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1.    accessories type  CYTOSET  eal DW     set 12452c for MPW 350 R RH  MPW 351 R RH     MPW 352 R RH MED  INSTRUMENTS    user manual   Cat  No     set 12271   for MPW 223c  20452 ENG    2013 09 23    USER MANUAL       Patent Office  P     301 657  International Patent  CT PL94 00006    CYTOLOGY SET    CYTOSET  A    Read this before use         MPW MED  INSTRUMENTS  46 Boremlowska Street  04 347 Warsaw Poland  tel   48 22 610 81 07  service   fax  48 22 610 55 36 C     IVD    mpw mpw pl  www mpw pl       WARNING SIGNS          WARNING     AX    Warning of potential injury or health risk           This manual was prepared with special care  MPW MED  INSTRUMENTS may change the manual at any  time and without notice because of improvements  typographical errors  inaccuracies of current  information or improvements to facilities        Contents    1  INTENDED USE  4  2  ADVANTAGES OF   CYTOSET   4  3  OPERATION PARAMETERS  4  4  SPECIFICATION OF EQUIPMENT  5  5  CYTOLOGICAL OUTFIT CONTENTS  5  6  WORKING PRINCIPLE  6  7  PREPARATION OF SAMPLES FOR CENTRIFUGATION  6  8  TABLE OF DILUTIONS IN HEMATOLOGY  6    9  PREPARATION OF THE CYTO INSERT WITH THE PASSING OF THE FILTRATE    THROUGH BLOTTING PAPER  WITH A LOSS OF THE FILTRATE   7  10  PREPARATION OF THE CYTO INSERT WITH FILTRATE RETRIEVAL  7  DIAMETER OF OPENINGS IN FILTRATION PAPER 7  11  CENTRIFUGATION PARAMETERS  7  12  STEPS IN THE USE OF CENTRIFUGE WITH THE  CYTOSET   8  13  PROCEDURE AFTER CENTRIFUGATION  WHEN THE FILTRATE I
2.   Drawing No     When the centrifuge has signalled the end of centrifuging     open the lid     Remove the insert in the position  in which it is located in the rotor  pay particular attention to the  inserts with the decantation tube  which should be in the centrifugation position with the test tube facing  down     13  Procedure after centrifugation  when the filtrate is lost    Take out the insert from the hanger of the rotor in the horizontal position   The CYTO insert should not be tipped  to avoid the possibility of the spillage of the filtrate from the base   collector  which has not been absorbed by the blotting paper     10 a                      Drawing No  6    Place the CYTO insert on a piece of blotting paper  which has one foiled side  and open it by lifting the  snaps of the catch  Take the microscope slide out by lifting the insert at an angle of 45      With forceps  take off the blotting card  Dry the tested filtrate  permeabilize in 96  ethyl alcohol  and then  stain with a method of choice  The used elements of the insert should be placed in a sanitary bag for  plastics     14  Procedure following centrifugation  with the filtrate retrieved     Take the CYTO insert from the blocked hanger of the rotor in the centrifugation position  keeping  the decantation test tube tilted down  With a gentle twisting motion we remove the decantation tube and  close it with a plug  Place the CYTO insert on single side foiled blotting paper and open the snaps of the  catch
3.  the complete cyto insert onto the base collector and symmetrically close the snap fastening catch     VV Y WV    Pour the prepared fluid sample into the central cylinder of the cyto insert and close with a plug     The maximum amount of fluid  which the cyto insert can hold is 2 ml   That volume is marked with a line                                                                                Drawing No  3    10  Preparation of the CYTO insert with filtrate retrieval    gt  Prepared and labeled basic microscope slide should be inserted into the base collector      gt  Place the blotting  filter card with an opening of    12 5 over the slide    gt  Place the plug and the decantation tube over the CYTO insert    gt     Place the complete CYTO insert over the base collector and symmetrically close the snap fastening  catch     Vv    Pour in the tested biological fluid  suspension into the central cylinder of the cyto insert and close with a  plug  max  2 ml      DIAMETER OF OPENINGS IN FILTRATION PAPER        Seal  Centrifugation    With a loss of the filtrate into  the filtration paper  card  D 9 5  With filtrate retrieval into d                                        Mai ag    Drawing No  4                   11  Centrifugation parameters    The selection of parameters for the centrifugation is dependent on the type of the preparation tested  and the resistance of the cells to the level of acceleration  Delicate cells require low acceleration  500 rpm    in order to maintain
4.  their microscopic structure    Sample centrifugation time is 3 15 min   on the average     12  Steps in the use of centrifuge with the  CYTOSET      VV VV WV       place the centrifuge at the work station    plug into the power supply  socket with grounding     press the POWER switch    open the lid by pressing the lid opening key    place the    CYTOSET    rotor onto the sleeve and with a six angle wrench turn the clamp until it will  not turn any more   place the hungers  9  into the rotor in the suitable position for the method used     a  when losing the filtrate into the blotting paper put the hanger  9  with the peg  10  from the  rotor arm side without the snap  on the drawing No  5  rotor pocket 2 and 4      b  when recovering the filtrate from the decantation tube  place the hanger  9  with the peg  10  at  the rotor arm side with the snap  11   on the drawing No  5  rotor pocket 1 and 3      place the complete CYTO inserts filled with fluid into the hangers  minimum of two inserts in opposite  pockets  in position like on the drawing No 8      close the lid of the centrifuge     set the centrifugation parameters  time  speed  and start the centrifuge according to the instruction  manual     the timer will stop the centrifuge after the required time has elapsed     an earlier stop may be done by pressing STOP key                                                                                                                                                        an  
5. S LOST  9    14  PROCEDURE FOLLOWING CENTRIFUGATION  WITH THE FILTRATE RETRIEVED  9    15  MAIN VIEW  10  16  CLEANING  DISINFECTION  MAINTENANCE  10  16 1  CLEANING OF THE ACCESSORIES  10  16 2  CLEANING OF THE CYTO INSERT  10  16 3  LUBRICATION  10  16 4  STERILIZATION AND DISINFECTIONS OF THE ACCESSORIES  11  16 5  STERILIZATION AND DISINFECTIONS PROCESS VALIDATION  11  17  MANUFACTURER   S DATA  11  18  DISTRIBUTOR INFORMATION  11    1  Intended use    The    CYTOSET    cytological outfit is intended for in vitro diagnostics  IVD  equipped  used to  centrifugal separation of body fluids into fine subconstituent elements from the filtrate  The fine elements  are deposited directly on basic microscope slides  while the filtrate is accumulated in special tubes   following the settling of the particulate matter  The tested physiological fluids constitute a suspension of  fine elements in the fluid fraction     Among them are the following     a  natural biological fluids including  cerebrospinal fluid  urines  effusions  serum leaks  joint fluid     leukorrhoea  pus and related others     b  suspensions in isotonic smear solutions  tissue punctuates  sputum  rinsings form the bronchi and    respiratory pathways and related others     These suspensions may be tested in order to   1  obtain precipitates of fine matter and the filtrate from the same sample of tested biological suspension   2  obtain just a precipitate of the fine matter through passing of the filtrate into a blo
6. ce cracks increase gradually  and weaken material without visible symptoms  In the case of observation of surface damage  crevice or  other change  as well as the corrosion  the given part  rotor  hanger  etc   shall be immediately replaced  In  order to prevent corrosion one has to clean regularly the rotor with the complete clamp and hangers   Cleaning of the accessories shall be carried out outside of the centrifuge once every week or still better after  each use  Then  those parts shall be dried using soft fabric or in the chamber drier at ca  50   C  Especially  prone to the corrosion are parts made of aluminum  For cleaning them one should use neutral agent of pH  value from 6 to 8  It is forbidden to use alkaline agent of pH above 8  In this way  the useful service life of  the device is substantially increased and susceptibility to corrosion is diminished  Accurate maintenance  increases the service life as well and protects against premature rotor failures  Corrosion and damages  resulting from insufficient maintenance could not be subject of claims lodged against the manufacturer     16 2  Cleaning of the CYTO insert    It is possible to depending on needs to use the insert many times till destroy  The used elements of  the insert should be placed in a sanitary bag   It is necessary before every single usage of the insert to clean her and then dried using soft fabric or in the  chamber drier at ca  50   C     16 3  Lubrication     The rotor pins shall be always lubr
7. es  Remove just the CYTO insert by lifting it up and place another blotting paper with an opening of  12 5 onto the slide  while trying not to move the remaining sample drop with the suspension  Put on the  CYTO insert and close the snaps  Then  in order to dry the sample  spin again for 3 min  with the rpm set  previously  Following the centrifugation remove the CYTO insert from the hanger  place onto blotting paper  with one side foiled and open the the insert by lifting the snaps of the catches  Take out the microscope slide  by tilting the insert at an angle of 45    Remove the filtration paper using forceps  Dry the tested precipitant  with 96  ethyl alcohol and then stain with a technique of choice  The used CYTO insert should be placed  in a sanitary bag for plastics  in order to reduce the danger of personnel and environment contamination     Drawing No  7    15  Main view        Drawing No  8 Main view of    CYTOSET    cytological outfit     16  Cleaning  disinfection  maintenance   CAUTION  It is necessary to use protective gloves during following work     16 1  Cleaning of the accessories    In order to ensure safe operation one shall carry out in regular way periodical maintenance of the  accessories  Manufactured rotors  hangers and round carriers have to withstand steady high stresses  originating  Chemical reactions as well as corrosion  combination of variable pressure and chemical  reactions  can cause corrosion or destruction of metals  Hard to observe surfa
8. icated with technical petroleum jelly  In this way  the uniform  deflection of the buckets and quiet centrifuge operation is ensured     10    16 4  Sterilization and disinfections of the accessories    One can use all standard disinfectants  Accessories are constructed from various materials and one  should to take into account possible variety of materials  During sterilization by means of steam one should  to consider temperature resistance of individual materials     Rotors and hangers can be sterilized in autoclave with temperature 121       124   C and pressure 215 kPa  during 20 min  In the centrifuge  disinfectants and cleaning agents generally used in medical care should be  used  e g  Aerodesina 2000  Lysoformin 3000  Melseptol  Melsept SF  Sanepidex  Cutasept F      A CYTO inserts aren t able to be sterilized in autoclave     A During the above mentioned works one must wear safety gloves     16 5  Sterilization and disinfections process validation   It is necessary to execute validation of inserts cleaning and disinfection process in accordance to  domestic instructions binding in the given laboratory tests unit     17  Manufacturer   s data           MPW MED  INSTRUMENTS  48 22 610 56 67 sales department  22 610 81 07 service  22 610 55 36 fax    Boremlowska 46 Street http  www mpw pl  04 347 Warsaw e mail  mpw mpw pl          18  Distributor information           DISTRIBUTOR                       11    
9. ltration card     12 5 mm 100    5  Cytological outfit contents   The outfit contains a swing out four seats rotor with hangers  into which the complete cyto insert is       Drawing No 1   The complete insert contains the following     gt  base     collection chamber  1     gt  basic microscope slide  2     gt   blotting  filter card  3     gt  cyto insert  4     gt  seal    8 7 mm  60 mm2   5     gt  plug  6     gt  plug  7     gt  decantation test tube  8      6  Working principle    During the centrifugation  the cyto insert turns into a horizontal position  which positioning is then   blocked with snap fastening units located in the side arms of the rotor in case of the need to decant the  filtrate   Under the centrifugal force the morphotic elements  cell precipitate  are separated from the suspension and  settled on the microscope slide  The cell free filtrate  depending on the method used  is either absorbed by  the blotting paper or decanted into a test tube following centrifugation  After the decantation test tube  containing the filtrate is removed in order to dry the precipitate on the microscope slide  the test tube is  subjected to a second centrifugation     Cell precipitate                                                                                                             CYTO  4 Filtrate  a as T SUPERNATANT  fs a4   Drawing No  2    The CYTO insert  following the completion of the settling of the morphotic elements on the basic slide  centrifugation wi
10. th filtrate retrieval     7  Preparation of samples for centrifugation    The amount of fluid used in centrifugation depends on its contents of cells  as well as its  availability  If the fluid is cell dense in order to avoid layering of the cells on the slide or their settling too  densely  the fluid should be diluted with 0 9  NaCl solution or PBS     8  Table of dilutions in hematology     Number of Dilution Sample   Saline  white cells factor drops drops    101   300   301   700   701   1500  1501   3000       When a cell poor fluid with a low protein content  about 0 2 mg ml  is tested there exists a danger   that the centrifuged cells on the slide may be fragmented  as well as the quality of the preparation is often  not satisfactory  For that reason  if the filtrate is not needed for further tests  it is recommended that a few  drops of blood serum or albumin solutions be added  Samples destined for cyto centrifugation should be  fresh in order to maximize the possibility of getting intact cells     9  Preparation of the CYTO insert with the passing of the filtrate through blotting paper    with a loss of the filtrate      gt  Prepared and labeled basic microscope slide should be inserted into the base collector  In order to obtain  better cell adhesion to the slide it is recommended that the slides be covered with poly L lysine   manufactured by    Sigma        Chemical    Place the blotting card with an opening of    9 5   Place the plugs on the cyto insert     Place
11. tting paper    The cytological outfit is essential in medicine and veterinary science  and may also be used in industry as  well as technology     2  Advantages of   CYTOSET       gt  fast deposition of cells on the microscope slide through centrifugation and the penetration of the filtrate  into the blotting  filter paper      gt  possibility of filtrate recovery after the cells have settled on the slide by its automatic collection into a  test tube      gt  securing the fluid against its escaping into the centrifugation chamber  avoiding air born  contamination       gt  inserts used as disposable equipment will help prevent infections  contamination of lab personnel or the  environment     3  Operation parameters      gt  Rotational speed 100   2500 rpm   gt  max  acceleration 750x      gt  max  centrifugation capacity 2 ml     gt  area diameter of settling cells on the microscope slide    8 7 mm    4  Specification of equipment   Depending on the type of the purchased centrifuge  the below mentioned    CYTOSET    cytological outfit  may be ordered        Catalog No  Equipment name Max RCF Mimbar Ob piege  rpm in the set  Cytology rotor for centrifuges  12452 MPW 350 R RH  MPW 351 R RH  MPW  4seats 2500 750 1  352 R RH  OF 4997  Cytology rotor for centrifuge Aseats 2500 750 1  MPW 223c  13606 Hanger 4  15123 Decantation test tube 2 2 ml with cap 100  16610 Cyto insert 100  16614 Basic microscope slide 100  16616 Blotting  filtration card 6 9 5 mm 100  or 16617 Blotting  fi
    
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