Stanbio HemoPoint-H2 User manual

HemoPoint®H2
Hemoglobin Photometer
User’s Guide

The copyright of this document is protected! Copying and
distribution to third parties only by written permission of
Stanbio Laboratory.
Stanbio Laboratory
1261 North Main Street
Boerne, Texas 78006 U.S.A.
Tel: [phone]
Fax: [phone]
e-mail: [email protected]
HemoPoint®H2 Photometer manufactured in Germany for:
Stanbio Laboratory, Boerne, Texas U.S.A.
Revised: 10. May 2010
Software-Version: From 2.04.0
Subject to modifications.

Table of contents
HemoPoint®H2 User’s Guide
1
0. Table of contents
0.TABLE OF CONTENTS ..................................................1
1.IMPORTANT INFORMATION .........................................5
1.1WELCOME!....................................................................5
1.2EXPLANATION OF THE GRAPHIC SYMBOLS ........................5
1.3SAFETY NOTES ..............................................................5
2.INTENDED USE ..............................................................8
3.SET UP ............................................................................9
3.1UNPACKING THE PHOTOMETER .......................................9
3.2SETTING UP THE PHOTOMETER .....................................10
3.3SWITCHING THE PHOTOMETER ON AND OFF ...................11
3.3.1Using for the first time ...........................................11
3.3.2To operate using the power adaptor .....................12
3.3.3Battery operation...................................................14
3.3.4Stand-by mode......................................................14
3.3.5Displays and symbols in the ready mode .............15
4.SAMPLING AND TESTING PROCEDURE ..................16
4.1TAKING A SAMPLE ........................................................16
4.1.1Notes on using the microcuvette...........................16
4.1.2Taking a sample of capillary blood........................17
4.1.3Taking a sample of venous or arterial blood.........21
4.2PERFORMING THE TEST ................................................23
4.3QUALITY CONTROL .......................................................28
4.3.1AutoCheck.............................................................28
4.3.2Blank reading ........................................................28
4.3.3External quality control..........................................28
5.FURTHER FUNCTIONS................................................30
5.1TOUCHSCREEN ............................................................30
5.1.1General..................................................................30
5.1.2Meaning of the buttons / Navigation .....................31
5.2MEMORY (DATA STORAGE)...........................................31
5.2.1Displaying results from memory............................31

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HemoPoint®H2 User’s Guide
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5.2.2Printing out results ................................................33
5.2.3Deleting the stored test data .................................33
5.3MENU FUNCTIONS ........................................................34
5.3.1Information about the photometer.........................35
5.3.2Setting the date .....................................................36
5.3.3Setting the time .....................................................37
5.3.4Setting the units.....................................................37
5.3.5Hgb mode and limits .............................................38
5.3.6Setting the display contrast...................................38
5.3.7Settings .................................................................39
5.3.7.1Setting the language ............................................39
5.3.7.2Setting date format...............................................39
5.3.7.3Setting time format...............................................40
5.3.7.4Setting the power frequency.................................40
5.3.8Menu options.........................................................40
5.3.8.1Hematocrit mode..................................................40
5.3.8.2Setting the print mode..........................................41
5.4STANDARD PRINT MODE................................................41
5.4.1Header (Example) .................................................41
5.4.2Hgb limit mode (On), Hematocrit (On) ..................42
5.5EXPANDED PRINT MODE................................................42
5.5.1Header (Example) .................................................42
5.5.2Hgb limit mode (On), Hematocrit (On) ..................42
5.5.2.1Setting the tone signal..........................................43
5.5.2.2Setting the backlight mode...................................43
5.5.2.3Setting the stand-by time......................................43
5.5.2.4The service menu.................................................44
5.5.3Information on contacting us .................................44
5.6CONNECTING ACCESSORIES .........................................44
5.6.1Connecting a printer..............................................45
5.6.1.1Connecting the printer cable ................................45
6.MAINTENANCE ............................................................47
6.1CLEANING AND DISINFECTION OF THE INSTRUMENT ........47
6.1.1Housing and touchscreen .....................................47
6.1.2Cuvette holder.......................................................47
6.1.3Optical unit ............................................................48
6.1.4Power adaptor.......................................................49
6.2CHARGING AND CARE OF THE BATTERY..........................49
6.2.1Charging procedure ..............................................50
6.2.2Charging time........................................................50

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HemoPoint®H2 User’s Guide
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6.2.3Self discharge .......................................................51
6.3REPAIRS......................................................................51
6.4PROPER DISPOSAL .......................................................51
7.TROUBLESHOOTING ..................................................52
7.1PROBLEM SOLVING.......................................................52
7.2RESETTING OF THE PHOTOMETER .................................57
8.TECHNICAL DATA.......................................................58
8.1HEMOPOINT®H2 PHOTOMETER ......................................58
8.2N•X•T MICROCUVETTE ..................................................59
9.REFERENCE RANGE...................................................60
9.1NORMAL RANGE ...........................................................60
9.2UNDERSTANDING YOUR RESULT....................................60
10. APPENDIX ......................................................................61
10.1REPLACEMENT PARTS AND CONSUMER MATERIALS ........61
10.2FURTHER INFORMATION................................................62
11.INDEX........................................................................63

Important information
HemoPoint®H2 User’s Guide
5
1. Important information
1.1 Welcome!
Congratulations on purchasing the HemoPoint®H2 hemoglobin
testing system. Before you begin using your new HemoPoint®H2
system we strongly recommend you read this manual completely,
with particular attention to the following section with its
introductory explanations and safety notes.
1.2 Explanation of the graphic symbols
The DANGER symbol!
This symbol warns of situations or actions that could
lead to serious damage to the health of the user or a
patient.
The WARNING symbol!
This symbol warns about incorrect handling that
could cause measuring errors or damage to the
instrument or any accessories used.
The TIP symbol!
Alongside this symbol we provide useful additional
information about the current matter.
1.3 Safety notes
It is essential that you read the following notes, in order to avoid
risks to persons and damage to the photometer and other
equipment. Stanbio Laboratory does not accept responsibility for
damage arising from non-observance of the following notes.
DANGER!
WARNING!
TIP

Important information
HemoPoint®H2 User’s Guide
6
Follow the user’s guide!
Each time the photometer is used, precise knowledge and
attention to these operating instructions is required. Only use the
HemoPoint®H2 system for the purpose which will be described in
Section 2.
Danger of fatal electric shock!
Under no circumstances should you open the AC power
adaptor. There are no elements inside which require
servicing or maintenance.
Never use a mechanically damaged AC power adaptor –
live connections might be exposed.
The AC power adaptor is not waterproof. Therefore, never
let liquids come into contact with it. A lightly dampened
cloth, however, can be used to clean it when
disconnected. Please see the notes on care in Section 6.
Only use the AC power adaptor in a socket that has been
properly installed.
Check that the AC voltage and frequency printed on the AC power
adaptor label match your electrical socket and whether the shape
and configuration of the plug contacts are compatible for this
connection.
Not to be used in areas where there is a risk of explosion!
The instrument is not approved for use in areas where there is a
risk of explosion.
Keep the photometer away from liquids!
The photometer is not waterproof. Fluids entering the instrument
could destroy the electrical and optical components in the
photometer. A lightly dampened cloth, however, can be used for
cleaning. Please see the notes on care in Section 6.
Allow the instrument to reach room temperature!
Particularly on changing from a cold into a warm environment (i.e.
after storage or transport) condensation can form inside and on
the outside of the instrument. Wait an appropriate time (approx. 1
WARNING!
DANGER!
WARNING!
DANGER!
WARNING!
WARNING!

Important information
HemoPoint®H2 User’s Guide
7
hour), before you connect to the main power supply or switch on
the instrument.
Only use original equipment!
Only attach equipment that is expressly approved for use with the
HemoPoint®H2. Stanbio does not guarantee the function of the
instrument when other equipment is used.
Never open the photometer!
There are no parts in the photometer that require customer
maintenance. Repairs can only be carried out by Stanbio
Laboratory personnel. Further notes on maintenance can be
found in Section 6.
Do not force the cuvette holder!
The cuvette holder is very important for the quality of testing.
Therefore mechanical force on the holder should be avoided and
only the designated microcuvettes should be used. For cleaning
purposes the cuvette holder can be removed from the photometer
after a mechanical locking device is released. Notes on this can
be found in Section 6.

Intended use
HemoPoint®H2 User’s Guide
8
2. Intended use
The HemoPoint®H2 system is intended for the quantitative
determination of hemoglobin (Hgb) in whole blood of adults,
infants, and children in a professional point-of-care setting. It
consists of a dedicated photometer and individual, single-use
microcuvettes filled with reagents.
Using the microcuvette, a small amount of arterial, venous or
capillary blood is taken up by capillary action. The filled cuvette is
inserted into the HemoPoint®H2 photometer, the color produced
by the chemical reaction in the cuvette is measured, and the Hgb
value is displayed. The microcuvettes are intended to be used
only once and must be disposed after use as potentially infectious
waste, in accordance with the current regulations applicable to
your establishment.
The HemoPoint®H2 system is designed for use in medical
practices and in clinical laboratories to assist in medical
diagnostic investigations. In addition it can be used in emergency
and intensive care units and in medical facilities such as blood
banks. This test system has been approved for use in
laboratories with Waived status as defined in 452 CFR
493.15(c)(a).
STANBIO LABORATORY, LP DISCLAIMS ALL EXPRESS AND
IMPLIED WARRANTIES OF THE MERCHANTABILITY AND
FITNESS PERTAINING TO THIS PRODUCT WHICH ARE NOT
EXPRESSLY DETAILED IN THIS PACKAGING INFORMATION
OR A WRITTEN AGREEMENT BETWEEN THE BUYER AND
SELLER OF THIS PRODUCT.
STANBIO LABORATORY, LP MAINTAINS THAT THIS
PRODUCT CONFORMS TO THE INFORMATION CONTAINED
IN THIS INSERT. PURCHASER MUST DETERMINE THE
SUITABILITY OF THE PRODUCT FOR THEIR PARTICULAR
USE. USE ONLY IN ACCORDANCE WITH LABELING
INSTRUCTIONS.

Set up
HemoPoint®H2 User’s Guide
9
3. Set up
3.1 Unpacking the photometer
Before you set up the HemoPoint®H2 photometer, first check that
all the items are present and undamaged (see Illustration 1).
Illustration 1: (1) HemoPoint®H2 photometer and (1) AC power adaptor.
Materials provided
• One (1) HemoPoint®H2 Photometer
• One (1) AC power adaptor
• One (1) User’s Guide
• One (1) Quick Reference Guide
• One (1) Warranty Registration Card

Set up
HemoPoint®H2 User’s Guide
10
Additional materials required but not provided
• Latex Gloves
• Sampling devices for capillary blood collection
• Biohazardous waste container
• Alcohol swabs and gauze for cleaning puncture site
• HemoPoint®H2 n•x•t Microcuvettes
• HemoPoint®H2 Hemoglobin Controls (optional)
• HemoPoint®H2 Optics Cleaner
Why Register your HemoPoint®H2?
Returning the completed Warranty Registration Card will activate
your warranty and allow Stanbio to provide you with the latest
product updates and improvements.
Even easier – Go to www.stanbio.com/warranty.php and
register your HemoPoint®H2 online!
What is your voltage?
Check that the AC voltage and frequency printed on the AC
adaptor label match your electrical socket and whether the shape
of the plug is compatible for this connection. If not, do not connect
the photometer to the electrical socket under any circumstances.
Contact Stanbio Laboratory in this case.
3.2 Setting up the photometer
Select a suitable place for setting up the photometer, according to
the following criteria:
Avoid direct sunlight
Avoid strong electromagnetic fields
Avoid direct influence from ionizing radiation
Avoid rapid temperature fluctuations (keep away from
heaters, open windows, ventilators, fans or air-
conditioning, etc.)
Avoid wet areas (i.e. wash basins)
WARNING!

Set up
HemoPoint®H2 User’s Guide
11
Place the photometer on a level counter adjacent to a power
socket. Make sure there is enough room for the cuvette holder to
be freely accessible.
Illustration 2: Setting up the photometer.
3.3 Switching the photometer on and off
3.3.1 Using for the first time
Allow the photometer to reach room temperature!
Changing from a cold to a warm environment (i.e. after storage or
transport), condensation can form both on the inside and the
outside of the photometer. Wait at least 1 hour, before you
connect the photometer to a power supply. WARNING!

Set up
HemoPoint®H2 User’s Guide
12
As the built-in battery has not yet been charged, the photometer
must first be connected to the power adaptor (supplied) and
plugged into an electrical socket until the battery is completely
charged.
This procedure is necessary in order for the capacity of the
battery to be checked and the charge indicator to function
correctly. Further information on this can be found in Section 6.2
“Charging and care of the battery”.
3.3.2 To operate using the power adaptor
Use the power adaptor to operate the photometer, noting the
following steps when connecting the power adaptor:
1. Insert the small round plug on the connecting cable of the
power adaptor into the appropriate socket (6VDC) at the
back of the photometer.
Illustration 3: Connecting the power adaptor.
TIP

Set up
HemoPoint®H2 User’s Guide
13
2. Next, insert the power adaptor plug into an appropriate
electrical socket. The photometer itself does not have a
power On/Off switch.
Please be patient after plugging the photometer into the electrical
socket. It may be 4 or 5 seconds before anything appears on the
display. This does not indicate a fault but is related to various
initialization steps within the photometer. Following this
initialization phase, the display illuminates and a welcome screen
appears briefly, after which the instrument is ready to operate.
Illustration 4: Welcome display screen.
Illustration 5: Display in ready mode (Open Holder).
TIP

Set up
HemoPoint®H2 User’s Guide
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The individual symbols and their meanings are explained in
Section 3.3.5 “Displays and symbols in the ready mode“.
Now you can either start your testing, view results in the memory,
or carry out adjustments in the Menu.
You can find tips on this in Sections 4 “Sampling and testing
procedure”, 5.2 “Memory (data storage) and 5.3 “Menu
functions”.
If the photometer is not in use for some time, it switches into the
energy-saving, Stand-by mode (see Section 3.3.4 “Stand-by
mode”).
3.3.3 Battery operation
The HemoPoint®H2 photometer automatically switches to battery
operation when you unplug the power adaptor from the electrical
socket, or from the instrument (assuming, of course, that the
battery is sufficiently charged).
When the battery is fully charged it will operate for a period of at
least 100 hours.
Tips on charging the battery and battery maintenance can be
found in Section 6.2 “Charging and care of the battery”.
To avoid problems while testing during battery operation, also
note the tips in Section 3.2 “Setting up the photometer”.
3.3.4 Stand-by mode
The photometer does not have a separate On/Off-switch. It is
designed so that it automatically switches to the Stand-by mode
when you are not operating the instrument for a certain time
TIP
TIP
TIP
WARNING!

Set up
HemoPoint®H2 User’s Guide
15
(approximately 5 minutes). The display will go blank in the Stand-
by mode.
This elapsed time can be changed in Section 5.5.2.3 “Setting the
Stand-by time”.
The Stand-by mode reduces power usage to a minimum.
There are (3) three ways of switching the instrument ON again:
Touch the Touchscreen
Open or close the cuvette holder
Plug the photometer into an electrical power supply
3.3.5 Displays and symbols in the ready mode
Illustration 6: Display in ready mode (Open Holder).
TIP

Sampling and testing procedure
HemoPoint®H2 User’s Guide
16
4. Sampling and testing procedure
4.1 Taking a sample
4.1.1 Notes on using the microcuvette
Illustration 7: n•x•t microcuvette
The microcuvette is the most sensitive component in the
HemoPoint®H2 system. It is therefore necessary to handle the
cuvette carefully, paying particular attention to the following
conditions:
1. Each microcuvette can only be used once!
The microcuvette is designed for single use. The cuvette is
coated during manufacturing with all the reagents necessary for
determining the hemoglobin concentration in the blood sample.
As soon as the blood is taken into the cuvette, a reaction occurs
(within 1 minute).
2. The microcuvette is sensitive to moisture!
The microcuvette will absorb moisture therefore the cuvettes are
supplied in a special airtight container that contains a drying
optical eye