Operator's Manual: Automated 3-Part Hematology Analyzer
Operator's Manual: Automated 3-Part Hematology Analyzer
Page 2 OMICON3_v34
Bar code scanner (optional) .............................................................. 26
USB flash drive (optional) ................................................................. 26
USB Wi-Fi Dongle (optional) ............................................................. 27
Network (“Ethernet”)........................................................................ 27
Reagent pack ..................................................................................... 27
Reagent bottles ................................................................................. 28
Analyzer packaging material ............................................................... 28
Power ...................................................................................................... 29
External power supply ........................................................................ 29
Power button ...................................................................................... 29
Power on ............................................................................................. 30
Power off ............................................................................................ 30
Emergency power off.......................................................................... 31
Handling reagents ................................................................................... 31
Precautions about reagents ................................................................ 31
Reagent characteristics....................................................................... 31
Blood samples ......................................................................................... 32
Taking the sample ............................................................................... 32
Transporting and storing samples ...................................................... 33
Sample age .......................................................................................... 33
Preparation for analysis ...................................................................... 33
Proper Sample Mixing prior to run ..................................................... 34
Bubbles in sample ............................................................................... 35
Sample handling ................................................................................. 35
Menu system .......................................................................................... 36
The screen area................................................................................... 36
Menu tree ........................................................................................... 37
Page 3 OMICON3_v34
Gestures .............................................................................................. 37
Tap..................................................................................................... 38
Swipe ................................................................................................. 38
Hold ................................................................................................... 39
On-screen keyboard............................................................................ 39
Data input ........................................................................................... 40
Alphanumeric input .......................................................................... 40
External keyboard ............................................................................. 40
Barcode input .................................................................................... 41
Numeric input ................................................................................... 41
Description of icons displayed ............................................................ 42
Setup ....................................................................................................... 45
Initial setup ......................................................................................... 45
Language ........................................................................................... 45
Time and date ................................................................................... 46
Laboratory specific information (printout contents) ........................ 46
Report output (email) ....................................................................... 46
Settings – Customize........................................................................... 47
Appearance ....................................................................................... 47
Languages.......................................................................................... 48
Units .................................................................................................. 48
System Settings ................................................................................... 49
Date and time ................................................................................... 49
Email settings .................................................................................... 49
Network preferences ........................................................................ 50
Printout Settings ............................................................................... 51
Printout Format................................................................................. 52
Page 4 OMICON3_v34
Network Printing ............................................................................... 54
Customization ................................................................................... 55
Profiles .............................................................................................. 56
LIS (Laboratory Information System) ................................................ 57
Measurement Settings ...................................................................... 58
Setting up reagents ............................................................................. 59
Reagent: Pack .................................................................................... 59
Reagent: Individual Reagents............................................................ 61
Manual QR code entry ...................................................................... 63
Network Settings ................................................................................ 64
Wi-Fi settings .................................................................................... 65
Wired network settings..................................................................... 65
Daily operation ....................................................................................... 66
Power on ............................................................................................. 66
Running samples ................................................................................. 67
Closed tube mode ............................................................................. 67
Open tube mode ............................................................................... 69
Results................................................................................................. 71
Short (Quick) result ........................................................................... 71
Full result (Full screen) ...................................................................... 72
Flags .................................................................................................. 73
Interpretative Flags ........................................................................... 77
Reports................................................................................................ 78
PDF .................................................................................................... 78
Printer Thermal ................................................................................. 79
Printer PCL5/6 ................................................................................... 80
Power off ............................................................................................ 81
Page 5 OMICON3_v34
ER mode .............................................................................................. 83
ER Sampling....................................................................................... 83
ER Results .......................................................................................... 84
Switching between ER and Admin mode .......................................... 85
Calibration............................................................................................... 86
Target values....................................................................................... 86
Mode-to-mode calibration ................................................................. 87
Automatic calibration ......................................................................... 88
Manual calibration .............................................................................. 90
QC – Quality Control ............................................................................... 91
Expected values .................................................................................. 91
Assay sheets ...................................................................................... 92
QC diagrams ...................................................................................... 94
QC reports ......................................................................................... 95
Database functions ................................................................................. 96
Browsing records ................................................................................ 96
Database context menu...................................................................... 97
Selecting records................................................................................. 98
Moving to specific date in database ................................................... 98
Selecting records between two dates ................................................ 99
Search (filtered view) .......................................................................... 99
Managing data .................................................................................. 100
Managing data in Recycle Bin ........................................................... 100
Sending e-mail .................................................................................. 100
LIS transmission error ....................................................................... 101
Maintenance ......................................................................................... 102
Cleaning the analyzer........................................................................ 102
Page 6 OMICON3_v34
Daily maintenance ............................................................................ 102
Weekly maintenance ........................................................................ 102
Emergency procedures ..................................................................... 102
Reagent pack replacement ............................................................... 103
Replacing reagent bottles ................................................................. 103
Cleaning procedures of the fluidic system ....................................... 104
Software update ............................................................................... 104
Management menu .......................................................................... 105
Maintenance ................................................................................... 105
Alarm Clock symbol ......................................................................... 108
Diagnostics ...................................................................................... 109
Service ............................................................................................. 110
Supervision ........................................................................................... 111
History............................................................................................... 111
History details ................................................................................. 111
About menu ...................................................................................... 112
Database capacity ........................................................................... 113
Status bar .......................................................................................... 114
Technical Specifications ........................................................................ 115
Performance Data ................................................................................. 117
Precision............................................................................................ 117
Accuracy ............................................................................................ 117
Linearity ............................................................................................ 117
Display range of parameters............................................................. 118
Carry-over ......................................................................................... 119
List of measured parameters ............................................................ 119
Known Limitations, interfering substances .......................................... 120
Page 7 OMICON3_v34
Low PLT performance ....................................................................... 120
PLT clumps ........................................................................................ 120
HGB interference .............................................................................. 120
Anti-coagulant used .......................................................................... 121
Sample age ........................................................................................ 121
Nucleated RBC (nRBC) ...................................................................... 121
Electrical block diagram ........................................................................ 122
Fluidic diagram...................................................................................... 123
Reagent consumption ........................................................................... 124
Error messages...................................................................................... 125
Mechanical Errors ............................................................................. 125
Operation related errors................................................................... 126
Electronic errors ............................................................................... 128
System (software) errors .................................................................. 128
Troubleshooting.................................................................................... 132
Measurement problems ................................................................... 132
Electrical problems ........................................................................... 133
Mechanical problems ....................................................................... 134
Hydraulic problems ........................................................................... 135
Network problems ............................................................................ 136
Printer problems ............................................................................... 136
Directives and Standards ...................................................................... 137
Declaration of Conformity .................................................................... 138
Errata .................................................................................................... 138
Revision history..................................................................................... 139
Page 8 OMICON3_v34
Foreword
We believe that Icon-3 is the suitable blood cell counter to your needs
and will ease your daily laboratory routine.
Welcome to the Norma family…
Page 9 OMICON3_v34
Introduction
Icon-3 is a small, 60 tests/hour impedance-based hematology analyzer for small
to medium size laboratory use, performing 3-population analysis of human
whole blood samples. Icon-3 is easy to use and uses low amounts of reagent to
determine 22 hematology parameters.
Icon-3’s small footprint allows operating in space-constrained environments.
Intended Use
Icon-3 is a 60 tests/hour impedance based IVD hematology analyzer for
laboratory use, using specific reagents, performing 3-population, 22 parameters
analysis of anti-coagulated human whole blood samples introduced in open or
closed vials.
Icon-3 is suitable for use as a Pont-of-Care analyzer provided that the analysis
results are approved and validated by a trained healthcare professional.
Page 10 OMICON3_v34
Disclaimer
The manufacturer reserves the right to:
- modify the contents of this manual without prior notice,
- change technology applied within the analyzer without prior notice,
- change technical specifications without prior notice.
The manufacturer does not warrant this manual to be 100% free of unintentional
errors.
Please note that this Manual may be revised without prior notification. The
Manufacturer reserves the right to change the specifications of the product
and/or the contents of this manual as deemed necessary, without prior notice.
Pictures included in this manual may differ from the actual delivered product.
Performance and reliability are never influenced by minor visual differences
between this manual and the actual product.
Page 11 OMICON3_v34
Symbols on the outside of the analyzer
Symbol Meaning
WARNING
Risk of personal injury
BIOHAZARD
Risk of biological infection, contamination
CE mark
Address of manufacturer
Date of manufacture
Serial number
Catalog number
Page 12 OMICON3_v34
Technical contact
Icon-3 is a precision laboratory instrument. Its built-in safety measures guarantee
safe and reliable operation. Any malfunction is indicated by the software, and
suggestions are made to remedy the situation. Being a complex device, there is
limited access to internal structures provided to the end user.
Under no circumstances should the Operator attempt to open or remove the
outer cover of the analyzer, as this may influence reliable operation and might
fool built-in safety measures and can invalidate warranty.
There are no user serviceable parts inside this analyzer. Adjustments of internal
structures and repairs of these structures should only be performed by qualified
service personnel.
Your local dealer is always ready to help you in case of malfunction.
The contact of your local dealer is available on the insert of this Manual.
Please use the [email protected] email address to contact the
manufacturer directly.
Norma will be doing its best to resolve your problems either directly or indirectly
with the help of its local representative.
Warranty
Your Icon-3 comes with a manufacturer’s warranty against workmanship defects.
Warranty claims must be made through your local representative.
Your supplier will only be able to repair and warrant operation of the analyzer as
per its specifications if all service actions are performed by qualified Service
Personnel, and the Warranty Label is intact.
Warranty is void if any of the below can be identified, or inoperability,
malfunction can be traced back to any of the events listed below:
- broken warranty seal;
- intentional damage and/or modification to the analyzer;
- improper use, use against instructions in this manual, against intended
use;
- damage from intentional activities overriding built-in safety logic;
- natural disaster;
Page 13 OMICON3_v34
- uncertified power supply, or unapproved peripheral has been
connected to the analyzer;
- disassembly, repair attempt performed by unauthorized staff;
- damage rooted back to unreported shipping and/or installation induced
activities.
The manufacturer does not recommend and support modifying the operating
software of this hematology analyzer. The analyzer is able to log and track
modifications to the operating software.
- In the case, when the End User required or performed installation of
any software product not controlled by the manufacturer and would
afterwards experience erroneous or unreliable operation of the
analyzer, or would experience erroneous results, then the manufacturer
cannot accept any complaints about operation, reliability or
performance.
Exclusions to warranty
The below listed items are not covered by warranty unless they were found
damaged upon arrival to the End User. In such cases, proper complaint must be
filed along with a complaint registered with the forwarder/Distributor company:
- Batteries, external power cable
- Plastic cover elements (including transparent display cover),
- External reagent tubes, rear reagent connector, external reagent
connector
- Labels, printed material
- Internal piercing needle, flexible sampling tip, power button, open wash
head.
Page 14 OMICON3_v34
Measurement technology
Icon-3 uses volumetric impedance and photometric method for measurement to
provide 22 hematology parameters from 13 µl (open sampling mode) and 38 µl
(closed sampling mode) of whole human blood samples.
The measurement cycle time is:
• 60 seconds in closed mode yielding 60 tests/hour throughput, and
• 90 seconds in open sampling mode (40 tests/hour).
Page 15 OMICON3_v34
Interpreting histograms
Icon-3 presents histograms on its
screen, in printed or in electronic
format.
The algorithm is looking for populations in the histogram and marks the end of
MID population with vertical lines. The lines themselves do not mean that all cells
between the markers is the marked (MID) population, rather than the normal
distribution curve of the MID population resides between the volumes (fl)
indicated by these vertical lines.
Page 16 OMICON3_v34
Hematology parameters
Parameter Explanation units
WBC White blood cell count 103/µL & 109/L
LYM# Lymphocyte count 103/µL & 109/L
MID# Mid cell count 103/µL & 109/L
GRA# Granulocyte count 103/µL & 109/L
LYM% Lymphocyte percentage (of WBC) %
MID% Mid cell percentage (of WBC) %
GRA% Granulocyte percentage (of WBC) %
RBC Red blood cell count 106/µL & 1012/L
HGB Hemoglobin g/dL, g/L, mmol/L
HCT Hematocrit %, L/L
MCV Mean Corpuscular Volume fL
MCH Mean Corpuscular HGB pg, fmol
MCHC Mean Corpuscular HGB Concentration g/dL, g/L, mmol/L
RDWsd/cv Red blood cell distribution width fL/%
PLT Platelet (thrombocyte) count 103/µL & 109/L
MPV Mean Platelet Volume fL
PCT Plateletcrit/thrombocrit %, L/L
PDWsd/cv Platelet distribution width fL/%
PLC-R% Platelet Large Cell Ratio; %
The ratio of PLT’s with volume above
12fl versus total PLT count
PLC-C Platelet Large Cell Count 103/µL & 109/L
of PLT’s with volume above 12fl
Page 17 OMICON3_v34
3-part differentiation of White Blood Cells
Three-part white blood cell differential counts (so-called diffs), performed during
electrical impedance counting of blood cells, can accurately classify lymphocytes,
granulocytes, and mononuclear cells in 85% of specimens, with an error rate not
exceeding that of conventional diffs. The differential count is made on diluted
specimens and additional hemolyzing agent that breaks down RBC and WBC cell
membranes.
Normal RBC’s have no nucleus; only WBC nuclei remain in the solution. The size
(volume) of various WBC nuclei will help the analyzer classify cells by the volume
of their nuclei.
Page 18 OMICON3_v34
The rest of the primary dilution is mixed with cyanide-free hemolyzing reagent
and aspirated into the WBC syringe. The secondary dilution is aspirated into the
RBC syringe.
The syringes are using air bubbles to homogenously mix the respective dilutions
inside. Then a positive pressure (max 400mBar) is generated in both syringes and
measurements start. The positive pressure forces both dilutions through their
respective measuring heads composed of apertures of 70µm and 100µm for the
RBC/PLT and WBC counts, respectively.
The lysed WBC solution prior to entering the measuring aperture passes through
a microfluidic flow cell and is measured for HGB content at 540nm wavelength.
The cell counts are read simultaneously in the two channels along with a parallel
HGB measurement. The entire cell counting and HGB measuring process takes 8
seconds.
HGB blank is measured and evaluated during every sample. Icon-3 does not use
a separate HGB background measurement as a blank value. This allows a more
precise live tracking of performance.
As a final step, the system empties the measuring elements and is ready to take
the consecutive sample.
Page 19 OMICON3_v34
Supported blood collection tubes
Icon-3 can process human whole blood samples from open or closed sample
vials.
Icon-3’s closed tube mode supports the following closed sample vials:
Type, Manufacturer Minimum sample
volume
BD Vacutanier (∅13x75 mm) or compatible 400 µL
Please consult the Instructions for use of relevant primary sample tube types.
WARNING
Pierceable vial caps are designed for a limited number of
penetrations with a needle. Using a closed vial more than 5 times
without removing it from the sample rotor of Icon-3 poses a risk
of damaging the rubber cap and causing liquid damage or
clogging in the analyzer.
Icon-3’s open tube sampling supports any whole human blood collected in
sample vials prefilled with potassium-EDTA or prepared accordingly.
Icon-3’s retractable flexible sampling tip allows using a wide size range of sample
collection devices. The minimum blood sample volume to achieve reliable
sampling is 100µl.
Samples must be mixed/homogenized adhering to general blood sample
collection guidelines prior to analyzing them on Icon-3.
Refer to section Blood samples later in this manual.
Page 20 OMICON3_v34
Package contents
Icon-3 comes in a double cardboard packaging. The outer box provides a
protection against shipping damage to the analyzer’s internal box.
The internal box contains the analyzer and its accessories inside protective
foams. The analyzer comes with a protective film covering the scratch resistant
polycarbonate cover elements.
Upon arrival, carefully check the contents of the package and look for visible
damages, even on the outer packaging box. File any obvious damage through the
shipping company to be eligible for compensation and support from your local
dealer and from the manufacturer.
Packing list:
- Analyzer outer packaging box and shipping foams (top, bottom)
- Accessories box
o Power supply; Power cord
- Reagent tubing set
o Black cap cleaning vials
- Documents and Guides
o Calibration Certificate and Final Check Report
o Quick Guide
o Reagent Connector Guide
o Reagent Pickup Tubes Installation Advisory
o Installation Report
- Analyzer packaging bag
- Icon-3 analyzer
Page 21 OMICON3_v34
Accessories
• external power supply
SYS1443-6512-T3 or SYS1548-6512-T3
Page 22 OMICON3_v34
Identifying parts of the analyzer
Page 23 OMICON3_v34
7
10
11
Page 24 OMICON3_v34
Installing the analyzer
Icon-3 is a precision hematology analyzer. Incorrect handling or
accidental falling of the analyzer may damage parts inside and
could influence performance.
To avoid overheating of the device, avoid installation in confined
space. If the system detects overheating, safety functions will
disable operation. Ambient temperature being above 34°C (86°F)
for an extended time may cause the system over-heat.
1. Carefully remove Icon-3 from the shipping carton. Look for signs of
damage, such as cracks on the outer covers or loose/missing screws. If
you find such signs, please file a complaint to the shipping company to
be eligible for compensation and support from your local dealer and
from the manufacturer. Make sure you can find all the accessories listed
in the packing list.
2. Prior to powering on Icon-3, allow the analyzer to reach room
temperature to avoid dew condensation. Sudden temperature changes
may cause dew to condensate on colder internal structures and can lead
to damage of electronic components.
3. Place the analyzer on a desktop bench and find a nearby grounded
power outlet. Please avoid power extension cords, use direct
connection to the power outlet. Always use the power supply packaged
along with the analyzer.
4. Connect the power supply to the socket on the rear plate of the
analyzer.
5. Connect the power cord to the power outlet.
6. Remove the protective foil from the analyzer’s front.
Attention
If you experience any error, like smoke, immediately disconnect the
power cord from the power outlet.
Use a fire extinguisher if necessary.
Page 25 OMICON3_v34
User serviceable parts
Attention
There are no user serviceable parts inside the analyzer. Please
do not attempt to open or disassemble the analyzer to avoid
electric shock or injury and will void the warranty.
Attention
Only qualified Service Personnel are allowed to perform
adjustment and repair procedures related to internal
components.
Keyboard (optional)
Icon-3 supports connecting external USB keyboards
that can facilitate data entry. The keyboard can be
connected any time.
Mouse (optional)
Icon-3 supports connecting a USB mouse. The mouse can be
connected any time. If a mouse is connected, the touch screen
remains operating, yet a small arrow icon will be displayed to
track the movement of the mouse.
Page 26 OMICON3_v34
USB Wi-Fi Dongle (optional)
The device offers connectivity options to wireless networks
(sending measurement reports via email). Network settings must
be revised. The analyzer software supports a limited number of
Wi-Fi dongles.
Attention
It is not guaranteed that any random Wi-Fi dongle will work
with the analyzer.
Supported models:
- AmbiCom WL250N-USB (Chipset: Ralink RT3070)
- EnGenius EUB9707 USB Wi-Fi adapter
- LM Technologies – LM006
Network (“Ethernet”)
Connect the cable (not included) from the computer network to
Icon-3’s RJ45 socket. Network settings must be revised.
Reagent pack
The Norma Icon-3 reagent pack provides
sufficient reagent to run a specified number of
tests with Icon-3. The pack contains all
necessary reagents.
Waste bottle is not included.
Page 27 OMICON3_v34
Reagent bottles
Norma Icon-3 is also suitable to run using individual reagents, external reagent
containers, bottles. Care must be taken when connecting reagent bottles to the
system. Always pay attention to match the right line with the correct reagent. It
is possible to shorten the tubes as necessary.
Assemble the reagent bottle caps following the sketch below:
Each tube is equipped with a label indication which bottle to connect it to. The
caps will match the standard Icon-3 reagent bottles.
Rear view (from tube side) of the reagent connector:
Attention
For best results and performance, place the reagents to the same
level (on the same desk) as the analyzer.
Page 28 OMICON3_v34
Power
External power supply
Icon-3 can only be used with the supplied
external power supply. The power supply
generates 12 VDC required for operation of
the analyzer.
The power supply is able to operate between
90-264 VAC @ 47-63Hz. No setting is required for input voltage selection. The
power supply has standard input and output connectors.
Upon connecting the power supply, Icon-3 is in low power consumption mode
and ready for operation.
Always use a grounded power outlet to avoid the risk of an electric
shock, and to ensure reliable operation.
An unearthed power outlet may make the analyzer sensitive to
external electrical interferences and may impair operation.
Power button
It is located on the right side of the beveled front
panel. When the external power supply is
connected both to the analyzer and to the mains
outlet, the analyzer can be turned on by pushing
the START button.
Page 29 OMICON3_v34
Power on
The single push of the START button will power on the electronics and Icon-3 will
display the welcome screen and the main menu automatically.
When Icon-3 is turned on, the screen remains dark, only backlight illumination
can be seen at the edges of the screen. This is normal. After a few moments Icon-
3 will show the welcome screen and load the SW when it is ready the main menu
will appear.
Power off
Icon-3 is a sensitive device with liquids inside. A simple power off might leave the
system in a state that can represent potential risk to moving components and
liquids inside.
Therefore, Icon-3 has a programmed power off sequence. It is recommended to
always follow the programmed power off sequence to avoid unreliable operation
of the structures inside the analyzer.
Icon-3 can be turned off by holding any point of the screen for 3 seconds and
initiating Shutdown in the submenu. To power off the analyzer, select
“Shutdown”. The automatic process will start, and the analyzer is safely powered
off within 30 seconds. Do not interrupt this sequence.
It is strongly recommended to power off the analyzer every day,
at the end of the daily routine. This will save electricity and
ensures that the analyzer operates reliably on a day to day basis.
Page 30 OMICON3_v34
Emergency power off
If necessary, Icon-3 can be powered off by holding the power button for 4
seconds. This method skips the preprogrammed Shutdown.
Performing an emergency power off can leave the analyzer in an
undetermined state. Not operating the analyzer after emergency
power off can result in malfunction.
Please contact your maintenance personnel to avoid damage to
internal components.
To completely and immediately power down Icon-3, remove the power cord plug
from the mains outlet or the power connector from the back of the analyzer.
Handling reagents
Icon-3 operates with special reagents. The reagents have been carefully designed
to meet the requirements of the analyzer. Icon-3’s quality assurance system
requires the use of these special reagents. Icon-3 recognizes and accepts genuine
reagents only.
Reagents are sensitive substances and as such require careful handling.
Reagent characteristics
Icon-3’s original reagents do not contain any environmentally hazardous
substances.
Page 31 OMICON3_v34
Blood samples
Icon-3 is able to process whole blood human samples.
Proper handling of a hematology sample is of key importance for accurate,
dependable and reproducible results. Blood is a living tissue composed of cellular
structures suspended in liquid plasma. The cellular structures are composed of
cell membranes with liquid and intracellular structures inside. Hematology
analyzers are designed to detect, calculate and classify these cellular bodies and
their content. As the cells are actually alive in the meaning of active chemical
interaction with their environment, keeping them close to their ideal
environmental conditions is important for correct analysis. Blood samples
intended to be analyzed for hematology purposes are sensitive to temperature,
anticoagulant quantity and quality, and mechanical effects.
Follow the guidelines below for optimal sample handling.
Rapidly and thoroughly mix the blood with the anticoagulant; do NOT shake the
vial for mixing. The anticoagulant requires approximately 15 minutes for taking
its required effect on the sample. Running the sample within the reaction time
of the anticoagulant may result in false cell counts and improper differential
results.
Page 32 OMICON3_v34
Transporting and storing samples
For best results, blood samples must be run within 8 hours from venipuncture if
stored at room temperature.
- Samples should be stored upright at room temperature for not more than
12 hours.
- If samples need to be transported after collection, provide a cooled
environment (2-8°C).
- Hematology blood samples must not freeze. Avoid direct contact of sample
containers and cooling agent (cold surface, ice pack, etc.).
- Samples can be stored refrigerated (between 2-8°C) for not more than 24
hours prior to analysis.
Sample age
To get the best WBC differential results, samples should be analyzed between
15 minutes and 8 hours after blood taking. This time period can be extended
up to 24 hours, if samples are kept refrigerated between 2-8°C.
- If a sample is kept refrigerated, remove it from the fridge, and let it rest at
room temperature for at least 15 minutes before analysis. Measuring cold
sample may affect WBC differential results.
Analyzing samples beyond 24 hours after taking is not recommended.
Page 33 OMICON3_v34
Proper Sample Mixing prior to run
Samples must be homogenized prior to analysis by 5-7 inversions of the vial.
Follow the steps below:
1. Tilt the tube carefully looking for clots in the sample – if clot found
refuse the sample from analysis.
2. Invert the tube: turn it upside down, allow the blood flow over
completely (1-2 seconds), then turn it back.
3. Repeat tube inversion another 5-6 times.
4. Run the sample immediately.
5. If you want to rerun a sample within a few minutes, invert the sample
tube just once, and initiate sampling.
Do not shake or drop the vial, this will form bubbles inside.
Do not apply vortex mixing.
Do not place samples on rockers/homogenizers, because it may
negatively affect WBC differential results.
Page 34 OMICON3_v34
Bubbles in sample
If bubbles are present in a sample, the amount of actual sample processed by
the analyzer may be less than required, and the analyzer may falsely report
incorrect values.
Such sample should relax for 10 minutes before analyzing it.
Sample handling
Blood samples must always be considered as biohazardous and
infectious biological material.
It is recommended to wear protective gloves and goggles.
Spilled blood must be cleaned up as soon as possible, and the surface it got in
contact with must be cleaned with a suitable sanitizer. Same applies to blood
dried onto surfaces. Always wear protective gear even when you are cleaning dry
blood from surfaces.
Page 35 OMICON3_v34
Menu system
The screen area
Icon-3’s information display screen can be divided into four areas:
1. Status bar
1
Displays active menu and
instrument status 2
2. Page count area
(appears if left-right swipe is
available)
3. Main information
4. Quick links
Displays further functions
available related to displayed 3
data
Page 36 OMICON3_v34
Menu tree
Run open or closed tube samples,
Sampling
Daily routine Calibration, QC, FastBlank
Results Database functions
Gestures
Icon-3’s touch screen user interface allows operating the analyzer with light taps
and swipe actions listed below.
Hold (touching a certain point and holding your finger there for
2-3 seconds before releasing it)
Page 37 OMICON3_v34
All actions (touch, hold and release) are acknowledged by a small circular symbol
appearing at the point where the user tapped the screen, and an audible beep is
head if sound was enabled.
Using the above basic actions, Icon-3 can interpret various combined actions, so-
called gestures.
Tap
Touching (tapping) an active area (icon, data
input field) will activate the corresponding
function, or open a sub-menu. For data input
fields, an on-screen keyboard is displayed at the
top or bottom quarter of the screen depending
on the position of the data input field.
Swipe
Icon-3 is able to display data that spans over
several screens (pages). Such pages are indicated
with small rectangles in the center near the top
half of the screen.
To switch (scroll) between such screens, you
need to perform a sweeping gesture by lightly
touching the screen at any point of the screen
showing data, and quickly sweep your finger in
the direction of the intended scrolling action (up,
down, left, right). The screen will be scrolled in
the requested direction.
Page 38 OMICON3_v34
Hold
To access functions related a specific area, or to
access special functions, you can touch and
hold a specific point on the screen. This action
will trigger displaying special local menus
offering services related to the contents of the
screen.
On-screen keyboard
When you select to enter data, an on-screen
keyboard will be displayed at the top or the
bottom quarter of the screen. The position of
the keyboard depends on the position of the
data input field to avoid covering the field with
the keyboard.
Page 39 OMICON3_v34
Data input
Alphanumeric input
Input fields are marked with an
underscore. Tapping into any field allows
editing data. The on-screen keyboard
will be displayed either in the top or in
the bottom quarter of the screen to
make sure that the input filed remains
visible.
The on-screen keyboard allows changing symbols entered by changing the keys.
The keyboard can be changed by swiping left or right to reveal capital letters,
small letters and symbols.
SPACE adds a space at the cursor.
CLEAR deletes the entire field.
BACKSPACE erases the character left of the cursor.
External keyboard
If an external keyboard is connected to Icon-3, then keystrokes from the external
keyboard will be used to enter data into input fields. Always the English keyboard
layout is used to interpret keystrokes.
Page 40 OMICON3_v34
Barcode input
If an external barcode scanner is connected, then the read ID will be entered as
Sample ID for the consecutive measurement.
This function is only active if the measurement function is activated. Barcode
scanner data will not be interpreted as data for any other field.
To input barcodes:
- Make sure the analyzer is measurement mode (ready to start)
- scan the barcode with the handheld scanner
When a barcode has been recognized and interpreted, the bar-code will be
entered into the Sample ID input field.
Numeric input
Some data fields may require modification on a larger scale. For this purpose,
Icon-3 offers another intuitive setting method.
Symbols ---, -- and – buttons will have decreasing effect on first, second and the
third digit, respectively.
Symbols +, ++ and +++ buttons will have increasing effect on first, second and the
third digit, respectively.
Page 41 OMICON3_v34
Description of icons displayed
[Options] Settings
Page 42 OMICON3_v34
[TSF] Save records into TXT file (Tab Separated File)
Page 43 OMICON3_v34
[ShutDown] Initiates shutdown sequence
[AlarmClock] Automatic timer for specific actions is on. Tap for details.
[Unsent] There are unsent records in the message queue (network error)
Page 44 OMICON3_v34
Setup
Icon-3 comes preprogrammed with the operating software, and has most its
options set to standard values, values that suits most laboratories.
However, you can customize these settings to make Icon-3 fit into your daily
routine even better. Here is a brief list of options that you are recommended to
adjust or verify to make the use of the analyzer simple and convenient.
Initial setup
Below is a recommended sequence of settings so that you can start using the
analyzer easily:
- choose a language for your analyzer
- practice gestures used on the screen
- set time and date
- set up your Laboratory information and measurement units
- set up your network and connectivity (email) (if available)
At the first startup a practice wizard starts where you can practice the usage of
analyzer (gestures, setting changes) and adjust date and time. You can skip each
stage; you can leave the setup wizard at any time. You can also (re)run the wizard
at any time later on.
Language
Icon-3 software supports various languages. The default is English. To change:
[Customize] (Page 2)
The second page of Options/Exterior will display the list of available languages.
Tap the checkbox to the right of the preferred language. All text displayed will
immediately be changed to the new language. Your changes are immediately
saved.
Page 45 OMICON3_v34
Time and date
Set time and date.
Page 46 OMICON3_v34
Settings – Customize
Appearance
[Page1]
You can disable the visual feedback of
touchscreen gestures.
You can enable/disable audible touch
feedback.
You can change the background image.
To use Custom wallpaper, use “Custom”
setting, and load your wallpaper by accessing
local menu (tap-hold screen) and tapping the
“Load Wallpaper” icon.
Page 47 OMICON3_v34
Languages
[Page2]
Language of the user interface can be
changes. Changes have an immediate effect.
Units
[Page3]
It also allows changing measurement units for
cell count (WBC, RBC, PLT), HGB, HCT/PCT.
Page 48 OMICON3_v34
System Settings
This menu allows setting operation related
parameters.
Email settings
[Page2]
This screen provides fields to set e-mail
account parameters used for reporting:
- “Email to”: Default “To:” address
- Sender e-mail address (“From:”)
- “From:” email account password
It is necessary to define SMTP settings
(default provider is Google because of
compatibility issues).
For details, please consult your email
provider. Gmail may require enabling “less
secure apps” to allow the device to manage
emails.
Page 49 OMICON3_v34
Some examples:
- Yahoo: smtp.mail.yahoo.com; 465 port; SSL
- Google: smtp.gmail.com; 465 port; SSL
- Office365: smtp.office365.com; 587 port; STARTTLS
It is possible to choose to automatically generate and email the report in PDF
format.
Test the e-mail settings by tapping the “Test E-mail settings” button.
Network preferences
Icon-3 allows connection to networks
over Wi-Fi or cable. Some processes
may fail if they start communication
over the wrong interface.
Access Local Menu (tap-hold screen)
on Email settings page to change
Network preferences setting.
It is possible to choose which interface
(WIFI/Ethernet) to use for various
activities:
- Remote Access
- Email transmission
- LIS transmission
- Network printing
Preferences can only be applied if
both wired and wireless networks are
available.
Page 50 OMICON3_v34
Printout Settings
[Page3]
There is a possibility to define some
standard messages or comments to be
included in a report generated by the
analyzer.
It is possible to enter a header composed
of 5 lines that will be printed on all reports.
These five lines can be left, center or right
aligned.
Enabling “AutoPrint” will make Icon-3 print
reports after the results are available.
(Requires connection of a printer)
Icon-3 can use ESC/POS language for
unrecognized printers.
Defining printout signature(s) will make
Icon-3 print line(s) with the defined
value(s) on the bottom of page.
(Signature’s visibility on A4 formats
depends on corresponding setting.)
Icon-3 can be forced to use ESP/POS language for unrecognized printers.
WARNING
Forcing an incorrect language to a printer may result in scrambled
printouts, and empty pages, even one single symbol per page!
Page 51 OMICON3_v34
Printout Format
[Page4]
It is possible to choose between 4 different
printout formats.
Select which parameters you want to
appear on the printout, and the order of
appearance can also be customized.
Note: parameters cannot be moved within
parameter groups. Parameter groups are
separated by horizontal lines.
It can be chosen whether you want the PDF
reports to be colored or not, hide
histograms, hide technical flags, print the
technical data and show or not the
signatures on the printout.
Page 52 OMICON3_v34
Color output is available for PDF, color printing depends on printer and its driver
capabilities (PCL6).
Page 53 OMICON3_v34
Network Printing
[Page5]
It is possible to use a network printer as a
default printer – define the IP address and
Port (consult your system administrator or
printer manual for details) of the printer.
Select PCL5 or PCL6 language. Only these
languages are available for network
printing.
When all settings are made, you can print a
Test page to verify the setup.
WARNING
Forcing an incorrect language to a printer may result in scrambled
printouts, and empty pages, even one single symbol per page!
An incompatible printer may not even react to wrong messages,
this way you get no feedback about the incompatibility.
Page 54 OMICON3_v34
Customization
[Page6]
Defining Comment 1-3 values will change
header of comment fields on printouts
and user interface as well.
QC charts include only 9 parameters
(WBC, LYM%, MID%, GRA%, RBC, HGB,
MCV, PLT ,MPV) if Short QC parameters
mode is selected.
Used Reagent volume: you can define the
volume (in Liters) of the external
container collecting waste liquid. When
the free volume drops below 0.3L, there
will be a Full container symbol in the
upper right corner of the screen. If you set
0 as volume, Icon-3 will not display a
warning at all.
Enabling QC measurement warning allows
the system to pop up a message about QC
measurement importance after every
daily startup.
Enabling Interpretation flagging option shows current interpretation flags for
results (screen, printouts).
Page 55 OMICON3_v34
Profiles
[Page7]
Minimum and maximum values can be set
for each measured parameters. Measured
values will be verified against these limits.
Icon-3 offers 8 slots (Human, Male,
Female, Profile 4-8). Swap between
profiles by swiping up/down.
All limits can be changed. You can define
custom names for Profile 4-8.
To backup/restore Profiles tap the “Load
Profiles” or “Save Profiles” icon by
accessing local menu (tap-hold screen).
Page 56 OMICON3_v34
LIS (Laboratory Information System)
[Page8]
Icon-3 is capable of transmitting reports
using HL7 v2.5 protocol to a host
computer.
This page allows setting HL7 server IP
address along with the communication
port.
Automatic transmission of results can be
enabled.
By enabling repeating of Sample ID as
Patient ID the transmitting report will
contain standard HL7 PID field which
includes the sample identification string.
Keeping HL7 connection open after
transmission can be enabled.
HL7 message format is depends on
selected version. For more information
requests for HL7 transmission protocol
document.
This page also allows setting up Remote Access parameters. For details, please
contact your Service Personnel.
With LIS resend option you can set when the software sould resend unsent LIS
messages (in every 1/4/24 hours or never).
Page 57 OMICON3_v34
Measurement Settings
The detector used for sample detection in open mode close to its operation limits
below HGB = 45 g/L. A very thin (low HGB) sample or a sample without particles
(not blood) can trigger this warning. To avoid these limitations, you can disable
the open mode sample (blood) sensor.
This way the system will use a preset volume of sample travel and will not use
sample sensor. The disabled OPEN sample detector is marked with red
highlighted BS (Blood Sensor) symbol on the top of the screen.
Page 58 OMICON3_v34
Setting up reagents
Icon-3 requires reagents to run. Connected
reagents can be managed from the
Reagents menu. Reagents menu has two
separate branches: one for packed and one
for individual (“Bulk”) reagents.
Reagent: Pack
Tap on the Reagent icon in the main menu
then select “Pack”.
Page 59 OMICON3_v34
To add reagent packs to the system:
Icon-3 offers entering reagent pack data
using the onboard camera. Norma provides
reagent packs with QR codes.
To activate QR code reading sequence:
- tap and hold any point on the
screen.
- tap the small camera icon. “Read
QR”
The screen will change, and you will see a
live image of what the camera “sees”. The
camera is located in the center of the letter
“o” in the “Icon” text at the top right corner
of the front panel.
Page 60 OMICON3_v34
Reagent: Individual Reagents
Tap on the “Reagent” icon in the main
menu and then select “Individual
Reagents”.
A list of individual reagents will be
displayed.
You can see the details of actual reagents
by tapping the row of a specific reagent.
The active (currently used) reagent will
have a green background. Inactive reagents
have no coloring, expired or empty entries
will have a dark red background.
Swiping left on a row will bring up detailed
information about the reagent: LOT
number, expiration, part (ordering)
number, and level of the container with
consumption data.
Page 61 OMICON3_v34
To add individual reagents to the system:
Icon-3 offers entering reagent data using the
onboard camera. Norma provides individual
reagents with QR codes.
To activate QR code reading sequence:
- tap and hold any point on the
screen.
- tap the small camera icon.
The screen will change, and you will see a live
image of what the camera “sees”. The
camera is located in the center of the letter
“o” in the “Icon” text at the top right corner
of the front panel.
Page 62 OMICON3_v34
Manual QR code entry
In some cases, the QR code could be damaged. In this situation the user can enter
the QR code data manually.
Activate local menu in reagent pack list menu or in diluent, lyse or system
solution list menu.
Enter all data located around QR code into the corresponding data field.
After that tap the button below the data to confirm data.
The analyzer will not allow more than three false data entries. The analyzer must
be restarted to try again.
Page 63 OMICON3_v34
Network Settings
You can make the most of Icon-3’s services if
you let it connect to a network with access to
the Internet, so that it can create and send
reports in emails, transmit data to your
laboratory information system and update
software when necessary.
Network availability is displayed in the top
row of the screen.
When Wi-Fi is available (a USB Wi-Fi adapter
is connected) then a little signal strength icon
appears in the top row.
Page 64 OMICON3_v34
Wi-Fi settings
Network connectivity supports the following
encryption protocols:
- open
- shared
- WPA2 Personal
- WPA Personal
DHCP is always assumed for Wi-Fi.
If required, you can enter the password for
the network, and then tap “Join” to start
connecting.
For details on the network, please contact the
local network administrator.
Page 65 OMICON3_v34
Daily operation
Your daily routine will mostly consist of
powering on the analyzer, running samples
with unique sample ID’s and creating reports.
It is good laboratory practice to run QC material
on a daily basis to ensure and allow controlling
the performance of the analyzer on a day-to-
day basis.
You will most probably create reports of the
samples run and occasionally you will need to
find earlier results of individual patients.
All these tasks are outlined below to give you
an easy to follow guide and make laboratory
work routine and fun to do.
Power on
Icon-3 will mostly be waiting in stand-by mode.
Push the START button to wake up the analyzer,
the status ring on the top will change color.
The user interface will be displayed shortly, and
the analyzer is ready for work.
The fluidic system will always require initialization,
a programmed startup. This is indicated by a yellow analyzer in measurement
mode.
Tap the yellow icon to start the initialization.
Page 66 OMICON3_v34
Running samples
To start measurements, tap “Daily routine” and then tap „Sampling”.
It is recommended to verify the accuracy of measured parameters. The practical
method is running a QC measurement using control material.
To avoid personal injury, do not put your finger into the opening.
Avoid placing objects different from a blood collection vial to avoid
damage to the analyzer.
Avoid putting tubes without caps into the sampling mechanics.
Page 67 OMICON3_v34
Avoid putting more than one barcode label onto the blood
collection tube to avoid the tube getting stuck in the sampling
mechanics.
Icon-3’s sampling mechanics is equipped with a cap detector.
Cap detector operation may be impaired by additional labels put
on the sample vial, and Icon-3 may refuse to run such tubes.
Tapping the analyzer symbol in the center will start the measurement.
Icon-3 will lower the sample vial into the sampling mechanics and will take a
sample with its built-in cap piercing needle.
When the sample has been taken, the vial will be returned to the Operator.
Results will be available in a minute.
A new result will be indicated by a small icon in the lower right
corner of the screen. Tapping this icon will take you to the Results
screen and data will be displayed on the screen.
Page 68 OMICON3_v34
Open tube mode
To run samples in Open tube mode, the blood collection tube must
not have its cap on.
Always follow laboratory practice by wearing necessary protective
gear to avoid getting in contact with blood samples, which must be
treated as potentially biohazard material.
Page 69 OMICON3_v34
During sampling, always pay attention to hold the vial parallel to
the flexible tip.
Page 70 OMICON3_v34
Results
Icon-3 can display results in two ways:
- in short form during measurement in the lower half of the screen;
- a full (detailed) view is accessible in “Results” (database)
Page 71 OMICON3_v34
Full result (Full screen)
Full, detailed results are available from the Main menu under “Daily routine”/
Results.
Flags are displayed written in yellow color.
Page 72 OMICON3_v34
Flags
The screen below intentionally contains an error flag (red flag).
Technical flags
Icon-3 is able to display technical warning flags. Flags can appear in various
locations, depending on significance and relevance. Flags by the Sample ID refer
to sampling or sample handling mistakes. Flags displayed in WBC and RBC groups
refer to parameter related irregularities. Technical flags rather give guidance for
the user, an indication of not operating the analyzer as recommended.
Flags have different levels of significance. Each flag has two confidence levels. As
long as results are not negatively influenced by the detected conditions, results
will be displayed along with the flags. As soon as severity of the problem goes
beyond safe result interpretation, and would impact readings, values will be
dashed out.
Page 73 OMICON3_v34
List of Technical Flags
Improper Voltage
Your analyzer might be operating outside the described
Meaning
environmental conditions.
Type RBC, WBC
Effect on result Results are NOT displayed.
Please observe environmental requirements. Maybe
Resolution
cleaning is due.
Inadequate Lysis
The sample could not react to the chemicals in the lysing
Meaning
reagent.
Type WBC
Effect on result WBC, Diff# and Diff% values are marked with *
Resolution Check Lyse in external tubes. Rerun the sample.
Noise
Meaning Only original reagents should be used with Icon-3.
Type WBC, RBC
Effect on result Results are NOT displayed.
Resolution Verify reagents.
Overload
Inadequate volume of reagents, or reagents improperly
Meaning
connected.
Type RBC, WBC
Effect on result Results are NOT displayed.
Resolution Verify right connection.
Page 74 OMICON3_v34
Linearity Range Exceeded
The results are beyond the linearity range of the
Meaning
analyzer.
Type RBC, WBC
Effect on result Results are displayed.
Resolution Run the sample after 1:1 predilution.
Unstable HGB
Meaning Improper homogenization of sample.
Type HGB
Effect on result Results are NOT displayed.
Rerun the sample. If maintenance related cleaning
Resolution
actions have been omitted, please do them now.
Unstable Voltage
Inadequate sample kinked external tubes resulted in
Meaning
insufficient volume of reagents aspirated.
Type WBC
If the significance of the problem is LOW:
WBC, Diff# and Diff% values are marked with *
Effect on result
If the significance of the problem is HIGH:
Results are NOT displayed.
Please verify external reagent connections and rerun the
Resolution
sample.
Unstable Voltage
Inadequate sample kinked external tubes resulted in
Meaning
insufficient volume of reagents aspirated.
Type RBC
If the significance of the problem is LOW:
RBC, PLT and related values are marked with *
Effect on result
If the significance of the problem is HIGH:
Results are NOT displayed.
Please verify external reagent connections and rerun the
Resolution
sample.
Page 75 OMICON3_v34
WBC Channel Dirty
Meaning Cleaning was omitted recently.
Type WBC
Effect on result WBC, Diff# and Diff% values are marked with *
Please clean the analyzer (“Open Cleaning”) and run a
Resolution
“Rinse” process
WBC Fallback
Inhomogeneous WBC concentration but evaluation has
Meaning
succeeded.
Type Technical
Effect on result Results are displayed only on technical view.
Resolution Rerun sample. Can be sample related.
3part Fallback
Inhomogeneous WBC concentration but evaluation has
Meaning
succeeded.
Type Technical
Effect on result Results are displayed only on technical view.
Resolution Rerun sample. Can be sample related.
Diff fallback
MID population is over 50% due to possible wrong
Meaning
distribution of high GRA population.
Type WBC
Effect on result WBC, Diff# and Diff% values are marked with *
Resolution Rerun sample. Can be sample related.
Page 76 OMICON3_v34
Interpretative Flags
This flagging function will display text if a given parameter is outside the normal
range. These flags will appear in the information box below the results.
Parameter Low flag High flag
WBC Leukopenia Leukocytosis
LYM Lymphopenia Lymphocytosis
GRA Granulocytopenia Granulocytosis
RBC Anemia Polycythemia
MCV Microcytosis Macrocytosis
MCHC Hypochromia Hyperchromia
RDW sd Anisocytosis
PLT Thrombocytopenia Thrombocytosis
MPV Microcytic PLT Macrocytic PLT
Page 77 OMICON3_v34
Reports
PDF
Icon-3 is able to send reports
ready to be printed via email or
is able to save reports to USB
Hard Disk, stick, etc.
Reports include all entered
patient data, along with
reported parameters,
histograms and additional
notes, comments created using
the analyzer during or after
analysis.
Note: if you choose to export one single result into one PDF file, then the
SampleID (if defined) will be added to the name of the PDF file. PDF export file
name is generated as follows: SampleID_DATE_TIME.PDF
Page 78 OMICON3_v34
Printer Thermal
Icon-3 is able to send report to
connected thermal printer. When
Icon-3 detects Thermal printer is
connected proper
symbol will be shown
on status bar.
Page 79 OMICON3_v34
Printer PCL5/6
Icon-3 is able to send report to
connected printer which is
capable to interpret PCL5/PCL6
printer language. When Icon-3
detects PCL5/PCL6 compatible
printer is connected
proper symbol will
be shown on status
bar.
Note: Icon-3 supports a limited set of printer languages. The printer must
support one of the following languages:
- PLC5
- PCL6
- ESC/POS
Printers not supporting the above printer languages will trigger a printer symbol
with a question mark on the screen, and will print scrambled reports, or a lot of
empty pages.
Icon-3 can force the ESC/POS language for unknown printers.
Page 80 OMICON3_v34
Power off
A regular power off can be initiated at any time. Processes that actually run the
fluidic system cannot be interrupted.
To power off, press and hold any point of the screen for 3 seconds. A quick menu
will be displayed offering various actions including shutdown (power off).
Shutdown will prepare the system for a longer period of inactivity. The process
takes about a minute, after which the system will automatically power off,
leaving Icon-3 ready to be disconnected from the mains if necessary.
To clean the piercing needle during Shutdown process run the specialized
Shutdown with Needle Clean process from Management menu. See Shutdown
options below:
1. Shutdown (Location: Management/Maintenance/General Menu)
The analyzer will perform the regular shutdown procedure by washing the
Sampling Tip, priming a small amount of Diluent and rinsing the Shear Valve.
Or in submenu:
Page 81 OMICON3_v34
2. Shutdown with Needle Clean (Location:
Management/Maintenance/General)
The analyzer will perform the regular shutdown procedure with the additional
needle cleaning. An empty control blood vial with 2-3 ml of iHClean (hypochlorite
solution) must be prepared in advance.
Page 82 OMICON3_v34
ER mode
Icon-3 is able to run in ER (“Emergency Room”) mode. In ER mode user has
limited access to user functions.
The user can access Sampling, Results and Maintenance functions. This mode
allows operating the analyzer in an environment where users do not deal with
analyzer setup on a daily basis. Settings are however accessible with a password.
ER Sampling
Same operations are available like
in the “Daily routine” menu
“Sampling” submenu with
restrictions:
- mandatory Sample ID
function could be activated
by service personnel
- Auto-increment option could
be disabled by service
personnel
- Open mode option could be
disabled by service
personnel
- calibration cannot be
accessed
ER mode behavior can be set up in Service Menu. For details, see next pages.
Page 83 OMICON3_v34
ER Results
Same operations are available like
in the “Daily routine” menu
“Results” submenu with
restrictions:
- calibration results are
unreachable
Possible options in ER mode
(Service Setting required)
- Forced Sample ID,
Operator ID
- Pre-mixing of sample in
closed mode
- Disable Profile selection
(Human limits will be
used)
- Hide “Reuse previous
sample data” button
- Hide 3-part results
- Automatic Rinse,
FastBlank
- Adjustable FastBlank limits for WBC, RBC and PLT values
- Sampling menu is automatically displayed after 5 minutes of inactivity
- Hide auto-increment option
- Hide open mode
Page 84 OMICON3_v34
Switching between ER and Admin mode
User can change between ER and Admin mode by accessing local menu (tap-hold
screen).
Page 85 OMICON3_v34
Calibration
Icon-3 as any laboratory analyzer can be calibrated. For this purpose, Icon-3
offers two ways to perform this task. Icon-3 arrives to your laboratory factory
calibrated.
Calibration is necessary if laboratory standards require it, or when maintenance
actions require you to do so. You may need to calibrate upon installing new
reagents.
Target values
Calibration is performed comparing the reported values of the analyzer to a
known specimen, or standard. Hematology analyzers have their own calibrator
materials called Hematology Calibrators.
A calibrator material is made by using human samples mixed with specially
treated particles to guarantee stable values for parameters over the stability
period of the calibrator material. All calibrator products come with a list of the
target values of calibrated parameters.
It is recommended to use calibrator material called NormaCal3.
These target values represent the standard to which your analyzer’s reported
values are compared.
Page 86 OMICON3_v34
Mode-to-mode calibration
Calibrating Open Sampling Mode to Closed Sampling Mode
This analyzer has two separate sampling modes and each mode
has its own set of calibration factors. These modes can and have to
be calibrated separately.
To make sure that the analyzer reports identical values for open and closed mode
sampling of the same sample, the following method is recommended:
1. Make sure that the analyzer has been calibrated in closed mode using
calibrator material.
2. Run a live (human) sample in closed mode 3 times.
3. Go to Results, and calculate the mean values of WBC, RBC, HGB, MCV,
RDWcv, PLT and MPV for the 3 repeated measurements.
4. Note (write down) these mean values.
5. Start an open mode calibration.
6. Enter the values that you wrote down previously as target values.
7. Run the same live (human) sample in open mode 3 times.
8. Accept the calibration.
9. The two sampling modes have been successfully calibrated to one
another, thus the analyzer will be able to report matching results for
human samples.
Note: Step 3 – 6 can be substituted by using “Calibrate”
function on selected measurements via accessing local
menu (tap – hold screen).
Page 87 OMICON3_v34
Automatic calibration
Icon-3 offers an automatic
calibration method to keep the
process as simple as possible.
The steps of automated calibration
are as follows:
- enter target values
- run the calibrator
material a specified
number of times
- accept the calibration
result
Icon-3 can calibrate the below
measured parameters:
- WBC, RBC and PLT count
- HGB, MPV, RDW and MCV
value
Check the box in front of
parameters you want to calibrate.
Enter target values either by defining the expected values of the calibrator found
on the accompanying insert or, scan the special barcode containing all these data
using Icon-3’s built-in camera.
Page 88 OMICON3_v34
Select measurement mode (open or closed tube sampling), insert the vial with
the calibrator material into Icon-3’s sample opening or immerse the flexible
sampling tip into the sample and press START.
Icon-3 will mix and run the sample and will calculate the mean values of the
measured parameters. The mean value will be used to calculate the calibration
factors using the formula below
𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑟𝑟𝑡𝑡𝑡𝑡𝑡𝑡𝑡𝑡𝑡𝑡𝑡𝑡
𝐶𝐶𝐶𝐶𝐶𝐶𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝(𝑛𝑛𝑛𝑛𝑛𝑛) = ∗ 𝐶𝐶𝐶𝐶𝐶𝐶𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝𝑝(𝑜𝑜𝑜𝑜𝑜𝑜)
𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑟𝑟𝑚𝑚𝑚𝑚𝑚𝑚𝑚𝑚
Each sample run will be listed on
the screen, with each parameter to
be calibrated.
Consequent measurements
(samples) will be displayed on small
Levey-Jennings charts, each sample
represented by a small dot. This
screen allows a quick overview of
the process, displaying calculated
Mean and CV values.
Highlighted samples can be deleted
(“Drop”) from the list of
measurements.
Red highlight indicates that
accepting these values would push
the calibration factor to its 30%
limit. Red highlight is intentional to
demonstrate error.
“Reset” will clear values and cancel
the calibration process.
Page 89 OMICON3_v34
Manual calibration
Icon-3 also offers the option to
enter calibration factors manually.
Possible values are 0.70 .. 1.30.
This way the operator can modify
calibration factors parameters
individually.
Manual calibration can be a much
faster method than the built-in
automatic calibration service, but
care must be taken when changing
parameters manually.
Each calibration factor can range from 0.70 to 1.30 allowing a ±30% range for
adjustment.
Page 90 OMICON3_v34
QC – Quality Control
Icon-3, just like any laboratory analyzer needs verification of its performance
from time to time. For this purpose, Icon-3 offers the Quality Control service.
Quality Control is a built-in tool offering an easy method to track the
performance of Icon-3. Enabling QC measurement warning allows the system to
pop up a message about QC measurement importance after every daily startup.
Expected values
Quality Control is performed measuring the same specimen over a period of
time. Hematology analyzers have their own control material called Control
Blood.
Control blood is made by using human samples mixed with specially treated
particles to guarantee stable values for parameters over the stability period of
the control material. All control blood products come with a list of the expected
values of parameters.
Please always observe the package insert of the control material;
such products require storage in a refrigerator. Prior to using the
control material, it must reach optimal (room) temperature.
Always follow the instructions accompanying the control product.
These expected values represent the standard to which your analyzer’s reported
values are compared. It is recommended to use control material NormaCont3+,
developed specifically for Icon-3.
Recommendation to
perform Quality Control
measurements after
turning on the analyzer – a hint
message is displayed on the
measurement screen after the first
entry each day, to remind users to
verify the analyzer’s performance by
running QC measurement with
NormaCont3+ control blood.
This function can be switched on and off. (Location: Options/Customization)
Page 91 OMICON3_v34
Assay sheets
Icon-3 offers entering QC Assay values via
QC codes using the onboard camera.
Norma provides Assay Sheet values in QR
code form as well. To read the QR code,
you will have to print it then present it to
the analyzer as described below:
- To activate QR code reading
sequence, tap and hold any point
on the screen.
- Tap the small camera icon.
The screen will change, and you will see a
live image of what the camera “sees”. The
camera is located in the center of the
letter “o” in the “Icon” text at the top right
corner of the display.
Page 92 OMICON3_v34
Assay sheet data can also be entered
manually.
The list of QC materials can be seen with a
manual entry point in the top row.
Banks can be selected as targets for
measurement by ticking the box in front of
the specific row.
Banks can be deleted by ticking the box in
front of the specific row and going to the
local menu and selecting “DROP”.
Tapping the first (top) row will enter the
screen where manual definition of
parameters is possible.
Page 93 OMICON3_v34
QC diagrams
Icon-3 can represent QC data in two views.
QC data are only shown if there are actual
QC measurements stored in the analyzer’s
memory.
One view lists data in a graph where values
of parameters are displayed against
measurements in sequence (time).
You can initiate a measurement by tapping
the analyzer icon on the screen.
New QC measurements will be displayed
on the chart.
Page 94 OMICON3_v34
QC reports
Icon-3 can print Levey-Jennings diagram via
thermal and PCL5/6 printer as well. To print
diagram tap “Print” button via accessing local
menu (tap – hold screen).
Page 95 OMICON3_v34
Database functions
Browsing records
The database allows browsing records listed in rows. Swiping (scrolling) gestures
can be used to access various views of the database.
The database is arranged into three separate sets of data:
- Samples, QC measurements and Calibration data, Fast Blanks, Recycle
Bin
- Within each set, you can browse by date
- Swiping LEFT will reveal more and more detailed data of the row,
record examined
↑ ↑ ↑
Human Date Record Details
↓ ↓ ↓
↑ ↑ ↑
QC Date Record Details
↓ ↓ ↓
↑ ↑ ↑
Results Calibration Date Record Details
↓ ↓ ↓
↑ ↑ ↑
Fast Blank Date Record Details
↓ ↓ ↓
↑ ↑ ↑
Recycle Bin Date Record Details
↓ ↓ ↓
Swiping the screen in the left or right direction will switch pages displayed.
Swiping the screen up or down will scroll the view up or down: you can scroll
between dates, groups of records and individual records.
All deleted records are moved to the Recycle Bin. Records in the Bin can be
restored.
Page 96 OMICON3_v34
Database context menu
Tapping and holding any point of the
screen in database view brings up a so-
called context menu screen.
The screen has operation related
functions in the top. The central region
has icons representing functions
related to actions corresponding to
database records.
Page 97 OMICON3_v34
Selecting records
By tapping “Same Day” you can select
records measured on the day of the
actual result.
By tapping “Same SID” you can select
records matching same SampleID of
the actual result.
Tapping “Selection Start” will allow multi-selection of results. You will be taken
back to the database table view. You can select the END of the selection by
ticking the box in front of any sample. All samples between the “first” (where
selection started) and the “last” (the one you ticked) will be selected.
Select All – the feature is available if
at least one record was selected.
The number of selected records will
be shown under the list of records. By
(un)ticking the box by the “3” of 3668
will deselect ALL records.
Page 98 OMICON3_v34
Selecting records between two dates
Follow the process below to select all records between two dates:
1. Tap local menu
2. Enter start date
3. Tap “Jump”
4. Select first record
5. Tap local menu
6. Tap “Selection start” - Checkbox of first record turns red
7. Tap local menu
8. Enter end date
9. Tap “Jump”
10. Select last record – All records between start and end dates will be
selected
Tap the menu symbol, enter your search criteria. Enter minimum 2 characters.
Search function works on normal measurement results, including those in the
Recycle Bin.
Matching results will be displayed in a separate database view.
Page 99 OMICON3_v34
Managing data
Tap the corresponding icon to
activate the function:
- print results via
connected thermal or
PCL5/6 printer
- export results in TSF format to USB HD (Tab Separated File – ideal for
external processing)
- e-mail results in PDF format
- save reports in PDF format to USB HD
- save reports in raw data format to USB HD
- send results to LIS
- drop selected records into Recycle Bin
- CV% calculates CV data of selected results.
Sending e-mail
To email, enter the address of the
recipient. Email settings are
available under Options menu
Functionality submenu.
Keeping “CC” checkbox selected will send a copy to the default email address (as
defined under email settings).
Daily maintenance
- Clean outer surface
- Check reagent connector
Note: The analyzer will automatically force a sampling tip wash process to avoid
the flexible tip getting jammed in the open wash head due to low usage
frequency of the open sampling tip. This event is triggered every 48hrs. The
counter restarts with every open sampling tip operation. (e.g. if the user runs
open samples every day, the system will not clean the tip; if the user does not
run open samples, then the system will wash the tip every 48hrs.)
Weekly maintenance
- Open tube sampling tip: clean the bottom of the washing head with a
cotton swab
- See also at section Cleaning procedures of the fluidic system
below
Emergency procedures
- Cleaning
- Power off
o Scan QR code
o Initiate auto-prime
Software update
You can initiate loading the analyzer with a SW upgrade by tapping the proper
button in System menu / About submenu. Contact your Service team for details.
Note the times and dates when specific functions can be initiated by the analyzer.
History details
Swiping left on a specific line of History will
show the details of a specific message. You
can sweep up and down to access further
pages, lines.
1 2 3 4 5 6 7
Statusbar contains status symbols and shortcut to main menu. Instrument
statuses are including following informations (from right to left):
1. home shortcut to return into main menu / ER mode displayed
2. alarm clock – automatic scheduling is on
3. progress symbol when fluidics action is in progress (animated)
4. printer symbol when printer is connected
a. 3 versions: PCL5/PCL6, ESC/POS, Unknown)
5. wireless network symbol when wireless USB dongle is connected
6. Ethernet connector symbol when wired network cable is connected
7. Available measurement count with messages:
a. Sample count based on actual reagent level
b. Expired
c. Inactive
D, S, L indicator, when a reagent sensor is disabled in Service menu
BS indicator, when sample movement is controlled by blood sensor
External container full symbol
WARNING
Only qualified service personnel may replace the internal fuse and
the time keeping battery.
When not in use or relocating, always store the analyzer in its
original packaging to avoid physical damage.
Storing the analyzer outside the above specified environmental
conditions or outside its original packaging may impair operation
and may also cause erroneous or faulty operation.
Do not place the analyzer near a direct heat source or into direct
sunlight.
The desk supporting the instrument should be flat, horizontal and
stable enough to support the weight of the analyzer and
accessories.
Operating the analyzer outside the above specified environmental
conditions may impair operation and may also cause erroneous or
faulty operation.
Accuracy
Data listed below are from a comparative study with Abbott Cell-Dyn 3700:
R2 (CLOSED Conditions
Parameter
SAMPLING) (whitepaper)
WBC 0.96 1.0 < WBC < 20.0
HGB 0.97 100 < HGB < 240
RBC 0.97 3.0 < RBC < 6.0
MCV 0.98 70 < MCV < 100
PLT 0.96 100 < PLT < 800
MPV 0.96 5 < MPV < 15
Linearity
Below linearity claims were measured using hematology linearity kits.
Parameter Linearity range Unit Notes
WBC 0 – 100 10 /µl
3
PLT clumps
Some samples may contain PLTs that tend to form clumps and thus may be
reporting low PLT values in an otherwise normal sample. This may be caused by
the type of anti-coagulant or due to some medication that makes PLTs more
likely to form clumps. Incorrect sample collection or failure to follow mixing
immediately after taking the sample may also cause PLT clumps. If such condition
was assumed, make sure to mix the sample thoroughly before running it in the
analyzer again.
If clumps are suspected due to low PLT value, elevated MPV, indefinite valley
between RBC and PLT populations or pseudo populations present beyond the
RBC peak, then microscopic inspection of the sample is recommended. Please
note that accurate PLT counts cannot be achieved if clumps were present.
HGB interference
Determination of the HGB value in a sample is based on a photometric
measurement based on absorption of light of 540 nm wavelength through the
lysed blood sample. HGB is related to the amount of light detected by the
photometer. Any substance that may reflect or diffract light can have effect over
the amount of light detected by the photometer by changing the amount of light
detected. Lysis destroys RBC and leaves WBC and PLT in the solution. WBCs are
much less in number so that they would not influence the amount of light
detected by the photometer.
Particles (e.g. WBC) present in excess number will however act as tiny mirrors
suspended in the liquid (sample) and can influence the amount of light detected.
The analyzer is equipped with the necessary compensation algorithms to reliably
provide HGB values unaffected by WBC count.
Anti-coagulant used
The anti-coagulant used for treating the sample has one of the most influencing
effects over results. The right chemical, the correct amount and proper
homogenization are all key factors to a reliable result. Using a lower amount of
anti-coagulant may leave the sample partially clogged, resulting in PLT clumps;
extensive amounts will dilute the sample, and can boost cell aging and
degradation, some RBC may turn into burr-cells making MCV reading inaccurate.
PLT clumps, coagulation, unstable, varying cell counts may also be the side
effects. Not using anti-coagulant or using an improper sample collection vial may
result in radical fluctuation of parameter values.
Sample age
Sample age also has a significant effect on results. Samples should be analyzed
within 6 hours from sample collection. If samples cannot be analyzed within this
time frame, then they should be stored refrigerated (2-8°C). Samples analyzed
beyond 24 hours may suffer decrease in WBC and RBC counts, HCT value. HGB
usually remains stable, yet PLT value may increase as a consequence of degrading
blood cells.
(External)
Power Supply
USB, SOURCE
ETHERNET (power)
MOTORx2
FCTRL I
VALVESx6
LILIOM
MOTORx2
COLIBRI FCTRL II VALVESx3
PUMP
DCENT DATA DHGB
DISPLAY PROCESSING
& CONTROL REAGSENS
TOUCH HIGH
AMPLIFIER
VOLTAGE
TOUCH CTRL
The main controlling board (Liliom) hosts a computer module (Colibri) which is
connected to the LCD and the touch screen, and to the USB/Ethernet ports.
Motors, pumps and valves are controlled by 2 special boards (FCTRL I & II).
The impedance measurement signals are processed by the amplifier, and the
DCENT board. DHGB board measures HGB.
SOURCE board receives and distributes power and displays analyzer status lights.
It is also connected to the START button board.
Mechanical Errors
Error message Reason for error Remedy
Shear Valve error. An Mechanical Error Rerun operation. If
error occurred while persists, contact Service.
testing Shear Valve
backlash.
An error occurred while Pump not operating, Rerun operation. If
attempting to use pump. pump jammed. persists, contact Service.
Sampling Rotor error. An Mechanical error. Rerun operation. If
error occurred while persists, contact Service.
attempting to use Check whether closed
Sampling Rotor. mode sampling opening is
obstructed.
Sampling Rotor error. An Mechanical error, sensor Rerun operation. If
error occurred while induced. Flexible tip might persists, contact Service.
attempting to use have been obstructed Verify that tip can move
Sampling Rotor (Sampling moving in/out. freely.
Rotor invalid position).
Valve error. An error Valve controller Error Rerun operation. If
occurred while attempting persists, contact Service.
to set valve.
Shear valve recovery The shear valve had Confirm, and run
problems moving, but the initialization.
system resolved the error If possible, go to
Management /
Maintenance / Cleaning /
Shear valve rinse
Electronic errors
Error message Reason for error Remedy
Camera error. An error The camera could not be Power off and on again. If
occurred while activating detected. the problem persists, use
camera. electronic files to load
data.
Contact service to
schedule a visit.
Inform Service
Dirty WBC channel Electrodes “dirty”: Run Open cleaning
error buildup due to high
sample load
Electrical problems
Symptom Possible cause Remedy
Instrument cannot be Power is not connected Connect power source,
powered on Power voltage is too high, verify connections
or too low Replace / check power
Fuse is blown inside supply (is LED on?)
analyzer Contact Service
Indicator on top/front of Power voltage is too Replace power supply
the analyzer glows in RED high/low
or BLUE color BEFORE
power ON
Instrument powers down Power system fluctuations Try to start the analyzer
during operation again. Use a UPS.
Contact Service
Software error message Corrupted SW system. Contact Service
Touch screen does not Faulty touch screen Connect an external
react to gestures mouse for temporary
operation. Contact Service
Uncertain operation of Faulty touch screen Connect an external
touch screen mouse for temporary
operation. Contact Service
Flexible sampling tube is Tube has been pushed in Try to restart analyzer.
not pushed out during by user, or movement is
open tube sampling blocked.
Tube was bent/broken by
Contact Service
user, tube cannot be
pushed out
Leakage from the wash Clogging in washing head, Clean washing head.
head of the open tube salt crystals. Check external reagent
sampling Pump failure. tubes.
Kinked external waste If it still fails, contact
tube. Service
Printer problems
Symptom Possible cause Remedy
Scrambled printout Incorrect printer model Use Printers with PLC5 or
ESC/POS language support
Empty pages printed Incorrect printer model Install compatible printer.
Contact Service for
instructions
Printer connected, but no Printer is not supported, Test the printer and USB
printer icon in top row of USP cable wrong cable with a PC.
Icon-3 screen Printer is OFF
Restart Icon-3.
Make sure to use the
same grounded electrical
outlet for Icon-3 and
peripherals.
Test USB sockets with an
external Keyboard or with
a USB stick (and try to
save diagnostic files to the
USB)
We, Norma Instruments Zrt., do herewith declare under our sole responsibility
that the CE marked In Vitro Diagnostic Medical Device
Errata
This manual is under continuous revision and improvement. The sections listed
below are known to describe functions focusing on convenience of use that
may not yet be available in your analyzer.
Missing descriptions or functions do not impair the operation of the analyzer.
References:
- 98/79 EN Directive
- pubmed.org
- eurlex.eu