are accurate. Plastic tubes must be used with this device. If a glass tube is used instead, the results can be inaccurate. Perform this zeroing procedure for each of the following events: • • • • After receiving a new shipment of test tubes. After performing a McFarland Reference check. As a part of routine monthly maintenance. After relocating the instrument to a new lab environment. CAUTION: Do not use an empty tube, a tube with an inoculated suspension, or a glass tube to zero an instrument. The user must use a clean 12 mm x 75 mm polystyrene test tube, filled with saline to zero the instrument. IMPORTANT: 048641-02 When moving the instrument from a stored location that is outside of the specified operating temperature, you must allow the device temperature to stabilize before performing the zeroing procedure and before measuring suspensions. 5-5 VITEK® DENSICHEK® Prepare Suspensions IMPORTANT: Workflow and Instructional Procedures To ensure your device is configured correctly, always zero the instrument before measuring and recording McFarland values. WARNING Zeroing an instrument with an empty tube can cause incorrect values to display when the inoculated suspension is inserted into the device. 1. Optional: If interfaced with the VITEK® FLEXPREP™ software, navigate to the Sample Preparation screen within VITEK® FLEXPREP™ and go to the Quick McFarland Entry or the new cassette screen.Place the Pod on the base unit, or if the Pod is charged, hold the Pod while zeroing, if preferred. 2. Insert a saline-filled tube free of damage, scratches,or smudges into the front tube location of the Pod and press it all the way down. Rotate the tube for the full 2 second reading period, indicated by the dots on the screen. A numerical value is displayed. 3. If a value of 0.00 is not displayed, press and hold the button on the back of the Pod for approximately three seconds. The Tube Light will flash and the two second reading period begins. Rotate the tube for the full 2 second reading period, and 0.00 will appear on the screen. The test tube is zeroed, and you can begin preparing suspensions. Related Links Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) Prepare Suspensions When preparing a test tube to measure the McFarland value of a cultured isolate, you must select the correct range type for microorganisms. The selected range must correspond to the card type you are using. Table 14: Display Screens and Corresponding Ranges Display Screen Displayed Reading Ranges Performance Ranges GN - GP 0.00 - 2.00 0.50 - 0.63 YST- BCL 0.00 - 4.00 1.80 - 2.20 CBC - NH - ANC 0.00 - 4.00 2.70 - 3.30 N/A 0.00 - 4.00 N/A WARNING The correct card type must be selected for a suspension in order for the correct McFarland range to be used to evaluate the suspension. Failure to do so can lead to incorrect evaluations of suspensions. 048641-02 5-6 VITEK® DENSICHEK® Prepare Suspensions Workflow and Instructional Procedures WARNING Using a tube that is under-filled with saline can cause incorrect McFarland value readings for inoculated suspensions. If you identify an under-filled saline tube, do not use it. CAUTION: The device is not intended for use with glass tubes. If you identify a tube as glass, do not use it. WARNING Clumps in a suspension must be properly mixed before an accurate McFarland value can be recorded. Clumps or contaminants in a suspension can cause incorrect McFarland value readings. For accurate readings, ensure the suspension is properly mixed. WARNING If saline or organism spills or drips on the Pod, clean the device with the specified cleaning agent. Failure to clean spills or drips on the Pod can cause incorrect McFarland value readings for inoculated suspensions. WARNING After any cleaning, perform a McFarland Reference check prior to using the VITEK® DENSICHEK® device again. Failure to do so can lead to inaccurate readings. WARNING Spilling liquid in the device can cause malfunctioning. Do not dispense saline into the test tube while it is in the Pod. In the event of an accidental spill, immediately clean and dry the device, and then perform a McFarland Reference check to confirm proper operation before continuing use. Related Links Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) 048641-02 5-7 VITEK® DENSICHEK® Standalone Workflow (Display Base only) Workflow and Instructional Procedures Standalone Workflow (Display Base only) Standalone workflows refer to using the VITEK® DENSICHEK® instrument with a Display Base not connected to the VITEK® 2 software. A Display Base is required to use the VITEK® DENSICHEK® with Standalone workflows. Related Links Graphical User Interface Display Base Screen VITEK FLEXPREP Software Interface Screen Preparing Suspensions for ID and AST Cards (Standalone) Ensure the Pod is paired with the base by verifying that the Pod and base both have the same solid color pairing light. Zero the Pod at the beginning of each session by inserting a saline tube free of damage, scratches,or smudges to the front tube location. Press the button on the Pod for approximately three seconds. The Tube Light will flash and the two second reading period will begin, indicated by the dots on the screen. Rotate the tube for the full 2 second reading period, and 0.00 will display. WARNING Failure to follow these instructions to prepare suspensions or to use test tubes may cause incorrect results or the device to malfunction. It must be assured that the zeroing was successful by confirming that the McFarland gauge reads 0.00 following the saline tube zero. WARNING If a VITEK® DENSICHEK® device is not available, not charged, or not ready for use, measure the turbidity of the inoculation with a comparable backup VITEK® device. Failing to do so, may cause delayed results. WARNING Repeatedly inserting and removing a test tube during suspension creation can cause scratches on the tube, which may lead to incorrect results. WARNING Only sample tubes specified in the user instructions should be used. 1. Press the Card Type button on the Display Base screen, until the desired card type appears (ex. CBC - NH - ANC). The card type options are as follows: • • • 048641-02 GP - GN BCL - YST ANC - CBC - NH 5-8 VITEK® DENSICHEK® Preparing Suspensions for ID and AST Cards (Standalone) • Workflow and Instructional Procedures N/A (Miscellaneous) Figure 43: Card Type Button on the Display Base (ANC - CBC - NH) 2. Ensure the test tubes are free of damage, scratches, and debris before use. 3. Do one of the following: • • Select a tube and fill it with the appropriate volume of saline. Select a pre-filled saline tube. 4. Add a microorganism to the saline-filled tube and manually mix the suspension in the tube with a swab or loop until a homogenous solution is achieved. 5. Insert the prepared sample into the front tube location of the Pod and press it all the way down. Once the instrument begins the two second reading period, designated by the dots on the Display Base screen, rotate the tube for the full 2 seconds. The McFarland value is measured, and displayed. IMPORTANT: If the correct card type is not selected, then an acceptable McFarland range will not appear on the meter. The correct card type must be selected in order for the appropriate McFarland meter to appear. IMPORTANT: If the #.## screen appears,either the swab is blocking the lens, a clump of specimen is blocking the lens, or the suspension is too heavy. (See Appendix B Troubleshooting for more information.) WARNING Ensure that the sample test tube is rotated at least one full rotation and continuing to turn during the entire 2 second reading period. Failure to do so can lead to incorrect McFarland results.. Note: A green light on the Pod and meter indicates that the suspension is within the selected card type performance range.A red light indicates that the suspension is above the selected card type performance range. A yellow light indicates that the suspension is below the selected card type performance range. 6. If the McFarland goes over range, perform one of the following solutions and then remeasure the suspension following Step 5. • • Discard the tube and repeat the previous steps to create a new suspension. Dilute the over-inoculated sample with saline. - Remove the sample tube from the Pod before adding saline to the suspension. 7. If the McFarland value measured is under range, add microorganism to the saline-filled tube and manually mix the suspension in the tube with a swab or loop. Repeat Step 5 to measure sample. 8. Once an acceptable McFarland valueis measured, manually record the McFarland value for your record (standalone mode). 9. Remove the suspension for ID and AST testing. 10. Perform this procedure with additional sample specimen tubes. 048641-02 5-9 VITEK® DENSICHEK® Connectivity Workflow (Connectivity Base or Display Base) Workflow and Instructional Procedures Connectivity Workflow (Connectivity Base or Display Base) The connectivity workflow refers to using the VITEK® DENSICHEK® instrument with the compatible VITEK® 2 Systems software (ex. 9.01 or later). IMPORTANT: Do not connect more than one base unit to the same PC at the same time. Related Links Graphical User Interface Display Base Screen VITEK FLEXPREP Software Interface Screen Logging in to the VITEK® FLEXPREP™ Software If you are using the VITEK® 2 software compatible with VITEK® DENSICHEK®, follow this procedure before performing the McFarland Reference checks. 1. Ensure the section Configure FLEXPREP with the Instrument has been performed. 2. For the VITEK® 2 PC, access VITEK® FLEXPREP™ on the desktop, and then doubleclick the FLEXPREP icon. For a remote PC, access VITEK® FLEXPREP™ by launching the Firefox® browser. Refer to the VITEK® FLEXPREP™ Software User Manual for configuration of VITEK® FLEXPREP™ from a remote PC. The VITEK® FLEXPREP™ program launches in a Firefox browser window. 3. At the bioMérieux Single Sign-On screen, log in with the appropriate lab credentials. Note: See the bioMérieux User Management User Manual for information about accessing, creating, and managing user accounts. To reconfigure your VITEK® FLEXPREP™ settings or certificates, refer to the VITEK® FLEXPREP™ User Manual. The VITEK® FLEXPREP™ home screen appears with the Sample Preparation and Configuration options. Navigating the VITEK® FLEXPREP™ Software Refer to the System Description and Basic Operations > System Basics > User Interface section in Chapter 3 of this user manual for screen captures of the VITEK® FLEXPREP™ interface. Note: To manually type in the McFarland values during any workflow, navigate to the Configuration screen, and set the Use VITEK DENSICHEK option to No and then Save the setting. Follow the VITEK® FLEXPREP™ Software User Manual regarding the VITEK® FLEXPREP™ Software. 1. Follow the Logging in to the VITEK® FLEXPREP™ Software procedure. 2. On the first Sample Preparation screen, enter data in the following fields: • • • 048641-02 Lab ID Isolate Optional: Bench ID 5-10 VITEK® DENSICHEK® Navigating the VITEK® FLEXPREP™ Software In VITEK® FLEXPREP™, click Configuration, and then for the Display Bench option, click Yes and then Save the setting. Refer to the VITEK® 2 Web Software User Manual for more information about configuring your Bench settings. Note: • • Note: Workflow and Instructional Procedures [VITEK 2] PC Cassette ID If you are using a VITEK® 2 Compact instrument, enter a valid number (1-9) or scan the barcode on the cassette in the Cassette ID field. If you are using a VITEK® 2 instrument, the data for the Cassette ID field must be manually entered each time. 3. Press Enter. The second Sample Preparation screen appears with additional fields. 4. With your card, perform one of the following tasks depending on your preferred method: Option Description ® ™ Using VITEK FLEXPREP , perform one of the following tasks: Click the Card Type field, and then scan the barcode on the card. OR Manually enter the barcode numbers in the Card Type field. Using your VITEK® DENSICHEK® Display Base, perform the following task: • Press the Card Type button on the bottom of the Display Base so that the appropriate card type category appears. IMPORTANT: When the instrument is connected to the VITEK® FLEXPREP™ PC, the user can scan the card barcode and the instrument automatically adjusts to the correct McFarland range for that particular card. 5. Follow the procedure for preparing suspensions for ID and AST cards. 6. Enter data in rest of the fields for the same isolate specimen. Note: There can be up to two AST cards per isolate, but only one ID card per isolate. 7. When an isolate is completed, click Validate (after a maximum of two AST cards and one ID card). 8. Perform steps 4-7 for any remaining isolates. Note: If you entered card data in the first and second Sample Preparation screens, clicked Validate, and then closed the browser to restart VITEK® FLEXPREP™, when VITEK® FLEXPREP™ is opened again, it returns to the second Sample Preparation screen with the validated card data present. You can continue where you left off or click New Cassette to return to the first Sample Preparation screen. Note: If you click New Cassette before clicking Send Cassette, the data entered for the current cassette is erased and not saved. Clicking New Cassette also clears your Bench settings. Always click Send Cassette in order to save the data entered for each cassette. 9. Use the >/<When arrows to move to the previous or next card. Note: 048641-02 To delete a card, navigate to the necessary card, and click Delete Card. 5-11 VITEK® DENSICHEK® Preparing Suspensions for ID and AST Cards (Connectivity) Workflow and Instructional Procedures The highlighted card in the Abbreviated Summary view shifts to reflect your card selection. 10. Click Summary on the right to view all the data for the cassette. 11. Click Back to return to the second Sample Preparation screen. 12. When the cassette is completed, click Send Cassette. Note: If you click New Cassette before clicking Send Cassette, the data entered for the current cassette is erased and not saved. Clicking New Cassette also clears your Bench settings. Always click Send Cassette in order to save the data entered for each cassette. After clicking Send Cassette, the cassette is closed, and the data goes to the VITEK® 2 server. The cassette can be loaded in the corresponding VITEK® 2 instrument. The first Sample Preparation screen appears and your Bench settings still appear. 13. Optional: Click New Cassette. The screen refreshes and the first Sample Preparation screen appears. The previous cassette data and the Bench settings are cleared. From here, you can enter a Cassette ID, and begin the task from Step 1 again. 14. Click the PC: [VITEK] text to visit the Work List screen to view results, to view isolates, or to define cards. Refer to the VITEK® 2 Web Software User Manual for more information. Note: The [VITEK] text changes depending on what the user has named their PC. A new tab opens with the Work List screen in the VITEK® 2 Systems Web application. Related Links Logging in to the VITEK FLEXPREP Software Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) Preparing Suspensions for ID and AST Cards (Connectivity) Ensure the Pod is paired with the base by verifying that the Pod and base both have the same solid color pairing light. Zero the Pod at the beginning of each session by inserting a saline tube free of damage, scratches,or smudges to the front tube location. Press the button on the back of the Pod for approximately three seconds. The Tube Light will flash, and the two second reading period will begin. Rotate the tube for the full two seconds (or until the McFarland value populates in the McFarland gauge in VITEK® FLEXPREP™). and 0.00 will display. WARNING Failure to follow these instructions to prepare suspensions or to use test tubes may cause incorrect results or the device to malfunction. WARNING Only sample tubes specified in the user instructions should be used. 048641-02 5-12 VITEK® DENSICHEK® Preparing Suspensions for ID and AST Cards (Connectivity) Workflow and Instructional Procedures WARNING If a VITEK® DENSICHEK® device is not available, not charged, or not ready for use, measure the turbidity of the inoculation with a comparable backup VITEK® device. Failing to do so, may cause delayed results. WARNING Repeatedly inserting and removing a test tube during suspension creation can cause scratches on the tube, which may lead to incorrect results. Note: To manually type in the McFarland values during any workflow, navigate to the Configuration screen, and set the Use VITEK DENSICHEK option to No and then Save the setting. Follow the VITEK® FLEXPREP™ Software User Manual regarding the VITEK® FLEXPREP™ Software. 1. Ensure the test tubes are free of damage, scratches, and debris before use. 2. Follow the Logging in to the VITEK® FLEXPREP™ Software procedure. 3. Follow the Navigating the FLEXPREP software procedure for defining the McFarland range for the appropriate card type. The card type field populates with the card information.When the correct card type and range appears (ex. GN/GP: 0.50 to 0.63), continue to the next step. 4. Do one of the following: • • Select a tube and fill it with the appropriate volume of saline. Select a pre-filled saline tube. 5. Add a micro-organism to a saline-filled tube and manually mix the suspension with a swab or loop until a homogeneous solution is achieved. Insert the prepared sample into the front tube location of the Pod and press it all the way down. IMPORTANT: If the #.## screen appears,either the swab is blocking the lens, a clump of specimen is blocking the lens, or the suspension is too heavy. (See Appendix B Troubleshooting for more information.)If a McFarland value is not displayed, refer to Appendix B Troubleshooting. 6. Rotate for the full 2 second reading period or until a McFarland reading is displayed on the gauge within VITEK® FLEXPREP™. IMPORTANT: If the correct card type is not selected, then an acceptable McFarland range will not appear on the meter. The correct card type must be selected in order for the appropriate McFarland meter to appear. 7. Add a microorganism to the saline-filled tube and manually mix the suspension in the tube with a swab or loop until a homogenous solution is achieved. 8. If the McFarland goes over range, perform one of the following solutions: • • Discard the tube and repeat the previous steps to create a new suspension. Dilute the over-inoculated sample with saline. - Remove the sample tube from the Pod before adding saline to the suspension. 9. Once an acceptable McFarland value appears on the screen, press the button on the back of the Pod to transfer the McFarland value to VITEK® FLEXPREP™. The saved McFarland value appears above the main number on the screen. 048641-02 5-13 VITEK® DENSICHEK® Entering Multiple McFarland Values at Once Workflow and Instructional Procedures 10. Ensure the value is sent to the interfaced PC and appears in the McFarland field on the screen. WARNING Ensure that the sample test tube is rotated at least one full rotation and continuing to turn during the entire 2 second reading period. Failure to do so can lead to incorrect McFarland results.. 11. Remove the suspension for ID and AST testing. The McFarland meter disappears when the tube is removed. 12. Resume the procedure for Navigating the VITEK® FLEXPREP™ Software. Related Links Logging in to the VITEK FLEXPREP Software Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) Navigating the VITEK FLEXPREP Software Entering Multiple McFarland Values at Once Using the VITEK® 2 Logging in to the VITEK® FLEXPREP™ Software User Manual, access Quick McFarland Entry feature. Note: To manually type in the McFarland values during any workflow, navigate to the Configuration screen, and set the Use VITEK DENSICHEK option to No and then Save the setting. Follow the VITEK® FLEXPREP™ Software User Manual regarding the VITEK® FLEXPREP™ Software. Enter Multiple McFarland values at once in Connectivity mode as follows: 1. Click the Lab ID field next to 1. The cursor appears in the field. 2. Scan or type in the lab ID and isolate information for all samples. 3. Click the row for Isolate 1, and prepare the appropriate suspension for the card type and insert the tube into the Pod and rotate the tube one full turn. Adjust the suspension and remeasure as necessary. Refer to section for Preparing Suspensions for ID and AST Cards (Connectivity). Note: In the DENSICHEK Gauge, you can minimize or expand the window as needed by clicking the appropriate buttons. If the DENSICHEK Gauge is closed, it appears again when a tube is inserted. Note: The DENSICHEK Gauge appears on the VITEK® FLEXPPREP™ screen when you insert a tube into the Pod. Clicking the Card Type button on the DENSICHEK Gauge changes the performance range for the McFarland meter. 4. Press the button on the Pod to capture the value. The McFarland field populates with the McFarland value and the next row is automatically highlighted for the next isolate. The cursor does not appear in the McFarland field because it cannot be manually typed unless configured to do so. 5. Click the row for each of the isolates, and prepare suspension for each isolate and press the button on the Pod to capture each McFarland value in the McFarland field. 048641-02 5-14 VITEK® DENSICHEK® Preparing a QC Suspension in Quality Control Mode Workflow and Instructional Procedures 6. To correct or edit a McFarland value, select the appropriate row, insert the suspension tube into the Pod, rotate the tube for the full 2 second reading period, and press the button on the Pod to save a new value. 7. When all the data is added to the Quick McFarland Entry window, remove the tube from the Pod, and click OK to save. 8. Enter an appropriate ID in the Cassette ID field, and press Enter. The second Sample Preparation screen appears. The McFarland Entries option is active. 9. Click McFarland Entries on the right. The McFarland Entries window appears with the data you entered previously, but it is not editable. 10. Close the window and on the second Sample Preparation screen, enter an ID in the Lab ID field. Once the Lab ID is entered, the system pulls the appropriate McFarland values from the Quick McFarland Entry window and populates the McFarland field. 11. Finish defining the cassette in VITEK® FLEXPREP™, and then click Send Cassette. Note: Data entered in the Quick McFarland Entry window is specific to each PC. When defining a cassette in VITEK® FLEXPREP™, the McFarland values auto populate in the McFarland field when defining a cassette in VITEK® FLEXPREP™. The McFarland values will only auto populate if the data was captured in Quick McFarland Entry on the same PC. These values expire in one hour from time McFarland values are saved in Quick McFarland Entry and will no longer auto populate into the McFarland field when defining cassettes in VITEK® FLEXPREP™. Note: Data from the Quick McFarland Entry window is not transferable when using the Load and Go workflow in the VITEK® 2 Systems Web software (Cassette view). Related Links Logging in to the VITEK FLEXPREP Software Preparing Suspensions for ID and AST Cards (Connectivity) Preparing Suspensions for ID and AST Cards (Standalone) Preparing a QC Suspension in Quality Control Mode Preparing suspensions without Quality Control mode on is intended for patient samples. Turn on Quality Control mode to perform a Quality Control workflow according to your lab requirements. 1. Follow the Logging in to the VITEK® FLEXPREP™ Software procedure. 2. When the second Sample Preparation screen appears, click QC. The QC (Quality Control) mode is turned on and the QC fields appear. 3. Enter the necessary QC data and refer to the VITEK® FLEXPREP™ Software User Manual to use and understand the various available options in VITEK® FLEXPREP™. Related Links Logging in to the VITEK FLEXPREP Software Updating Firmware Users may be contacted by a bioMérieux representative with additional instructions and information. 1. Place the Pod on the base unit. 048641-02 5-15 VITEK® DENSICHEK® Updating Firmware Workflow and Instructional Procedures The Pod charges while placed on the base unit. 2. Ensure there is no tube in the Pod. 3. Using the provided USB cord, connect the instrument to the VITEK® 2 Systems PC. The instrument communicates with the VITEK® 2 Systems PC and determines that a firmware update is available. 4. Wait for the firmware update to complete. The instrument receives the firmware update from the VITEK® 2 Systems PC and performs the update. The Display Base screen visually indicate that the Pod's firmware is updating. Once the update completes, the instrument resumes normal operation. Related Links Logging in to the VITEK FLEXPREP Software 048641-02 5-16 VITEK® DENSICHEK® 6 User Maintenance For service information, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). Required Tools • • • • Paper towels Soft, dry cloth Neutral, non-abrasive detergent as defined in the Approved Cleaning Agents section. Cloth or facial tissue Calibration and Adjustments The device is calibrated at the manufacturing site during assembly. The calibration is confirmed with McFarland References, as described in Chapter 5, Performing McFarland Reference Checks. For information or for assistance, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). Preventive Maintenance Operations Perform McFarland Reference checks regularly. If issues arise that are not documented in this user manual, then contact your bioMérieux representative for assistance. Perform McFarland Reference checks for the following events: • • • • After receiving a new shipment. As a part of routine monthly maintenance. After cleaning the device. After relocating the instrument to a new lab environment. Related Links Maintenance Schedule Preventive Maintenance Operations Cleaning Procedures Approved Cleaning Agents • • • • 048641-02 10% sodium hypochlorite (bleach) 3% – 25% hydrogen peroxide Vesphene IIse LpH se 6-1 VITEK® DENSICHEK® Cleaning Procedures User Maintenance Cleaning the Pod Windows 1. 2. 3. 4. 5. 6. 7. Remove Pod from base. Dampen a cotton swab with an Approved Cleaning Agents as listed above, and then squeeze out any excess liquid. Carefully wipe each window of the front tube location, shown in the image below. Be cautious not to bend any of the parts inside. Visually inspect the tube locations to ensure no debris remains. Allow Pod to completely air dry. Perform McFarland Reference Check as described in Chapter 5, Performing McFarland Reference Checks. Perform the Zeroing Saline Filled Test Tubes, described in Chapter 5. Use the image below to locate the windows for the optical lenses, tube light and RFID. Figure 44: Windows in the Pod 1. Optical Windows WARNING Only use the approved cleaning materials, agents, and tools. Using nonapproved cleaning materials can damage the reading lenses. Do not use strong solvents, including alcohol. Cleaning the Touch Screen Wipe the Display Base Touch Screen using paper towels or wipes that are dampened with with an Approved Cleaning Agent. Then dry with a soft clean cloth.. Always dampen the towel first and then clean the screen. See the list of approved cleaning agents above. 048641-02 6-2 VITEK® DENSICHEK® Decontamination Procedures User Maintenance CAUTION: Do not spray cleaner directly on the screen. Spraying the screen directly can damage the device. Cleaning the Base and Pod Wipe the base and the Pod using paper towels or wipes that are dampened with with an Approved Cleaning Agent. See the list of approved cleaning agents above. Once you have cleaned the base and/or the pod, allow the device to dry, and then perform a McFarland Reference check to ensure that the instrument continues to take accurate readings. WARNING Only use the approved cleaning agents. Using non-approved cleaning agents can damage the instrument. Do not use strong solvents, including alcohol. WARNING Spilling liquid in the device can cause malfunctioning. Do not dispense saline into the test tube while it is in the Pod. In the event of an accidental spill, immediately clean and dry the device, and then perform a McFarland Reference check to confirm proper operation before continuing use. Related Links Maintenance Schedule Preventive Maintenance Operations Decontamination Procedures If decontamination is necessary due to a biological hazard, refer to Cleaning Procedures using a 10% bleach solution and allow it to remain in contact with the contaminated surface for five minutes. For information or for assistance, contact bioMérieux or your local distributor (contact information available on www.biomerieux.com). Related Links Cleaning Procedures 048641-02 6-3 VITEK® DENSICHEK® A Appendix - Maintenance Records Maintenance Schedule Table 15: Maintenance Schedule Part Frequency Procedure According to your local regulatory guidelines, or at least on a monthly basis. Chapter 5, Performing McFarland Reference Checks. VITEK® DENSICHEK® McFarland Reference Kit According to your local regulatory guidelines, or at least on a monthly basis. Chapter 5, Performing McFarland Reference Checks. VITEK® DENSICHEK® Instrument As Required Chapter 6, Cleaning Procedures. ® VITEK DENSICHEK Instrument ® WARNING The VITEK® DENSICHEK® McFarland Reference Kit must be replaced if the individual vials are damaged or scratched in such a way that they cause erroneous results. Related Links Cleaning Procedures Maintenance Checklist Checklist 1 Year: Month: Month Part name 1 2 3 4 5 6 7 8 9 10 11 12 Frequency ® ® VITEK DENSICHEK Device/ M Instrument; McFarland Reference Check Frequency: M = Monthly, 6M = Every 6 months, N = if needed Complete with your initials. Keep a copy of the preventive maintenance charts. Checklist 2: Daily, Part 1 Year: Month: 048641-02 A-1 VITEK® DENSICHEK® Maintenance Checklist Appendix - Maintenance Records Day Part name 1 2 3 4 5 6 7 8 9 1 11 1 1 0 2 3 1 4 1 5 1 6 Frequency ® ® VITEK DENSICHEK Device/ Instrument; McFarland Reference Check N VITEK® DENSICHEK® Device/ Instrument; Cleaning N Frequency: M = Monthly, 6M = Every 6 months, N = if needed Complete with your initials. Keep a copy of the preventive maintenance charts. Checklist 3: Daily, Part 2 Year: Month: Day Part name ® 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Frequency ® VITEK DENSICHEK Device/ Instrument; McFarland Reference Check N VITEK® DENSICHEK® Device/ Instrument; Cleaning N Frequency: M = Monthly, 6M = Every 6 months, N = if needed Complete with your initials. Keep a copy of the preventive maintenance charts. 048641-02 A-2 VITEK® DENSICHEK® B Appendix - Troubleshooting Related Links Cleaning Procedures Error Messages and Recovery Procedures This section lists the possible error messages and general problems that could occur when using the device. WARNING Failure to address error messages in a proper and/or timely manner may cause the device to malfunction. WARNING You must operate the device within the specified environmental conditions, including the specific ambient laboratory humidity conditions and the specified ambient laboratory lighting conditions. Failing to do so, may cause the device to malfunction. Problem Resolution Error Message / Problem Cause Resolution McFarland value is inconsistent. Test tubes may be dirty or scratched (inside or outside). Replace the test tubes as required. Test tubes may not be filled to sufficient level. Adjust saline level. Instrument is not Zero on tube type in zeroed on type of test use. tube in use. Test tube does not Confirm test tube is a meet required criteria. clean 12 mm x 75 mm polystyrene test tube that is clear, colorless, and free of scratches. Test tube not properly Insert the test tube so inserted in the Pod. it is fully seated and upright in the Pod Ambient light is too bright to make an accurate measurement. 048641-02 B-1 Relocate instrument away from bright light sources. VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem Cause Resolution The instrument is unable to save data. Various causes. Contact bioMérieux Technical Support. The VITEK® FLEXPREP™ software is not The device is reflecting what is shown on the Display Base. disconnected from the PC. Re-seat test tube in Pod and re-measure. If problem is not resolved, reconnect the Base to the PC, and then restart the VITEK® FLEXPREP™ software or, restart the PC and then open the VITEK® FLEXPREP™ software. The VITEK® FLEXPREP™ software is not registering that a base is connected. The device is disconnected from the PC. Reconnect the Base to the PC, and then restart the VITEK® FLEXPREP™ software. If problem is not resolved, restart the PC and then open the VITEK® FLEXPREP™ software. The Communication Bridge or the related certificates are not installed and configured on the PC. Connect the base to the PC, and then restart the PC. Then complete all of the procedures included in the Configure VITEK® FLEXPREP™ with the Instrument section. The USB power cord gets disconnected from the base. Reconnect the USB power cord to the base. The Pod does not hold its charge because of normal wear and tear. Contact bioMérieux Technical Support. The card is not defined in your VITEK® 2 System. Refer to the VITEK® 2 Software User Manual or VITEK® 2 Web Software User Manual for instructions on Maintain AST Card Definitions. Momentary loss of power. The following error message appears: Figure 45: Error Message 048641-02 B-2 VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem Cause A suspension with an organism is inserted The device needs to into the Pod but X.XX appears on the screen. be cleaned. Figure 46: X.XX Results A suspension with an organism is inserted into the Pod but #.## appears on the screen. Figure 47: #.## Results A tube is inserted into the Pod but 0.00 is flashing on the screen. Figure 48: 0.00 Results 048641-02 B-3 Resolution Follow the cleaning procedure and requirements listed in this user manual. Device needs to be re-zeroed. Follow steps in Performing McFarland Reference Checks and Zeroing Saline-Filled Test Tube. One or more lenses are dirty. Clean the test tube chamber. The tube is scratched. Use a different tube. Alcohol was used to clean the device and one or more lenses are damaged. Contact bioMérieux Technical Support. The McFarland range Create a new is over 4.0. suspension following the instructions in this user manual. A clump of specimen is blocking the lens. Continue to mix the specimen until all clumps are gone and the lens is unblocked. A loop or swab is blocking the lens. Remove the loop or swab from the suspension. The Pod was zeroed Zero the device using previously with a tube a tube filled with clear that was not as clear, saline. and the next tube inserted is clear. The system cannot reliably calculate a McFarland value and needs to be zeroed with a clear salinefilled tube inserted. VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem Cause ® When installing the DENSICHEK Bridge Communication service, the Not Enough Disk Space warning appears, similar to the image below: Figure 49: Not Enough Disk Space Warning Resolution The correct drive is Remove all USB not available to install memory devices, the service. CDs, and DVDs before running the DENSICHEK® Bridge Installer. The colored light on the Pod does not match The Bluetooth the base. Therefore, the Pod fails to pair with connection between the base. the Pod and the base needs to be reestablished. Remove and re-place the Pod on the base to pair. Wait for the LED lights on the Pod and the base to match. Unplug and re-plug in the base. Wait for the LED lights on the Pod and the base to match. 048641-02 The Pod turns off. The Pod battery Charge the Pod by needs to be charged. placing it on a base unit. Base physically connected to PC and the colored light on the Pod flashes red. The Bluetooth connection between the Pod and base needs to be established. Place the Pod on the base to pair. Wait for LED lights on the Pod and the base to match. If issue is not resolved, restart the PC. The base turns off. The base has been unplugged. Ensure the correct cord is plugged into the base and a power source. The firmware update does not complete. The base has been unplugged from the PC. Ensure the correct cord is plugged into the base and the VITEK® 2 Systems PC. B-4 VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem ® Cause Resolution ™ In VITEK FLEXPREP , after clicking OK to The same Lab ID was Click OK, replace the save your card data in the Quick McFarland entered twice. duplicated data by Entry window, the following error message clicking the Lab ID appears: The Accession Numbers for rows field, entering a new [#] and [#] are the same. Please resolve Lab ID, and clicking the duplication. OK when all the fields are entered and unique. In VITEK® FLEXPREP™, after clicking OK to Not all the values are • Enter the missing save your card data in the Quick McFarland completed for a row. values and click Entry window, the following error message OK. appears: Row [X] is incomplete; either OR clear it all or fill in all values to proceed. • 048641-02 B-5 Click Cancel to close the window and to clear the values, and then reopen the Quick McFarland Entry window to enter the values again. If the issues persists, restart the FLEXPREP™ program. VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem Cause Resolution The McFarland range of the card type selected on the Display Base does not match the McFarland range of the card type scanned in VITEK® FLEXPREP™. The incorrect card type was selected on the Display Base. (Ex. The user wants to scan a BCL card, but a GN - GP range was selected on the Display Base). 1. 2. 3. A tube is inserted into the Pod, but the Pod fails to illuminate the tube. FLEXPREP™ alerts the user that the McFarland range sent by the instrument is different from the McFarland range of the scanned card. The user scans the correct card. The results populate correctly and the Display Base matches the scanned card (ex. a BCL card is scanned, and the GN - GP range changes to the YST BCL range). The user creates a new suspension using a correct McFarland range. The device sensor is malfunctioning. Contact bioMérieux Technical Support. The tube is not inserted correctly. Review the Preparing Suspensions for ID and AST Cards procedure. The tube is not pressed into the Pod completely. Press the tube down in the Pod. The tube is inserted Insert the tube in the in the wrong location. front tube location on the Pod. A McFarland reference is in the pod but the McFarland meter does not appear in VITEK® FLEXPREP™. 048641-02 B-6 Configuration screen is not selected in VITEK® FLEXPREP™. Navigate to Configuration screen in VITEK® FLEXPREP™ and reinsert McFarland reference into the pod. VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem Cause Resolution Tube is not illuminated. Pod is configured to Access the the lowest Tube Light configuration page for setting. the base, and increase the value for Tube Light. The base does not turn on even though it is plugged in. Various causes. Contact bioMérieux Technical Support. A suspension is in the Pod, but -.-- appears Pod is failing to sense Remove suspension on the screen for the McFarland value similar the presence of the and attempt to reto the image below. suspension. measure. If the issue still does not resolve,contact bioMérieux Technical Support. User touches the screen and nothing happens, the screen goes blank, or the screen freezes. Various causes. 1. 2. 3. Unplug and replug in the base. Remove the Pod from the base, and the place it back on the base. If the issue persists, contact bioMérieux Technical Support. A McFarland Reference is in the Pod and the RFID tag fails, sensor Contact bioMérieux McFarland value appears on the screen, but fails, or reading of Technical Support. the LOT number does not appear. McFarland value fails. Device does not function as expected. Pod or base is dropped or falls from the work bench. 1. 2. 3. 048641-02 B-7 Inspect for damage. Perform a McFarland Reference check. If the issue persists, contact bioMérieux Technical Support. VITEK® DENSICHEK® Error Messages and Recovery Procedures Appendix - Troubleshooting Problem Resolution Error Message / Problem Cause Resolution The McFarland value does not appear on the The Bluetooth Unplug the base, and screen, because the Pod fails to pair with the connection between then plug in the base base. the Pod and the base again to restart it. needs to be reestablished. The Pod is still reading the suspension, but it's not sending the data from the Pod to the base. In Connectivity Workflow: McFarland Gauge fails to show in VITEK® FLEXPREP™. VITEK® FLEXPREP™ is not in Quick McFarland Entry screen or Cassette Prep screen. Navigate to the McFarland Quick Entry or Cassette Preparation screen. Pod did not trigger the transmission of a McFarland message to VITEK® FLEXPREP™. Remove and re-insert the tube. Related Links Cleaning Procedures Connecting the Device Configure VITEK FLEXPREP with the Instrument Configuring the DENSICHEK Certificates in VITEK FLEXPREP Downloading and Installing the DENSICHEK Communication Bridge Configuring the Display Base Settings Configuring the Connectivity Base Settings 048641-02 B-8 VITEK® DENSICHEK® C Appendix - Third-Party Software Third party software and any parts thereof identified in the left-hand column are subject to the terms and conditions under which the specific licenses identified in the right-hand column are granted. 048641-02 Third-party software and parts License Apache server GPL compatible (Apache version 2): http:// www.apache.org/licenses/ Jboss application server GNU LGPL: http://www.jboss.org/infinispan/ license.html Module BIRT Eclipse public license (EPL): http://en.wikipedia.org/ wiki/Eclipse_Public_License OpenDS Common Development and Distribution License (CDDL): https://opends.dev.java.net/ OpenDS.LICENSE PostgreSQL BSD license: http://www.postgresql.org/about/ licence C-1 VITEK® DENSICHEK® Appendix - Third-Party Software Third-party software and parts License Modules ActiveMQ: http://www.apache.org/licenses/ LICENSE-2.0.html Drools: http://www.apache.org/licenses/ LICENSE-2.0.html Joda: http://joda-time.sourceforge.net/license.html hibernate: http://www.hibernate.org/license.html Apache common: http://www.apache.org/licenses/ LICENSE-2.0.html Dozer: http://www.apache.org/licenses/ LICENSE-2.0 Sun JRE 1.6.0: Sun Microsystems, Inc. Binary Code License Agreement Copyright © 2006 Sun Microsystems, Inc., 4150 Network Circle, Santa Clara, California 95054, U.S.A. All rights reserved.U.S.: http://java.sun.com/javase/6/ webnotes/runtime.html RichFaces: GNU LGPL http://www.gnu.org/licenses/ lgpl.html http://www.jboss.org/richfaces/download/stable.html Seam: GNU LGPL http://www.gnu.org/licenses/ lgpl.html http://seamframework.org/Download Tomhawak: http://www.apache.org/licenses/ LICENSE-2.0.html PrimeFaces: http://www.apache.org/licenses/ LICENSE-2.0.html Facelet: http://www.apache.org/licenses/ LICENSE-2.0.html slf4j: http://www.slf4j.org/license.html JfreeChart : http://www.gnu.org/licenses/lgpl.html Jackrabbit : http://www.apache.org/licenses/ LICENSE-2.0 VITEK® MS module SLF4J 1.5.6 : http://www.slf4j.org/license.html Sping 3.0.3.RELEASE : http://www.apache.org/ licenses/LICENSE-2.0.html Jmzml 1.2.1 : http://www.apache.org/licenses/ LICENSE-2.0.html JRE 1.6.0.20 : http://java.sun.com/javase/6/jdk-6u2license.txt Matlab 7.14 : See the file "MATLAB-license.txt" in the "D:\biomerieux\programs\licenses" directory 048641-02 C-2 VITEK® DENSICHEK® Appendix - Third-Party Software Third-party software and parts License BCI link module Spring: http://www.apache.org/licenses/ LICENSE-2.0.html Jcalendar: http://www.toedter.com/en/jcalendar/ license.html Jdom: http://www.jdom.org/docs/faq.html#a0030 Jta: https://source.db4o.com/db4o/trunk/drs/lib/ jta.license.html slf4j: http://www.slf4j.org/license.html rxtx: http://users.frii.com/jarvi/rxtx/license.html 048641-02 C-3 VITEK® DENSICHEK® D Appendix - Glossary Connectivity Base A base unit without a display that syncs with and charges the Pod. This base unit sends data to the VITEK® 2 software compatible with the DENSICHEK® software. Connectivity Workflow This workflow refers to using the VITEK® DENSICHEK® device with the VITEK® 2 software that is compatible with the device. Display Base The Display Base syncs to and charges the Pod. This base has a display screen where the McFarland reading appears when a tube is inserted into the Pod. This base can also transmit information to the VITEK® 2 software that is compatible with the VITEK® DENSICHEK®, if the user has access to the software. McFarland References These references are dual-vials with 0.0, 0.5, 2.0, and 3.0 McFarland values that verify the calibration of the optics contained within the Pod. McFarland Reference Check A procedure performed by user to confirm that the calibration is accurate. This preventive maintenance activity is required to confirm the device measurements Pod The Pod optically reads the turbidity of a microorganism suspension and sends the information to the base unit. Standalone Workflow This workflow refers to using the VITEK® DENSICHEK® instrument with a Display Base without the VITEK® 2 software compatible with the DENSICHEK®. 048641-02 D-1 VITEK® DENSICHEK® Revision History This section contains a summary of changes made to each released revision of this document starting with part number: 048641-01. N/A Not applicable (First publication) Correction Correction of documentation anomalies Technical change Addition, revision and/or removal of information related to the product Administrative Implementation of non-technical changes noticeable to the user Notes: • • Minor typographical, grammar, and formatting changes are not included in the revision history. Not all versions may be available in all languages. Release Date Part Number Change Type Change Summary 2022-02 048641-02 Technical change Updated Radio Specifications 2018-10 048641-01 N/A First publication bioMérieux, Inc. 100 Rodolphe Street Durham, North Carolina 27712 USA EC REP bioMérieux SA 376 Chemin de l'Orme 69280 Marcy-l’Etoile - France 673 620 399 RCS LYON Tel. 33 (0)4 78 87 20 00 Fax 33 (0)4 78 87 20 90
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