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        User Manual - Frank`s Hospital Workshop
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1.                                                     BacT ALERT 3D Select 22 27 36 87 26 05  1  2  Hospital ID Last Name Bottle ID 1st Load Time  Test Result  3  11  4  5 12     10  Figure 6 13  Status Report Configuration Screen  1     Report Title  2     Column Selection Scroll Buttons  3     Column Width Selection Boxes  4     Edit Report Buttons  5     Preview Report Button  6     Previous Screen Button  7     Cancel Button  8     Check Button  9     Section Break Checkboxes  10     Sort Order Buttons  11     Primary Sort Scroll Button  12     Secondary Sort Scroll Button  BacT ALERT   3D 60 User Manual 6 17    95269    Software Configuration Configuring Report Screens    Unload Report Configuration Screen          BacT ALERT 3D Select 22 28 22 67 26 85             1 Unload Report                                                 2  3  11  4  5 12  10  Figure 6 14  Unload Report Configuration Screen  1     Report Title  2     Column Selection Scroll Buttons  3     Column Width Selection Boxes  4     Edit Report Buttons  5     Preview Report Button  6     Previous Screen Button  7     Cancel Button  8     Check Button  9     Section Break Checkboxes  10     Sort Order Buttons  11     Primary Sort Scroll Button  12     Secondary Sort Scroll Button  6 18 BacT ALERT   3D 60 User Manual    95269    Configuring Report Screens Software Configuration    Viewing and Printing Calibration Data                                        1 1  Access the Setup screen and enter a valid passwor
2.                                            D 2 BacT ALERT   3D 60 User Manual    95269    International Character Entry International Character Entry    Table D 1  International Character Table  Continued                                                                 Uppercase Lowercase   Base Char Variant a Variant  O    o                         6      6      n                                   Y      N y   C y   R      u         E      F                   International characters can be used in any of the following text fields on the  system       Accession Number field    Hospital ID field     Patient First Name field     Patient Last Name field     Report Label fields     Report Title field    Entering International Characters    i 1  Enter a base character from the table  See Manually Entering Text into a  al Data Entry Field  Keyboard  in Chapter 4   2  Use the Page Up or Page Down key to scroll through the characters in  the block from the table   BacT ALERT  3D 60 User Manual D 3       95269    International Character Entry International Character Entry    Example  To enter an A  perform one of the following     Press Shift   A then press Page Up six times   or      Press Shift   E  then press Page Down twice     Note  The entire International Character table can be scrolled through after entering  one base character  After scrolling through an entire block from the table  the  system scrolls to the base character in the next block  For example  if n is  entered and
3.                              1     ee   TT  RQQQCOQCQQT  OOOOOCOOOO  e OCC     OOOOOOOOQ  ffs PE  yc  4             Figure 7 1  View Cell Status Screen    1     Door Fault Code   2     Rack Fault Code   3     Cell Fault Code   4     Restart Incubation Chamber Button  5     Rack   6     Cell    2  Click the Restart Incubation Chamber button     Note  lt is normal for instrument status code 710 to display briefly     Setting and Formatting the System Date and Time    Note  The date and time are set at installation  but the system does not adjust    1  al automatically for daylight savings time   3    CAUTION  DO NOT change the date without first contacting your  local bioM  rieux Customer Service Representative        BacT ALERT  3D 60 User Manual 7 11    95269    System Maintenance    1     2     Software Maintenance    Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      From the Setup screen  click the Set Date Time button I    The Set Date Time screen overlays and disables the Setup screen        BacT ALERT 3D SelectLink 98 34 26 64 05 81                                     A  o        1 12           Figure 7 2  Set Date Time Screen    1     Set Time Scroll Buttons   2     Set Date Scroll Buttons   3     Setup Screen  Disabled    4     Date Format Slidebar Switch  5     Time Format Scroll Button    3     4     5     Adjust the time using the Set Time scroll buttons  The scroll buttons to  the left of the colo
4.           Figure 3 3  PEM with 230 VAC Version    1     5 0A 250V Time Delay Fuses  2 required     230 VAC version  see Figure 3 3  COULD RESULT IN DAMAGE  to the unit  Ensure that the 115V conversion clip has been  removed if installing the 230 VAC version     CAUTION  Installation of the 115V conversion clip in the    BacT ALERT   3D 60 User Manual 3 5    95269    System Installation Installation    Figure 3 4  Additional Fuse Holder Views       1     Top Bottom View  2     Side View  6  Reinstall the fuse holder   7  Close the PEM cover   8  Indicate that AC power is set on the BacT ALERT 3D 60 Installation  Checklist in Appendix C     Choosing Instrument Location    WARNING    The BacT ALERT   3D 60 has been designed to minimize risks  associated with MB testing  However  to further reduce the  risks of accidental exposure to infectious agents  additional  precautions should be taken  It is strongly recommended that    the instrument be placed in a laboratory used for the routine  culture of M  tuberculosis  For activities involving the  propagation and manipulation of M  tuberculosis or  Mycobacterium species grown in culture  Biosafety Level 3  Practice  Containment Equipment  and Facilities are required  as recommended by CDC and NIH guidelines        At a minimum  the instrument should be placed in a contained environment  with controlled access and a tuberculosis exposure control plan  The  locations should have surfaces which can be easily decontaminated using an  a
5.        Figure 5 2  Select Bottle to Edit Graph Screen    1     Cell Scroll Buttons   2     Setup Screen  Disabled    3     Graph Bottle Readings Button  4     Bottle ID Field    2  Ifthe bottle ID is known  then enter the bottle ID in the Bottle ID field   see Text Data Entry in Chapter 4  and proceed to Step 4     Note  Only the last 1 920 bottles loaded can be retrieved  Any other entry in the  Bottle ID field is invalid and will cause an Operator Error 940  see Operator  Error Codes in Chapter 8      3  If the cell location  but not bottle ID  is known  then adjust the Cell   1     60  scroll buttons to select the appropriate bottle location     Note  Only cell locations with currently loaded bottles can be used to view edit  bottle data  To view data of recently unloaded bottles  you must use the  Bottle ID field     5 4 BacT ALERT   3D 60 User Manual  95269    Viewing Editing Bottle Data    4  Click the Check button     Editing Test Data    The Edit Bottle Detail screen appears  see Editing Bottle Details Using  the Edit Bottle Detail Screen on page 5 5      Editing Bottle Details Using the Edit Bottle Detail Screen    2      from the system     1   Note  The bottle record can be edited before and after the bottle has been unloaded    If a bottle has not already been selected  select a bottle to edit using either  the Edit Cell Contents or the Select Bottle to Edit Graph button as  described in Selecting Bottles Using the Edit Cell Contents Button on page  5 3  and Selec
6.       4 36  Sending Results to the LIS                                     4 36  Requesting Information from the LIS                              4 36  EDITING  TEST DATA rin S   kr   XOE R   HEY ANA o O a REQE d   KS SEK    v      en AE el a   kek K   gp ecd 5 1  About This Chapter   gt a  ys alaya kude xule lw AD uh LSU ESAE 5 1  Chapter Contents  2  525267 dune ere DATA ani En dan K   al   a apte na 5 1  Viewing Editing Bottle Data                                          5 2  Introduction  ves Zabe a Se EE araya ee ee et ge E 5 2  Selecting Bottles Using the Edit Cell Contents Button                  5 3  Selecting Bottles Using the Select Bottle to Edit Graph Button           5 4  Editing Bottle Details Using the Edit Bottle Detail Screen               5 5  Edit Bottle ID Field                                                 5 6  View Accession Number Field                                        5 6  View Hospital ID Field                                               5 6  View Patient First Name Field                                        5 6  View Patient Last Name Field                                         5 6  Edit Load Status Slidebar Switch                                      5 6  Edit Maximum Test Time Scroll Buttons                                5 7  Edit Bottle Type Scroll Button                                        5 7  View Cell Location Icon                                             5 7  View First Loaded Time Icon                                   
7.       5 8  View Last Unloaded Time Icon                                       5 8  View Time of Last Bottle Reading lcon                                 5 8  View Test Time Icon  scos kk Rr ne he ERRARE E tant 5 8  View Test Result Icon    eee bye sata me heh Ja nak   J 5 8  Edit Test Result Buttons  soi k kl sl ke deri uen m doen en 5 9  Graph Bottle Readings Button                                       5 10  View Algorithm Polynomial Icon                                      5 10  View How Determined Positivity Index Icon                             5 10  Editing Data Relationships                                          5 11  Introduction  po el DEL EE LARA RI ere      kine h   dad G  za UPS 5 11   iv BacT ALERTS 3D 60 User Manual    95269    Table of Contents    Initiating the Edit Data Relationships Function                      5 12  Editing Bottle ID to Accession Number Relationships                5 13  Attaching Bottle IDs Without an Accession Number to an Accession Number 5 14   Moving a Bottle ID Association from one Accession Number to Another          5 14   Editing Accession Number to Hospital ID Relationships               5 15  Attaching Accession Numbers Without a Hospital ID to a Hospital ID         5 16   Moving an Accession Number Association from one Hospital ID to Another   5 16   Editing Hospital ID to Patient Name Relationships                   5 17  SOFTWARE CONFIGURATION                 eeeseeeeeennnn kek Ek kk nnne nen KA nnn KA KE KA HAK KA KAKA 
8.      The calibration process can be canceled and any new calibration values  discarded by clicking the Cancel button at any step during the calibration  process     19  Print out the Cell Calibration Report  see Viewing and Printing  Calibration Data in Chapter 6      Viewing Incubation Chamber Information    1  2  3         This procedure describes how to locate the following information       Serial Numbers    Hardware Revisions    Software Revisions    You may be requested to retrieve this information during the course of  troubleshooting by your local bioM  rieux Representative     1  Arrow to the Setup screen and enter a valid password to access the  function buttons  see Accessing the Setup Screen Function Buttons in  Chapter 4      ET 1  2  Click the View Incubation Chamber Information button  ES       7 22 BacT ALERT   3D 60 User Manual    95269    Software Maintenance System Maintenance    The View Incubation Chamber Information screen replaces the Setup                   screen    2 13   BacT ALERT 3D SeiectLink 14 36 34 04 22 02   H   PCRA SN  AAAA AZA          mor sn  2711001   SW KEV  Mod Controller 1 13  Oct Z4 1999    PCBA SN HW REV SW REV   Al AARAM RE 100 1e Rev  1 12  Iun 45 1998   2   aa  eeeoe22s 100 ie Rev  1 12  Jun 05 1990    As WWO 1uu le Hev  1 12  Jun W5 1995           Figure 7 7  View Incubation Chamber Information Screen    1     Incubation Chamber Information  2     Rack Information    3  Click the Previous Screen button to return to the Setup scr
9.     BacT ALERT  3D 60 User Manual  95269    System Description Mycobacterial Testing    BacT ALERT   3D 60 Instrument    The instrument incubates and continuously monitors the status of each  mycobacterial culture bottle  The instrument consists of three racks each with  a capacity of 20 bottles  The instrument must be either MB or non MB     MB Instrument may be provided directly by bioM  rieux or may be converted  from a non MB configuration in the field     An MB is displayed on the Instrument icon of the Main Screen  see  Figure 10 1         Figure 10 1  Instrument Icon for MB Configured System    Circulation Fan    The circulation fan  normally running to distribute air within the  BacT ALERT 3D 60 instrument  is turned off whenever the door is opened     Note  The BacT ALERT  3D 60 software must also be configured to activate the  MB processing  see MB Configuration on page 10 5      Installation Procedures and Special Requirements    If itis necessary to move or store the BacT ALERT 3D 60 System  contact  your local bioM  rieux Representative for assistance     The BacT ALERT   3D 60 has been designed to minimize risks associated  with Mycobacterial testing  However  to further reduce the risks of accidental  exposure to infectious agents  additional precautions should be taken  It is  strongly recommended that the instrument be placed in a laboratory used for  the routine culture of M  tuberculosis  For activities involving the propagation  and manipulation of M  tube
10.     The date and time event occurred  in or out of calibration       Cell Location      Cell Status  0   when cell falls out of calibration 1   when cell goes  back in calibration    If the cell is manually calibrated   calibrated  is displayed to the right of  the 1  Or  if in 21 CFR Part 11 mode  the user name is displayed     Note  There is nothing displayed to the right of the 1 or 0 if the cell falls out of  calibration  or drifts back into calibration   Note  The last 10 000 calibration events are saved in the calibration history  When  the maximum number of events is reached  the oldest events are overwritten   BacT ALERT   3D 60 User Manual 6 23    95269    Software Configuration Configuring Report Screens    4  Enter a report title in the Report Header field  a maximum of 65  alphanumeric characters      This title appears at the top of the report when printed     5  To scroll up a line  page  or home  click the appropriate Scroll Up  buttons     6  To scroll down a line  page  or end  click the appropriate Scroll Down  buttons     Note  The Scroll Up Down buttons are disabled if there are no available lines   pages in the indicated direction     7  To print the report  click the Print button     Note  The print buttons are only available if a printer is configured for the system   To configure a printer for the system  contact your local bioM  rieux  Representative     8  When the report begins printing       The Print button is disabled while a report is printing  
11.    9 4 BacT ALERT   3D 60 User Manual    95269    Log In Out of System     21 CFR Part 11 Mode    The Main screen appears     BacT ALERT 3D SetectLink    21 CFR Part 11 Mode          12 56 49 68 18 85                            Figure 9 4  Main Screen While Logged In     21 CFR Part 11 Mode    Note  The Previous Screen button returns to the User Login screen  see  Figure 9 5  User Login Screen  on page 9 6  without logging in     BacT ALERT   3D 60 User Manual 9 5    95269    21 CFR Part 11 Mode Log In Out of System     21 CFR Part 11 Mode    Logging In    When the instrument is configured for 21 CFR Part 11 mode  you will need to    1  a  log in to the instrument to have full access of all functions   3    1  From the Main screen while logged out  see Figure 9 1   click the Login    button B         The User Login screen appears              BacT ALERT 3D Signature 12 52 23 07 08 85                         Figure 9 5  User Login Screen    1     User Name Field   2     Password Field   3     Previous Screen Button  4     Check Button   5     Cancel Button   6     Change Password Button    2  Click in the User Name field  field turns white  and enter your user name     3  Press the Tab key on the keyboard to advance to the Password field  or  click in the Password field      The Password field turns white     4  Enter your password in the Password field  password length must be 6  to 24 characters      5  Click the Check button or the Enter key to log in to the instrument     
12.    BacT ALERT   3D 60 User Manual 4 17  95269    Basic Functions Accessing the Setup Screen Function Buttons    Accessing the Setup Screen Function Buttons       To view and print data  print graphs  and perform all of the editing   configuration  and maintenance functions of the system  you must first  access the Setup screen function buttons     Accessing the Setup Screen      1  From the Main screen  see Figure 4 1   click the Next Screen button    Lo I     3  The Setup screen appears        2 8    BacT ALERT 3D Select 13 33 32 07 08 85    SENS                                                                         Figure 4 9  Setup Screen    1     Password Entry Keypad  2     Function Buttons   3     Key Symbol Button   4     Padlock Icon    2  Enter a valid password using the 1     4 buttons  Until a valid password is  entered and accepted  the Padlock icon will appear in the closed  position     Note  Acceptable passwords consist of any combination of the numbers 1 to 4 and  have a maximum length of eight characters     4 18 B      acT ALERT  3D 60 User Manual  95269    Accessing the Setup Screen Function Buttons Basic Functions    Note     Note     Note     Instruments are shipped with a password of 1234  For information on  changing the default password  see Changing the System Password in  Chapter 6     3  Click the Key Symbol button to accept the password     4  After a valid password is accepted  the Padlock icon changes to the full  open position and the function 
13.    Positive Bottle Alarm     A repeated sequence of brief beeps followed  by a pause  This sequence of beeps are repeated every 60 seconds  until the bottle is removed       Instrument Fault Alarm     An ongoing  continuous sequence of brief  beeps  Once the condition is acknowledged  see Terminating an  Instrument Alarm on page 6 5   the alarm will sound again in 30  minutes if the error condition still exists     Note  The default setting for the fault reminder period is 30 minutes  If you require a  different time period  contact your local bioM  rieux Representative      Operator Error Alarm   Two brief beeps to alert the operator to look  at the Monitor where an error code or picture is displayed  For  resolution of a specific error code  see Operator Error Codes in  Chapter 8    Note  Operator error alarms do not repeat   1  Access the Setup screen and enter a valid password  see Accessing the   Setup Screen Function Buttons in Chapter 4     2  Click the Set Audible Alarm Options button EN      The Set Audible Alarm Options screen overlays and disables the Setup   screen    BacT ALERT  3D 60 User Manual 6 3       95269    Software Configuration Setting the Audible Alarms          BacT    ALERT 3D SelectLink 08 25 05 64 05 61                                     Figure 6 2  Set Audible Alarm Options Screen    1     Positive Bottle Alarm Slidebar Switch  2     Operator Error Alarm Slidebar Switch  3     Instrument Fault Alarm Slidebar Switch    3  Enable and or disable ala
14.   10  Verify that the bottles to be unloaded are listed on the Unload report   11  Reload any previously Anonymous Negative to Date bottles     If no operator or bottle loading activity has been recorded in a period of 2  minutes  the instrument will terminate the Unload Bottle operation  Operator  activity includes       pressing keys on the keyboard    scanning barcodes     moving the mouse     loading or unloading bottles    Handling Unconfirmed Positive Bottles  False Positives     If a smear of a positive bottle reveals no microorganisms  the bottle should be  subcultured and reloaded into the instrument via the Load Bottles function   see Loading Bottles on page 4 10      Note  If a bottle is reloaded into the instrument  its status will revert to negative to   date once a reading has been taken  maximum time     ten minutes      If growth appears on the subculture  edit the bottle s status to Positive on the  Edit Test Result screen which is accessed from the Edit Bottle Detail screen   see Edit Test Result Button in Chapter 5   and unload the now positive  bottle     Note  Results that have been manually changed to negative or positive via the Edit  Bottle Detail screen  see Editing Bottle Details Using the Edit Bottle Detail  Screen in Chapter 5  will be marked on the report with a stick figure         Note  If a bottle is positive  set manually  or positive by any other reason  and then  is manually changed to negative to date  the stick figure     will not appear  
15.   21 CFR Part 11 Mode                          9 2  Logging In for the First Time                                     9 2  Logging I    scie Roe Rp RR EX RM pP 9 6  Inaclivity TMG OU sas tte x  lil Ros R pin nA du   e A z   pid Pii 9 7  EOQIN  EHOES iri nas de Dan te Mn tn BR ne et XU E 9 7  Change Password         iiis ee pe er Rr p et 9 8  Change Password Errors                                        9 9  Logging  OU    bi ik bawa    Are pee Up d Ex AR ATE 9 12  Configuring Users     21 CFR Part 11 Mode                            9 12  Adding  US6r ou Eo odd Ra od ie desde E 9 13  Delelitig a USer    iud be Eu den E dX hee SS 9 15  VE BacT ALERT   3D 60 User Manual    95269    Table of Contents    Deleting More Than One User                                  9 16   Clearing a User Password                                     9 16   Clearing More Than One User Password                           9 17   Audit Trail    k   val   y   m   kl yan    Qe ates ERE FUR te PS 9 18   Accessing the Audit Trail                                      9 20   MYCOBACTERIAL  TESTING           2   2      kad Zend k   xan raga dann t   pak   k sao Bava kk al    aa ka da naWwak See k   KEWE T   10 1   About This Chapter  i  xwa   l ar ke kah ne   la RS Kasika IS EE ee 10 1   Chapter Contents                                                10 1   System Description                                               10 2   Intended Use  d voi Ae E EXPECTED Wwe 10 2   OVOIVIOW 428s I cles senate ra oe tice 
16.   3    CAUTION  When unloading multiple bottles using Ctrl   F10  the  bottles must be reloaded before one hour has passed using the  normal Load Bottles icon to avoid a subculture event     1  From the Main screen  press Ctrl   F10 to enter a special Bottles  Relocation mode  The cell indicator lights will illuminate in the following  pattern       Cells with bottles loaded are lit continuously     Cells available for reloading remain unlit   Note  When relocating bottles using Ctrl   F10  you must unload one bottle from a    cell and reload it into the destination cell BEFORE unloading another bottle   This procedure must be done one bottle at a time     7 14 BacT ALERT   3D 60 User Manual  95269    Software Maintenance System Maintenance    2  Pull bottles out one at a time and reload one at a time into any available  cell     S  If the Bottle ID field for a loaded bottle is blank  be sure to identify the  anonymous bottle by scanning the barcode as they are unloaded  see  Handling Anonymous Bottles in Chapter 4      4  When all bottles are relocated  click the Check button on the Main  screen  see Figure 4 1      Adjusting an Instrument s Temperature    The following procedures describe       How to check an Instrument s temperature     How to set an Instrument s optimal temperature setting       How to calibrate an Instrument s temperature     Checking an Instrument s Temperature    i Each Instrument includes an NIST traceable Reference Thermometer  a  located on the Rac
17.   3D 60 Hardware       The BacT ALERT   3D 60 system includes a single instrument containing an  incubation chamber  monitor  keyboard  UPS  printer  barcode reader  and a  mouse  A door at the front of the instrument accesses the incubation  chamber     The incubation chamber contains up to three racks  each with a capacity for  20 culture bottles  The incubation chamber may be configured for either  Mycobacteria  MB  or non MB  Configuring the chamber for MB enables all  three racks within the chamber to remain immobile  It also causes the  Instrument icon on the Main screen to be labeled as MB     Note  The BacT ALERT   3D 60 software must also be configured to activate the                            MB status   Instrument  1  Figure 2 2  Instrument Front View  1     Monitor 5     Keyboard  2     Incubation Chamber 6     Mouse  3     Printer 7     UPS  4     Barcode Reader 8     Backup Drive  2 8 BacT ALERT   3D 60 User Manual    95269    BacT ALERT   3D 60 Hardware System Overview    BacT ALERT   3D 60 User Manual 2 9    95269    Monitor    Displays bottle and system information     Barcode Reader    A Barcode Reader is used to scan bottle barcode labels to identify bottles and  accession barcodes when loading or unloading     Mouse  A mouse is used to move from one screen to another and to input data and  selections    Keyboard  Provides an alternate means of input  Serves as a backup input device  should the barcode reader or mouse fail    UPS    The UPS  Uninterruptibl
18.   3D 60 instrument can be converted by a service engineer  to perform either MB or non MB functions  One important difference between  the configurations is that MB configurations do not agitate the bottles during  incubation  It is important to open and close the door gently to minimize  avoidable agitation when adding or removing bottles     The disposable mycobacteria bottles  MB and MP  contain bioM  rieux s  patented colorimetric sensor which is continuously monitored for positive  sample detection  Unloading or manipulating the bottles when not indicated  by the system may interfere with critical bottle readings  In addition  the  bottles contain broth and atmosphere which promote the recovery of a wide  variety of Mycobacterium species without venting  MB BacT Antimicrobial  Supplement and Reconstitution Fluid inhibit the growth of contaminating  organisms and enhance the recovery of mycobacteria     In the following pages  the elements of the MB configuration of the  BacT ALERT 3D 60 will be described with special emphasis on how they  differ from the non MB configuration described in the rest of this manual   While the function and use of MB configuration are similar to those of non MB  configuration  there are important differences     WARNING    Laboratory procedures involving mycobacteria require special    equipment and techniques to minimize biohazards  Specimen  preparation and positive sample handling must be done in a  biological safety cabinet           10 2
19.   Check Button    2  Click the Display Report 1  2  or 3 button that is configured for the  information desired     The Report screen will display  There are three default report  configurations       Display Report 1 button     Generates the Load Report screen with  1st Load Time as the primary sort  and Accession Number as the  secondary sort  Report has section breaks based on 1st Load Time       Display Report 2 button     Generates the Status Report screen with  Accession Number as the primary sort  and Bottle Type as the  secondary sort  Report has section breaks based on Accession  Number     4 22 BacT ALERT   3D 60 User Manual    95269    Viewing and Printing Basic Functions      Display Report 3 button     Generates the Unload Report screen with  Loaded as the primary sort  and Test Result as the secondary sort   Report has section breaks based on Loaded and Test Result       See Configuring Report Contents in Chapter 6 for examples of the  Load  Status and Unload Report Configuration screens     Note  Data from the last 1 920 bottles are displayed each time a Report screen is  accessed  The report screens come configured with default settings  but the  report configurations can be changed to display different data and to sort the  data differently  see Configuring Report Contents in Chapter 6      BacT ALERT   3D 60 User Manual 4 23  95269    Basic Functions Viewing and Printing       18             ist Load Time   89 29 85 17  16  15  14  Figure 4 11  Sample Report
20.   Click the Select Bottle to Edit Graph button EB     The Select Bottle to Edit Graph screen overlays and disables the Setup  screen        BacT ALERT 3D SoiectLink Tett 02270                                0203020909  0202020202  1 0907090709  0303030303  0202020202  0202020202                               2  3 4 5 6  Figure 4 14  Select Bottle to Edit Graph Screen  1     Cell Scroll Buttons 5     Check Button  2     Setup Screen  Disabled  6     Graph Bottle Readings  3     Previous Screen Button Button  4     Cancel Button 7     Bottle ID Field    3  Ifyou know the bottle ID of the bottle whose readings you wish to graph   then enter the bottle ID in the Bottle ID field  see Text Data Entry on    BacT ALERT   3D 60 User Manual    4 29  95269    Basic Functions Viewing and Printing    page 4 8  and go to Step 5  If you know the cell location but not bottle ID   then continue to Step 4     Note  Only the last 1 920 bottles loaded can be retrieved  Any other entry in the  Bottle ID field is invalid and will cause an Operator Error 940  see Operator  Error Codes in Chapter 8      4  Adjust the Cell  1     60  scroll buttons to select the cell location of the  bottle whose readings you wish to graph  The cell location defaults to  Cell 1     Note  Only cell locations with currently loaded bottles can be used to view bottle  graphs  To view graphs of recently unloaded bottles  the most recent 1 920  bottles loaded   you must use the Bottle ID field     5  Click the Graph Bottle
21.   If the bottle ID is correct for the bottle being loaded or  unloaded  the bottle ID for the bottle in the cell location  indicated was incorrect     Solution  Perform the following procedure   1  Record the cell location displayed in the Error Box     2  If the error occurred while loading  then do not load the  bottle at this time  Set the bottle aside and go to Step 4     3  If the error occurred while unloading an anonymous bottle   return the bottle to its original cell location     4  Pull the bottle from the cell recorded in Step 1 and record  its bottle ID   Ignore the Operator Error 911 that appears   DO NOT click the Check button      5  Return the above bottle to the cell from which it came  the  LED will be flashing      6  Goto the Edit Cell Contents screen and select the cell  recorded in Step 2  see Selecting Bottles Using the Edit  Cell Contents Button in Chapter 5   The Edit Bottle Detail  screen will display     7  Enter the correct bottle ID  the one recorded in Step 4  in  the Bottle ID field     8  Click the Check button     If the error occurred while identifying an anonymous bottle   identify the anonymous bottle     or    If the error occurred while loading a bottle  see Step 2   re   load the bottle from Step 2      10  Ifthe error persists  call bioM  rieux         921 BARCODE SCAN NOT ALLOWED IN THIS MODE    Cause  Indicates a barcode label was scanned but current  Screen does not accept barcodes  Frequently occurs if  appropriate function is not i
22.   Press the Done button to exit the Load Bottle mode and return to the  Main screen     4  Indicate that Barcode Reader Functional Test is complete on the  BacT ALERT   3D 60 Installation Checklist in Appendix C     UPS Functional Test  BacT ALERT  3D 60 Only  APC UPS 650     1  Setthe time to current local time     2  Disable the audible alarms using the system software  see Setting the  Audible Alarms in Chapter 6      3  Remove AC power from the UPS by removing the UPS AC power cord  from the wall outlet  Leave the UPS connected to the instrument and  leave the power switch set to ON     4  While waiting for 1 minute  verify that the UPS emits an audible alarm     5  Verify that the blue Abnormal Shutdown screen appears on the  instrument monitor screen     6  Verify that the instrument powers down   7  After the instrument powers off  restore power to the UPS     8  Verify that the instrument retains the correct time and has no visible  errors displayed on the monitor screen     9  Indicate that the UPS Functional Test is complete on the  BacT ALERT   3D 60 Installation Checklist in Appendix C     Installing the Optional Restraint       The countertop mounting hardware consists of screws and flat washers used  to attach the instrument to a countertop  see Figure 3 7  or other surface of  variable thickness  For a list of required parts  see Table 3 2     Table 3 2  Restraint Hardware                         Item Quantity  a in  x 20 x 5 in  Bolt 4 each    in  Flat Washer 
23.   Rd e Ee Re yan ban   yay ela 3da 2 15  Figure 2 7  Anchor Display Scroll Buttons                   sse 2 16  Figure 3 1  Power Entry Module with Fuse Holder Removed                         sees 3 3  Figure 3 2  PEM with 115 VAC Version sterrenregens tiiri ieii 3 4  Figure 3 3  PEM with 230 VAC Version sise 3 5  Figure 3 4  Additional Fuse Holder Views                   seen nnne 3 6  Figure 3 5  Installation and Setup Diagram     Port and Power Connections                         3 9  Figure 3 6  Modem Configuration and Dip Switch Settings                           sss 3 11  Figure 3 7  Countertop Surface Mounting Diagram                essen 3 13  Figure 3 8  Mounting Surface Diagram                 essen nennen nn 3 13  Figure 3 9  Mounting Surface  Drilling  Template                         seen 3 14  Figure 4 1   Main SCr e n      i inet aee terae e re er e ote E W  n      awen      4 3  Figure 4 2  Instrument ICONS               ssssssssssssssissss essei enne yina nensi nnne aa e Ra WE ka WANARA 4 4  Figure 4 3  Bottle Count Table Unload Buttons                     sss 4 5  Figure 4 4  View Cell Status Screen                sssss seen ener nnn 4 6  Figure 4 5    Disabled  Gell iis etie rr o e ee Aa eb na a ERE 4 7  Figure 4 6  Main Screen     Load Mode            1       sse 4 10  Figure 4 7  Change Maximum Test Time Screen              ssssssse eene 4 13  Figure 4 8  Main Screen     Unload Mode                  sss 4 15  Figure 4 9    Setup Screen   doen eeu 4 18  Fig
24.   combination with the MB BacT   Reconstitution Fluid  promote the growth of  mycobacteria  If a non sterile sample is tested  the Reconstitution Fluid  should be combined with the MB BacT Antibiotic Supplement  which is then  added to the Process Bottle in accordance with the instructions in the  package insert  The addition of these antibiotics inhibits the growth of  contaminating  non mycobacterial microorganisms while permitting the  growth  detection  and recovery of mycobacteria     Principle of Detection    Mycobacteria behave like most other aerobic bacteria with respect to  carbohydrate metabolism  energy production  and the biosynthesis of low  weight metabolites  They are able to assimilate a large range of  carbohydrates  lipids  and proteins  How mycobacteria assimilate and  organize these substrates is shown diagrammatically in Figure 10 3 below     10 6 BacT ALERT   3D 60 User Manual  95269    System Startup    Mycobacterial Testing    Proteins  Keto acids  Lipids and i    peptides intermediates phospholipids C arbohydrates  and    of the TCA including glucose  m amino cycle  acids free fatty acids    and glycerol      Glucose      mycobacterial    lipids glycolysis    and pentose  phosphate  pathway       Acetyl CoA    NADH    Keto acids    Mycobacterium    be    Transport    FADH    co     Figure 10 3  Metabolic Pathway for Mycobacterial CO     Glycerol was selected as the primary metabolic source in the MP Bottle  because of its unique metabolic pathway and
25.   greater than one hour  This situation may occur when the  power to the Instrument is lost for more than one hour  It may  also occur if a negative to date bottle is unloaded  then  reloaded more than one hour later     There are two procedures that can be followed when this fault  occurs  It is recommended that you print an Unload report  before clearing this fault to ensure that you have a record of all  bottles with an 80 fault     Note   On the Load  Status and Unload reports  bottles with  Instrument Fault Code 80 will be marked on the report with a  Gap Detection indicator     next to the result  If a negative  bottle has an Instrument Fault Code 80 while it is unloaded  the  Gap Detection indicator will remain on the report  see Viewing  and Printing Test Data in Chapter 4      Solution 1  This procedure instructs you to unload and  subculture each bottle to clear the 80 fault     1  From the Main screen  press Ctrl   F3 to enter a special  unload mode     Subculture the bottle     Reload the bottle via the Load Bottle function on the Main  Screen to restart testing     Solution 2  This procedure allows you to clear 80 faults for  each affected bottle without unloading     WARNING   These bottles must have a terminal  L   subculture performed if their final status is  negative     1  From the Setup screen  enter the system password  see  Accessing the Setup Screen in Chapter 4      2  Press Alt   F5 to clear all faults at the same time        8 12 BacT ALERT   3D 60 U
26.  11 Mode   9 2  Logging In for the First Time   9 2  Logging In   9 6  Inactivity Timeout   9 7  Login Errors   9 7  Change Password   9 8  Change Password Errors   9 9  Logging Out   9 12  Configuring Users     21 CFR Part 11 Mode   9 12  Adding a User   9 13  Deleting a User   9 15  Clearing a User Password   9 16  Audit Trail   9 18  Accessing the Audit Trail   9 20    BacT ALERT   3D 60 User Manual    9 1  95269    21 CFR Part 11 Mode Log In Out of System     21 CFR Part 11 Mode    Log In Out of System     21 CFR Part 11 Mode       When installed  the BacT ALERT 3D 60 instrument can be configured to  operate in 21 CFR Part 11 mode  1f21 CFR Part 11 mode is enabled  you  need to enter a user name and password to access all functions available     While logged out of the instrument in 21 CFR Part 11 mode  the following  Main screen is displayed  see Figure 9 1               BacT ALERT 3D Signature 12 46 15 07 88 45                            Figure 9 1  Main Screen While Logged Out    21 CFR Part 11 Mode  1     Login button    When logged out  you will have limited access to the instrument s functions   The following activities can be performed while logged out of the instrument       view error status     view bottle count status     hear and clear audible alarm     view screen color changes when a bottle turns positive    Logging In for the First Time    When you log in to the instrument for the first time  the default password is    1  a  blank  see Adding a User on page
27.  9 13    3       9 2 BacT ALERT  3D 60 User Manual  95269    Log In Out of System     21 CFR Part 11 Mode 21 CFR Part 11 Mode    To log in to the instrument for the first time     1  From the Main screen while logged out  see Figure 9 1   click the Login    button B         The User Login screen appears                    BacT ALERT 3D Signature 12 52 23 07 88 85                      Figure 9 2  User Login Screen    1     User Name Field   2     Password Field   3     Previous Screen Button  4     Check Button   5     Cancel Button   6     Change Password Button    2  Click in the User Name field  field turns white  and enter your user name     3  From the User Login screen  see Figure 9 2  User Login Screen   click    the Change Password button           The New Password and Confirm Password fields appear on the User  Login Screen  see Figure 9 3         BacT ALERT  3D 60 User Manual 9 3  95269    21 CFR Part 11 Mode Log In Out of System     21 CFR Part 11 Mode             1 2 BacT ALERT 3D Signature 12 54 88 07 88 85                         Figure 9 3  User Login Screen with Change Password Fields    1     New Password Field   2     Confirm Password Field  3     Previous Screen Button  4     Check Button   5     Change Password Button    4  Enter your new password in the New Password field  password length  must be 6 to 24 characters    5  Re enter your new password in the Confirm Password field     6  Click either the Check button or the Enter key to change your password  
28.  ALERT 3D 60 User Manual  95269    Hardware Maintenance System Maintenance      Spill Cleanup    Where appropriate  follow your institution s spill clean up procedures     WARNING    For spills that might involve M  tuberculosis  proper protective    equipment should be worn  including HEPA filtered respirator   gloves  eye protection  and a lab coat  In some cases  coveralls  or shoe covers should be worn to avoid contaminating street  clothing        1  Gently cover the spill area with a paper towel  Apply a 10  bleach  solution or other EPA registered tuberculocidal disinfectant     2  Using the bleach solution  wet down all surfaces with which the spill may  have come in contact     3  Allow all surfaces adequate contact time with the bleach solution   15 30 minutes  before cleanup     4  All materials used in the clean up should be treated as biohazardous  waste     Disinfection Procedure for Spills Onto the Instrument    1 Any blood or test specimen spilled on an instrument should be removed    immediately using the following procedure        A   Protective gloves should always be worn when handling blood   V  blood components  or blood contaminated material        1  Clean the spill from the instrument following your institution s  recommended procedure for decontamination or the procedure  described in the latest revision of Clinical and Laboratory Standards  Institute  CLSI  guideline  Protection of Laboratory Workers from  Instrument Biohazards and Infectious Diseas
29.  Accessing the Setup Screen Function Buttons    Set Maximum Test Time button  see Setting the Maximum Test Time in  Chapter 6     Set Audible Alarm Options button  see Setting the Audible Alarms in Chapter 6     Change Password button  see Changing the System Password in Chapter 6     Select Bottle to Edit Graph button  see Selecting Bottles Using the Select Bottle  to Edit Graph Button in Chapter 5     Edit Cell Contents button  see Editing Bottle Details Using the Edit Bottle Detail  Screen in Chapter 5     Calibrate Cell button  see Viewing a Cell s Readings and or Calibrating a Cell in  Chapter 7     View Incubation Chamber Information button  see Viewing Incubation  Chamber Information in Chapter 7     Backup Management button  see Initiating Manual Backup in Chapter 6     Edit Data Relationships button  see Initiating the Edit Data Relationships  Function in Chapter 5     Report button  see Viewing and Printing Test Data in Chapter 4     Configure Users button     Button only appears in 21 CFR Part 11 Mode  see  Configuring Users     21 CFR Part 11 Mode in Chapter 9     Bottle Processing Customization button  For use only with instruction from  bioM  rieux        BacT ALERT  3D 60 User Manual  95269    Viewing and Printing    Basic Functions    Viewing and Printing       Introduction    Viewing Bottle Data    The following bottle information can be viewed by accessing the Edit Bottle  Detail screen as described in Editing Test Data  see Viewing Editing Bottle  Data in C
30.  BacT ALERT   3D 60 User Manual  95269       Figure 7 5   Figure 7 6   Figure 7 7   Figure 8 1   Figure 8 2   Figure 8 3   Figure 8 4   Figure 8 5   Figure 8 6   Figure 9 1   Figure 9 2   Figure 9 3   Figure 9 4   Figure 9 5   Figure 9 6   Figure 9 7   Figure 9 8   Figure 9 9     Figure 9 10   Figure 9 11   Figure 9 12   Figure 9 13   Figure 10 1   Figure 10 2   Figure 10 3     Figure E 1     Calibrate Instrument Temperature Screen                  sse 7 16  Calibrate Cell Screen          tie dtt ER eR te Ment tenen 7 19  View Incubation Chamber Information Screen                     se 7 23  Instrument Icon with Fault Codes                  sse 8 3  Instrument Status Code 710              u     u u u esasek aker   kek kake enne nnns 8 16  Operator Error Code 911             sss sienten nennen nnn 8 18  QuickScan   6000 Reset Barcode               stns 8 30  Honeywell Reset Barcode                 sse eene nnne nnns 8 30  Informational Warning Screen               sse 8 31  Main Screen While Logged Out    21 CFR Part 11 Mode                      E       9 2  User Login Screen    te me ere ele nt eae sedeo 9 3  User Login Screen with Change Password Fields    9 4  Main Screen While Logged In     21 CFR Part 11 Mode assesseer 9 5  User Login Screen    ti ett iae yaka a   a     na bak   la nene 9 6  User Login Screen with Wrong Password Alert                     eee 9 8  User Login Screen with Change Password Fields                        sss 9 9  User Login Screen with Change P
31.  Bottle Quality Control    Flip Cap   Plastic flip cap that ensures septum seal cleanliness  but not sterility   Stopper Seal   Butyl stopper secured with a color coded aluminum seal   Bottle    See Figure E 1     Volume Designations    Markings which indicate approximate volume in 5 mL increments for adult  bottles and 4 mL increments for pediatric bottles  These demarcations assist  in approximating the volume of sample added to a bottle     Barcode    The BacT ALERT 3D 60 uses a barcode system to load bottle information   Each BacT ALERT bottle has a barcode on its label  For convenience  a  portion of this barcode label may be peeled off and affixed to other records   ex  requisition slips   When any other hospital or laboratory label is applied to  the bottle  ensure that at least one complete lengthwise portion of the  BacT ALERT barcode is left visible for proper scanning and that the bottle  can be easily removed from its cell     Entering the barcode commands the BacT ALERT 3D 60 system to apply  the proper algorithm to the bottle readings     Occasionally  a BacT ALERT barcode label may become unreadable to the  barcode scanner  ex  something spilled on the label  the label is covered or  torn   If this happens  type in the barcode or apply a generic barcode label   contact your bioM  rieux Representative   These labels begin with a  G  or a  number and do not contain bottle type information  ex  SA  SN  etc    Attach  the generic BacT ALERT barcode label lengthwise
32.  Cause  An incorrect bottle type has been previously assigned  to a bottle  Bottles with fault are flagged positive and bottle  readings are not processed while the fault is present     Solution  Perform the following procedure     1  Click the Unload Positive Bottle button and unload the  affected bottle     2  Subculture the bottle     Reload the bottle via the Load Bottle function on the Main  screen to restart testing  The original first loaded date and  time are maintained     4  Ifthe fault code persists  call bioM  rieux         78 INCOMPLETE TEST DATA    Cause  This fault occurs when an identified bottle is reloaded  anonymously and later is identified and reloaded in the  instrument  The original bottle data cannot be merged with the  data collected when the bottle was anonymous and therefore  the test data is incomplete  Bottles with fault are flagged  positive and bottle readings are not processed while the fault is  present     Solution  Perform the following procedure     1  Unload bottle with fault via the Unload Positive Bottle  function on the Main screen     2  Subculture the bottle     Reload the bottle via the Load Bottle function on the Main  screen to restart testing  The original first loaded date and  time are maintained     4  Ifthe fault code persists  call bioM  rieux        BacT ALERT   3D 60 User Manual 8 11  95269    System Troubleshooting Fault Codes        80 READING GAP DETECTED    Cause  This fault occurs when there is a gap in bottle readings
33.  Edit Graph screen     2 11 1 Edit Bottle Detail screen     2 11 1 1 Edit Test Result   2 11 2 Graph Bottle Readings screen   2 11 2 1 Bottle Readings screen     2 12 Edit Cell Contents screen  2 11 1  2 11 1 1  2 11 2 and 2 11 2 1 can  also be accessed from this screen    2 13 View Incubation Chamber Information screen    2 14 Report Label Entry screen     2 15 Report Configuration screen     2 15 1 Report screen     2 16 Backup Management screen     2 17 Edit Data Relationships screens     2 19 Viewing and Printing Calibration Data screen    2 20 Bottle Type Customization screen    BacT ALERT   3D 60 User Manual 2 13  95269    System Overview BacT ALERT   3D 60 Software      2 21 Report Selection screen     2 21 1 Calibration History screen     2 23 User Configuration screen  21 CFR Part 11 mode only    2 23 1 Add User screen  21 CFR Part 11 mode only      2 232 Delete User screen  21 CFR Part 11 mode only    2 23 3 Change User Password screen  21 CFR Part 11 mode only     Common Screen Elements    Icon    Graphic symbols used instead of text to convey information and concepts in  the Monitor     Button      Appear as rectangular shapes which can be clicked to input choices or  activate functions       Button function is indicated by icon displayed on button face        f a button is gray  then it is disabled and its associated function is  unavailable     t       1 2  Figure 2 4  Button Examples    1     Enabled Button  2     Disabled Button    Common System Buttons    Tab
34.  Example  The Set Maximum Test Time screen       Click  This manual uses the word    click    to refer to using a mouse to choose or  select a text entry field  button  or option   Example  Click OK   1 6 BacT ALERTS 3D 60 User Manual    95269    Typographic and Usage Conventions How To Use This Manual    See the Select section in this chapter for more information    Press    This manual uses the word    press    to refer to pressing a key on the keyboard  in order to initiate action in the firmware     Keyboard entries are in Proper Case and bolded  ex  Ctrl   If two keys are to    be pressed simultaneously  they will be separated with a plus sign  ex  press  Ctrl   Alt   Delete      Procedural Steps    Steps in procedures are sequentially numbered  A bullet list in a step  indicates options     Sections that contain procedures are denoted by the Procedure icon in the  margin     1  2  3    Figure 1 1  Procedure Icon    References  References to chapter and section titles in this manual are in Proper Case   Example  See Chapter 7  Software Configuration   References to other manuals are in Proper Case and italic   Example  See the BacT ALERT  3D 60 Service Manual   Select  The word    select    is generally used for selecting user interface navigation   Example  Select the appropriate bottle type from the Media Type scroll  button   BacT ALERTS 3D 60 User Manual 1 7    95269    How To Use This Manual Warnings  Cautions  and Information    User Input    Instructions for user 
35.  Laboratory Use  Part 1  General  Requirements       EC 61010 1  2nd Edition  2001   Safety Requirements for Electrical  Equipment for Measurement  Control and Laboratory Use       EC 61010 2 081  1st Edition  2001   Safety Requirements for Electrical  Equipment for Measurement  Control  and Laboratory Use      Part 2 081  Particular requirements for automatic and semi automatic  laboratory equipment for analysis and other purposes      CAN CSA C22 2 No  1010 1 92  Safety Requirements for Electrical  Equipment for Measurement  Control and Laboratory Use    2 4 BacT ALERT   3D 60 User Manual  95269    Introduction System Overview    WARNING    The user must adhere to the following warnings to ensure safe  operation and to maintain the apparatus in a safe condition     Ensure that the BacT ALERT 3D 60 instrument is configured  for the correct voltage at the instrument s power entry port  before turning on     Intentional interruption of the protective conductor inside or  outside the apparatus  or disconnection of the protective  ground terminal  is prohibited     Disconnect the apparatus from all voltage sources before it is  opened for any adjustment  replacement  maintenance  or  repair     Do not perform any adjustments  maintenance  or repairs of  the opened apparatus while under voltage  If this is  unavoidable  maintenance must be carried out only by a  skilled person who is aware of the hazard involved     Ensure that only fuses with the required rated current and of  t
36.  Main Screen Introduction   4 2  Viewing Faults   4 5  Viewing the Cell Status Screen   4 6  Text Data Entry   4 8  Using the Barcode Scanner to Enter Data   4 8  Manually Entering Text into a Data Entry Field  Keyboard    4 9  Loading Bottles   4 10  Loading Bottles   4 10  Changing the Maximum Test Time  Individual Bottles    4 13  Handling Anonymous Bottles   4 14  Unloading Bottles   4 14  Unloading Bottles   4 15  Handling Unconfirmed Positive Bottles  False Positives    4 17  Accessing the Setup Screen Function Buttons   4 18  Accessing the Setup Screen   4 18  Setup Screen Function Buttons   4 19  Viewing and Printing   4 21  Introduction   4 21  Viewing and Printing Test Data   4 22  Viewing and Printing Bottle Graphs   4 29  Display Bottle Readings   4 31  Sending Requesting LIS Information   4 36  Sending Results to the LIS   4 36  Requesting Information from the LIS   4 36    BacT ALERT   3D 60 User Manual 4 1  95269    Basic Functions Introduction    Introduction       The basic functions are those tasks that may be performed during daily  workflow  They include       Monitoring the system     Entering order information  where applicable      Loading and unloading bottles     Viewing and printing data     LIS interaction with the BacT ALERT   3D SelectLink      Accessing the Setup screen    Monitoring the System    Main Screen Introduction    The BacT ALERT   3D 60 system can be monitored from the Main screen   see Figure 4 1      4 2 BacT ALERT   3D 60 User Manua
37.  Manual  95269    SYSTEM OVERVIEW 2    About This Chapter       This chapter gives you a complete description of the different  BacT ALERT 3D 60 hardware and software configurations available  Also   the monitor screens are listed along with a description of common screen  elements     Chapter Contents       Introduction   2 2  Hardware Configuration   2 2  Software Configuration Options   2 2  21 CFR Part 11 and HIPAA   2 3  Theory Of Operation   2 3  Electrical Warnings   2 4  Electrical Grounding   2 6  Electrical and Electronic Recycling   2 7  Fuse Replacement   2 7  BacT ALERT   3D 60 Hardware   2 8  Instrument    2 8  Instrument Specifications   2 11  Instrument Environmental Requirements   2 12  Instrument Installation and Setup   2 13  BacT ALERT   3D 60 Software   2 13  Monitor Screens   2 13  Common Screen Elements    2 14    BacT ALERT   3D 60 User Manual 2 1  95269    System Overview Introduction    Introduction       The BacT ALERT   3D 60 is the next generation of BacT ALERT    instrumentation with comparable sensitivity and specificity to the  BacT ALERT   3D systems  The system is non invasive     monitor screen in  conjunction with a mouse allows for a text free user interface to direct rapid  loading and unloading of individual test samples     Once placed in the unit  handling of a specimen bottle is not required until a  result is obtained  Immediately upon detection  positive results are indicated  visually on the unit s monitor and  if desired  by an au
38.  More Than One User Password  To clear more than one user password at a time     3 1  From the Clear Password screen  see Figure 9 13   click on the user    names to select   3    Note   f you select the wrong user name  click on the user name again to deselect        BacT ALERT  3D 60 User Manual 9 1  95269    7    21 CFR Part 11 Mode Audit Trail    2  Click the Clear Password button to delete the passwords for the  selected users from the User List     S  Click the Check or Previous Screen button to return to the User  Configuration screen                                               Audit Trail  One of the features of 21 CFR Part 11 mode is an audit trail that records  activities and other related information  ex  bottle events   Each audit trail  entry consists of an event  the time and date the event occurred  See  Table 9 1 for a list of events recorded in the audit trail   Table 9 1  Audit Trail Events  Event Event Parameters  User Log in Time  Date  User ID  User Log out Time  Date  User ID  Anonymous Bottle First Time  Date  User ID  Cell Location  Max Test  Loaded Time  Sequence Number  Identified Bottle First Time  Date  User ID  Cell Location  Bottle Type   Loaded Max Test Time  Bottle ID  Accession Number   Sequence Number  Bottle Identified Time  Date  User ID  Cell Location  Bottle Type   Max Test Time  Bottle ID  Accession Number   Sequence Number  Bottle Moved Time  Date  User ID  Original Cell  Destination  Cell  Sequence Number  Bottle Unloaded Time  Date 
39.  Page Up is pressed twice  then c will display     D 4 BacT ALERT   3D 60 User Manual    95269    BOTTLE QUALITY CONTROL E    About This Chapter       This chapter provides you with a description of the BacT ALERT   3D culture  bottle along with a quality control procedure     Chapter Contents       BacT ALERT   Culture Bottles   E 2  Introduction   E 2  Quality Control of Growth Performance   E 4    BacT ALERT   3D 60 User Manual E 1  95269    Bottle Quality Control BacT ALERT Culture Bottles    BacT ALERT Culture Bottles       Introduction    Disposable culture bottles to which samples are added for testing  Each  bottle contains a sensor that detects carbon dioxide  CO  as an indicator of  microbial growth     BacT ALERT culture bottles are ready for use  An expiration date is printed  on each bottle label  Do not use the media beyond the last day of the month  indicated  If the bottles are refrigerated  precipitates may form that will  disappear when the bottles are warmed to room temperature  Store protected  from light at room temperature  15 30  C   Bottles must be at room  temperature before use     1                               SFBOOOOH  a     O    5ml   5ml   5ml   5ml   5ml   5ml   5ml    5ml    5ml     er   Exp  6d    3    Figure E 1  Typical BacT ALERT  Culture Bottle    1     Flip Cap   2     Culture Medium   3     Sensor   4     Volume Designations  5     Barcode   6     Stopper Seal    E 2 BacT ALERT   3D 60 User Manual  95269    BacT ALERT   Culture Bottles
40.  Philippines  The    Representation Office  bioM  rieux Philippines   11th Floor  Pearlbank Centre   146 Valero Street  Salcedo Village  1227 Makati City   tel   632  817 7741   fax  632  812 0896    Poland   bioM  rieux Polska Sp  Z o o   UI  Zeromskiego 17   01 882 Warsaw   tel   48  22 569 85 00   fax  48  22 569 85 54    Portugal   bioM  rieux Portugal  Lda    Av  25 de Abril de 1974  n   23 3    2795 197 LINDA A VELHA   tel   351  21 415 23 50   fax  351  21 418 32 67    Russia   0 0 0  bioM  rieux  Derbenevskaya ul  20  str  11  115 114 Moscow   tel   7  495 221 10 79   fax  7  495 221 10 79    Singapore   bioM  rieux Singaporete  Ltd   11 Biopolis Way  Helios  Block 11   10 03 Singapore 138667   tel   65  6513 9554   fax  65  6478 9501    South Africa   bioM  rieux South Africa Pty  7 Malibongwe Drive  Randburg 2125   tel   27  11 801 91 10   fax  27  11 791 24 19    Spain   bioM  rieux Espa  a S A   Manual Tovar  45 47  28034 Madrid   tel   34  91 358 11 42  fax  34  91 358 06 29    Sweden   bioM  rieux Sverige AB  Hantverksv  gen 15   436 33 Askim   tel   46  31 68 84 90   fax  46  31 68 48 48    Switzerland  bioM  rieux Suisse s a   51  avenue Blanc   Case postale 2150   1211 Gen  ve 2   tel   41  22 906 57 60  fax  41  22 906 57 42    Taiwan   Representation Office   bioM  rieux China Limited   Taiwan Branch   RM 608  No  6 3 Ching Cheng Street  Taipei 105   tel   886  2 2545 2250   fax  886  2 2545 0959    Thailand   bioM  rieux Thailand Ltd   3195 9 Vibulthani To
41.  Polynomial 2     LES Plastic    Lc 6 0  View How Determined Positivity Index Icon    The number above the slash displays a numerical code representing how the  selected bottle s status was determined     Table 5 2  Status Determination Codes                   Status  Determination How Status Determined   Code   1 Rate   2 Acceleration   3 Initial value   4 Maximum test time exceeded   5 10 BacT ALERT   3D 60 User Manual    95269    Editing Data Relationships Editing Test Data    Table 5 2  Status Determination Codes  Continued                                         Status  Determination How Status Determined   Code   5 Delta   6 Test in progress   7 Manual  changed at Database Management System    8 Manual  changed at BacT ALERT 3D 60    9 Algorithm change  see Fault Code 74    10 Manual  changed by LIS    20   23 Corrupted bottle record   200     204 Detection of invalid data   205 Missing Readings          The number below the slash is the Positivity Index  An index less than 1  indicates a negative or negative to date bottle  An index greater than or equal  to 1 indicates a positive bottle     Note  The number displayed on the lower right of the Edit Bottle Detail screen  not  associated with an icon  is a bottle sequence number  which may be utilized  by your bioM  rieux Representative     Editing Data Relationships       Introduction    Bottle information  Bottle ID  Accession Number  Hospital ID  Patient First  Name  Patient Last Name  is typically associated to a bot
42.  Readings button Le      The Graph Bottle Readings screen appears     10 9 8          us Ba cT ALERT  3D Select 18 17 08 07 27 85  L S8123456  E  12345 67890    1 ABCDEF                                                                   Figure 4 15  Graph Bottle Readings Screen    1     Name Field 6     Bottle Readings Range  2     Adjust Y Scale Button 7     Days Tested Range  3     Adjust X Scale Button 8     Hospital ID Field  4     Bottle Readings Button 9     Accession Number Field  5     Print Graph Button 10     Bottle ID Field  430    Bacl ALERT 3D 60 User Manual    95269    Viewing and Printing Basic Functions    You can also access the Graph Bottle Readings screen via the Edit Bottle  Detail screen  see Editing Bottle Details Using the Edit Bottle Detail Screen in  Chapter 5   The screen ID number is the same regardless of how it is  accessed       The Y axis range defaults to 0     5000  and the X axis range defaults to  0     maximum test time of the bottle in days       If the bottle was determined positive  then a dot and the time to  detection are displayed at the point where it was determined positive     6  To adjust the Y or X axis  click the appropriate Adjust Scale button   When one of these buttons is clicked  the axis re scales so that the  maximum endpoint of the scale is just higher then the maximum value of  the range  Adjusting the scale may mean increasing or decreasing the  range of the scale     When one of the Adjust Scale buttons is clicked  the 
43.  Screen  1     Section Scroll Up Button 11     Line Scroll Down Button  2     Relative Record Scroll 12     Page Scroll Down Button  Indicator 13     End Scroll Button  3     Relative Record Scroll Bar 14     Gap Detection Indicator  4     Find Text Button 15     Report Data Lines  5     Save Button 16     Stick Figure  6     Print Current Section 17     Current Section Line  Button    18     Home Scroll Button  19     Page Scroll Up Button  20     Report Title   21     Line Scroll Up Button    7     Print Report Button  8     Cancel Print Button  9     Previous Screen Button    10     Section Scroll Down  Button    Note  Results that have been manually changed  see Editing Bottle Details Using  the Edit Bottle Detail Screen in Chapter 5  will be marked on the report with a  stick figure         Note  Ifa bottle is positive  set manually  or positive by any other reason  and then  is manually changed to negative to date  the stick figure   amp   will not appear     Note  Bottles with an Instrument Fault Code 80 will be marked on the report with a    Gap Detection indicator     next to the result  If a negative bottle has an    4 24 BacT ALERT   3D 60 User Manual  95269    Viewing and Printing    Note     Note     Note     Note     Note     Note     Note     Note     Basic Functions    Instrument Fault Code 80 while it is being unloaded  the Gap Detection  indicator will remain on the report  see Instrument Fault Codes in Chapter 8      The Current Section Line will always dis
44.  The Enable Disable Rack or Cell screen overlays and disables the Setup  screen     BacT ALERT 3D SetectLink 14 33 49 04 22 02    RE                                    1 4  3  2  Figure 7 3  Enable Disable Rack or Cell Screen  1     Rack Scroll Button  2     Setup Screen  Disabled   3     Enable Disable Slidebar Switch  4     Cell Scroll Button  BacT ALERT   3D 60 User Manual 7 13    95269    System Maintenance Software Maintenance    4  To enable disable an entire rack     a  Select the Rack desired  1 20  21 40  or 41 60  using the Rack  scroll button     b  Set the Enable Disable slidebar switch below the Rack icon to enable   1  or disable  0      c  Go to Step 6     Note  If a rack is disabled  then the cells in that rack are disabled and turn gray   however  disabling a rack does not change the current setting of each ofthe  slidebars for those cells     5  To enable disable a cell     a  Select the Rack  1   20  21   40  or 41   60  that holds the cell using the  Rack scroll button     b  Select the Cell desired  1   20  using the Cell scroll button     c  Set the Enable Disable slidebar switch below the Cell icon to enable   1  or disable  0    6  Click the Check button to accept change s   or the Cancel button to  return previous settings     7  Click the Previous Screen button to return to the Setup screen     Relocating Bottles    In certain situations  ex  before disabling a rack   it may be necessary to    1  di move bottle s  into another available cell or rack 
45.  User ID  Cell Location  Sequence  Number  9 18 BacT ALERTS 3D 60 User Manual    95269    Audit Trail    21 CFR Part 11 Mode    Table 9 1  Audit Trail Events  Continued        Event    Event Parameters       Bottle Record Changed    Time  Date  User ID or LIS  Cell Location   Action  Bottle Type Changed  Loaded Status  Changed  Max Test Time Per Bottle Changed   Test Result Manually Changed  Bottle ID  Changed  Accession Number Changed    Sequence Number  Bottle Type  Loaded Status   Max Test Time  Test Result  How Determined   Bottle ID  Accession Number    Note   The Bottle Type  Loaded Status   Max Test Time  Test Result  How  Determined and Accession Number are  recorded in the Audit Trail when they  change        Temperature Calibration    Time  Date  User ID  Chamber ID  New  Temperature Setpoint       Cell Calibration    Time  Date  User ID  Cell Location       Display Time Changed    Time  Date  User ID  Amount of Change relative  to UTC  Universal Coordinated Time        Firmware Updated    Time  Date  Device  Firmware Revision    Note   User ID is not recorded        Rack  or Cell Enabled or  Disabled    Time  Date  User ID  Location  Action  enable  or disable   Device    Note   This event is recorded only from  the Enable Disable Rack or Cell screen   screen 2 2         Maximum Test Time for  Bottle Type Changed    Time  Date  User ID  Bottle Type  Max Test  Time       Positive Alarm Setting  Changed    Time  Date  User ID  Action  enable or disable        Instrum
46.  a  abel in the blank field and click the Check  button        8 28 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting  Bottle Problems    ANONYMOUS BOTTLE INDICATED IN EMPTY CELL  Cause  The cell flag is stuck     Solution  Verify that the flag is covering the bottom of the cell   If not  try gently clicking on the flag spring to dislodge it        Cause  Flag is soiled     Solution  Call bioM  rieux        Cell may need to be recalibrated  Calibrate cell  see Calibrating  an Instrument Cell in Chapter 7      BorrLE LODGED IN CELL  Cause  Too many labels applied to a bottle     Solution  Call bioM  rieux     VAN CAUTION   Do not twist the bottle     Cause  The bottle label was wet when the bottle was loaded  and became stuck to the side of the cell        Solution  Call bioM  rieux        User Output Device Problems    CELL INDICATOR LIGHT S  NEVER COME ON  Cause  Various     Solution  Call bioM  rieux     INSTRUMENT ALARM NOT SOUNDING  Cause  Alarm disabled     Solution  Verify the alarm settings are correct  see Setting the  Audible Alarms in Chapter 6   If this does not correct the  problem  call bioM  rieux     BARCODE SCANNER DOESN T BEEP  Cause  Various     Solution  Call bioM  rieux     BacT ALERT   3D 60 User Manual 8 29  95269    System Troubleshooting Fault Codes       BARCODE CANNOT BE SCANNED  Cause  The barcode gun needs cleaning     Solution  Wipe the face of the gun with a soft cloth and water        Cause  The connectors are improperl
47.  buttons will  become enabled and the Cancel Print button will be disabled     12  To specify a text string and initiate a search of the report data for the  specified text  click the Find Text button     4 26 BacT ALERT   3D 60 User Manual    95269    Viewing and Printing Basic Functions    The Find Text screen appears        BacT ALERT 3D Select    Load Report           m p                Figure 4 12  Find Text Screen  1     Find Text Field    Enter desired text and click the Check button  The report screen is  displayed  Clicking the Cancel button will cancel the search request and  return to the Report screen     Note  The search will be performed upon returning to the Report screen starting  from the top of the report  The record that contains the first occurrence of the  text will be scrolled to the first line of data displayed and the text itself will be  highlighted for reference     If no occurrence of the specified text is found  the data displayed will not  change and no reference highlighting will occur     13  To find the next instance of the specified text  press the F3 key on the  keyboard     Note  lf no new instance of the text is found the data displayed and the highlighted  text will remain the same     14  To save the displayed report to a text file  click the Save button     BacT ALERT   3D 60 User Manual 4 27  95269    Basic Functions    Note     Note     Note     Note     Viewing and Printing    The Save To File screen appears        BacT ALERT 3D Selec
48.  corner  A description of each Operator  Error Code is provided  The following is an example of Operator Error Code  911        BacT ALERT 3D SelectLink 98 43 12 64 85 81                   Figure 8 3  Operator Error Code 911        901 CORRUPTED BOTTLE RECORD HAS BEEN SELECTED    Cause  A corrupted bottle record has been selected for the Edit  Bottle Detail screen     Solution  This error will automatically disappear     1  Note the cell ID for the corrupted bottle record on the Edit  Bottle Detail screen     2  Go to the View Cell Status screen and check the cell for  Instrument Fault Code 75     3  If Fault 75 is present  then follow the procedure provided to  correct the problem  see Instrument Fault Code  75 on  page 8 10      4  If error persists  call bioM  rieux        8 18 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting        902 REQUIRED DATA MISSING  Cause  Required data was not entered while loading bottles   Solution   1  Remove the bottle from the cell that was just loaded     2  Complete required fields  see Text Data Entry in  Chapter 4      3  Reload bottle         909  INVALID CELL LOAD     CELL QC IN PROCESS    Cause  This fault occurs when a bottle is loaded in a cell that  has not completed the QC cycle  The QC cycle for a cell is  indicated by a white circle on the cell status screen  see  Figure 4 4  View Cell Status Screen  on page 4 6      Note   The maximum time a cell may be disabled while  undergoing the QC cycle is 12 m
49.  date or  negative test status     10     Unload Anonymous Negative or Negative to Date Bottles Button    Instrument faults are reported using a numeric code within a diamond shape   Fault codes are displayed on the Instrument icon where the fault condition  exists     Note  Only high priority codes are displayed on the Instrument icon    1  If the code appears on the Instrument or the right side of the icon  then  move to Step 4  If the fault code appears on an Incubation Chamber or  left side of the icon  then continue to Step 2    2  Click the Incubation Chamber on the Instrument icon    3  The View Cell Status screen appears  see Figure 4 4  View Cell Status  Screen  on page 4 6      Door faults appear at the top of the screen     Rack faults appear at the left end of the rack display     Cell faults appear in the cell display    BacT ALERTS 3D 60 User Manual 4 5    95269    Basic Functions Monitoring the System    4  Fora complete list and description of Instrument Fault Codes  see the  topic  Instrument Fault Codes in Chapter 8     Viewing the Cell Status Screen    1 The View Cell Status screen is continuously updated with changes that occur  a  while the screen is active  such as the loading unloading of bottles  new test  3 P de    results  and the error status as indicated by fault codes appearing or  disappearing  To view the cell status screen     1  Display the View Cell Status screen by clicking the appropriate  Incubation Chamber on the left side of the Instrume
50.  fault is present   Solution  Call bioM  rieux    72 INVALID CALCULATION DATA  Cause  Hardware failure involving the non volatile random  access memory   CAUTION   Bottles with fault are flagged  AN positive and bottle readings are not processed  while the fault is present   Solution  Determine how long bottle readings have not been  processed by going to the Edit Bottle Detail screen and noting  the time of the last bottle reading  see Viewing Editing Bottle  Data in Chapter 5   If the time passed is greater than one hour   bottles must be subcultured   1  Unload the affected bottle via the Unload Positive Bottle  function on the Main screen   2  Subculture the bottle if necessary   Reload the bottle via the Load Bottle function on the Main  screen  The original first loaded date and time is  maintained   4  Ifthe fault code persists  call bioM  rieux    73 INVALID METHOD DATA  Cause  Important information used for bottle analysis has been  corrupted and therefore bottle readings are not being  processed  Bottles with fault are flagged positive one hour after  the fault code first appears  Bottle readings are not processed  while the fault is present   Solution  Each bottle type uses the same method data   Eventually  all bottles of the same type as the one with the fault  will also present the same fault code   1  Reboot the system  see Instrument Reboot Shutdown in  Chapter 7    2  Call bioM  rieux   BacT ALERTS 3D 60 User Manual 8 9    95269    System Troubleshooting Faul
51.  its ability to maximize the  amount of CO  generated by mycobacteria  Once ingested  glycerol is  converted to Acetyl CoA and oxidized through the Krebs or Tricarboxcilic  Acid Cycle  TCA   CO  and reduced electron carriers are the major metabolic  byproducts of this oxidation     A solid state sensor at the base of each MP Bottle detects CO   as an  indicator of microbial growth  As the concentration of CO  increases  the  sensor undergoes a color change from green to yellow     Safety Features    BacT ALERT   3D 60 User Manual 10 7    95269    The design of the BacT ALERT   3D 60 provides several safety measures to  help mitigate hazards associated with mycobacteria and other organisms in  the interest of operator and laboratory safety  They are summarized as  follows       All glass bioM  rieux BacT ALERT   media bottles are manufactured with a  polymeric safety sleeve to help limit the effects of damage to a bottle   Plastic bottles are made from a break resistant material       Each bottle cell within the BacT ALERT   3D 60 Instrument is sealed to  help contain and minimize effects of liquid spillage       The circulating fans within the Instrument turn off whenever the door is  open to minimize airflow and the potential for aerosols     Mycobacterial Testing System Startup      To reduce the chance of binding a heavily overlabeled bottle in a cell   Instrument cells are gently tapered and fabricated from a compliant  polymer     WARNING    Pathogenic Microorganisms inc
52.  object  other than a Zip   disk  into the Zip    Z  N drive under any circumstances     instrument  Forcibly removing the Zip   disk may cause damage  to the Zip   disk or Zip   drive and may cause the system to lock    up       CAUTION  Do not forcibly remove the Zip  disk from the       Configuring Report Screens       Introduction    Report screens are accessed by clicking the appropriate Display Report  Screen button from the Report Selection screen  see Viewing Printing  Reports in Chapter 4 and Figure 4 10  Report Selection Screen   Perform the  following procedures to configure these report screens     Entering Report Labels      The following procedure describes how to select labels to be used as column       headings for all reportable fields on system reports     1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      E  2  From the Setup screen  click the Report button   em          BacT ALERT  3D 60 User Manual 6 9  95269    Software Configuration Configuring Report Screens    The Report Selection screen appears        BacT ALERT 3D Select 19194148  07 00705             1       Y sea    wa                        Ww    wa               Figure 6 9  Report Selection Screen    1   Report Label Entry Button  2   Cancel Button  3   Check Button    3  Click the Report Label Entry button Let     The Report Label Entry screen appears     6 10 BacT ALERT   3D 60 User Manual  95269    Configuring Report Scree
53.  on the bottle  not  horizontally around the bottle  Do not place the barcode label over the sensor  on the bottom of the bottle        CAUTION  BacT ALERT   MB Bottles must never be loaded  anonymously or with a Generic barcode        Sensor  Colorimetric carbon dioxide sensor attached internally to the bottom of each  bottle   BacT ALERT  3D 60 User Manual E 3       95269    Bottle Quality Control BacT ALERT Culture Bottles    Limitations of the Test    Refer to the package insert enclosed with the BacT ALERT culture bottles  for additional information     Many variables involved in blood culture testing cannot be practically  controlled to provide total confidence that results obtained are due solely to  proper or improper performance of any culture medium or detection system     Note  A Gram stained smear from a negative bottle may sometimes contain a small  number of non viable organisms that were derived from culture medium  components  staining reagents  immersion oil  or glass slides  therefore   false positive results are indicated     Quality Control of Growth Performance    If desired  individual laboratories can perform routine quality control testing of  different lots of BacT ALERT blood culture bottles when used with the  BacT ALERT   3D 60 System     Blood Culture Bottles  SA  SN  FA  FN  and PF     Each case of BacT ALERT blood culture bottles  including BacT ALERT    SA  SN  FA  FN  and PF  is packaged with a Certificate of Conformance that  should be filed 
54.  password  numeric keys can be  used in place of clicking on the screen  The 1 to 4 keys are used to enter  the password value  The 5 key is used in place of clicking the Key Symbol  button       Scroll buttons are selected using the Tab key  Once the desired scroll  button is selected  use the  gt  or  lt  keys to select the Up or Down scroll  arrow     Function keys can be used to invoke the following functions   Alt   F5 Clears Instrument Fault Code 80 faults for all cells at the same    time  This function only works while the Setup screen is displayed  and after a password is entered     7 6 BacT ALERT   3D 60 User Manual  95269    Hardware Maintenance    Ctrl   F1    Ctrl   F2    Ctrl   F3    Ctrl   F10    System Maintenance    Activates a special unload mode  This identifies bottles that are  loaded in cells that are non operational  When the door is opened   the cell indicator lights will light for those bottles in non operational  cells  Cells with rapidly flashing cell indicator lights are disabled or  unusable     In this mode  the Instrument automatically activates the Unload  Bottles function  Bottles can be removed from the indicated cells  one at a time and moved to unusable cells whose cell indicator light  will be off  This function only works while the Main screen is  displayed     Activates a special unload mode  This identifies cells out of  calibration  All such cells are identified whether they are loaded or  not  When the door is opened  the cell indica
55.  remove the power cord s ground prong under any  circumstances     WARNING    Do not insert any object  other than a Zip  disk  into the Zip   drive under any circumstances        2 6 BacT ALERT   3D 60 User Manual    95269    Introduction System Overview          Figure 2 1  Electrical Grounding Requirements    1     US Standard  2     220 Volt   European    Electrical and Electronic Recycling    WARNING    This statement only applies to European countries with regard  to the waste electrical and electronic equipment European  directive     You can play an important role in contributing to reuse   recycling and other forms of recovery of waste electrical and    electronic equipment  Sorting this type of waste significantly  reduces potential negative effects on the environment and  human health as a result of the presence of hazardous  substances in electrical and electronic equipment     At the end of the life cycle of this product  do not dispose of the  product as unsorted municipal waste  even if it is  decontaminated  It is imperative that you contact bioM  rieux to  assure for its appropriate disposal        Fuse Replacement    The only user servicable fuses in the BacT ALERT 3D 60 system are  located in the Power Entry Module  see Setting the AC Power in Chapter 3    For all other internal fuses  contact your local bioM  rieux Instrument Service    Representative   BacT ALERTS 3D 60 User Manual 2 7    95269    System Overview BacT ALERT   3D 60 Hardware    BacT ALERT 
56.  slidebar switch back to the load position  1         BacT ALERT   3D 60 User Manual 8 27  95269    System Troubleshooting Fault Codes       945 BOTTLE ID ENTERED MATCHES THAT OF A  PREVIOUSLY UNLOADED BOTTLE    Cause  In the Edit Bottle Detail screen  a bottle has been given  the bottle ID of a previously unloaded bottle     Solution  If the bottle ID was entered incorrectly  perform the  following procedure     1  Click the Cancel button on the error screen     2  Enter the correct bottle ID on the Edit Bottle Detail screen  and click the Check button     If the bottle ID was entered correctly  perform the following  procedure     1  Click the Check button on the error screen     Note   The bottle readings for the previously unloaded bottle  will be lost and the bottle ID  Accession Number  First Loaded  Time  Maximum Test Time  and Bottle Type will be assigned to  the newly identified bottle     2  Click the Check button on the Edit Bottle Detail screen   Instrument Fault Code 78 appears and the bottle is flagged  positive  see Instrument Fault Code  78 on page 8 11         960 DUPLICATE ENTRIES    Cause  Two or more label entry fields on the Label Entry  screen contained the same entry when the Check button was  clicked     Solution  Change one of the duplicate labels to a unique entry  and click the Check button        961 INVALID BLANK FIELD    Cause  One of the label entry fields on the Label Entry screen  was blank when the Check button was clicked     Solution  Enter
57.  that field  The field should turn white indicating focus   2  Rotate the bottle so the bottle ID or accession number barcode is on top   3  Place the bottle over the barcode strip located at the base of the barcode  reader stand  see Figure 2 2  Instrument Front View    4  There will be two short beeps when the bottle ID is successfully scanned  into the Bottle ID field   5  Ifthe Accession Number field is enabled  there will be three short  beeps when the accession number is successfully scanned into the  Accession Number field   If an Operator Error occurs  a series of beeps will alert the operator to  view the Monitor   4 8 BacT ALERTS 3D 60 User Manual    95269    Text Data Entry    Note     Basic Functions    If the barcode is not read     1  Verify the appropriate field has focus     2  Move the bottle away from the barcode strip and initiate another scan     The Hospital ID field is a keyboard entry field only     Manually Entering Text into a Data Entry Field  Keyboard     BacT ALERT   3D 60 User Manual 4 9    95269    1  2  3         Note     Note     Note     Note     Field text  where applicable  can be entered using the keyboard  If a barcode  label cannot be scanned successfully  the bottle ID or accession number can  also be entered using the keyboard     See Appendix D for International character entry instructions     Before entering text into a field  touch the desired field to place focus on that  field  The field should turn white indicating focus     1  U
58.  the changes  or click the Cancel button  to restore all relationships originally displayed   5 16 BacT ALERTS 3D 60 User Manual    95269    Editing Data Relationships Editing Test Data  7  When done  click the Previous Screen button to return to the Edit Data  Relationships screen     Note  If the Edit Accession Number to Hospital ID Relationships screen was  accessed directly from the Setup screen  then the Previous Screen button  will return to the Setup screen     Editing Hospital ID to Patient Name Relationships    1  Access the Edit Hospital ID to Patient Name Relationships screen  see                            1  a  Initiating the Edit Data Relationships Function on page 5 12    BacT ALERT 3D SelectLink 98 23 12 84 05 01  2 4  3  Figure 5 8  Edit Hospital ID to Patient Name Relationships Screen  1     Hospital ID Field  2     Patient First Name Field  3     Previous Screen Button  4     Patient Last Name Field  2  Enterthe hospital ID in the Hospital ID field for which you want to add   edit the patient name association   3  Enter the correct patient name into the Patient First Name and Patient  Last Name fields   4  Click the Check button to accept the changes  or click the Cancel button  to restore all relationships originally displayed   5  When done  click the Previous Screen button to return to the Edit Data  Relationships screen   BacT ALERTS 3D 60 User Manual 5 17    95269    Editing Test Data Editing Data Relationships    Note  The Patient First Name and Patie
59.  thereunder are exclusive and in lieu of all other remedies or warranties   express or implied  arising by law or otherwise  with respect to the system  delivered hereunder  including without limitation any obligation of Seller with  respect to merchantability  fitness for particular purpose  and consequential  damages  and whether or not occasioned by Seller s negligence      This Warranty shall not be extended or altered except by written instrument  signed by Seller     All of the product elements in the Seller s Instrument and the total instrument  are warranted to be new or equivalent to new for the full product warranty  period of one year  Disposables and replacement items with a normal life  expectancy of less than one  1  year  such as batteries and bulbs  are  excluded from this warranty        STANDARD SYMBOLS       The following table presents symbols that may appear in the instructions for  use or on the instrument  package inserts  or packaging     CE    Prey   LEE     gt   amp     CE Marking of Conformity    Consult Instructions for Use    Use by    Manufacturer    Date of manufacture    Contains sufficient for  lt n gt  tests    Keep dry    Fragile  handle with care    Caution  consult accompanying documents    Biological risks    Electric shock warning       gim   B         r   o         gt x      s  li l      Standard Symbols    Radiation warning    Potential pinch point warning    Laser    Temperature limitation    Upper limit of temperature    Lower limit 
60.  to change your password   Note  The Previous Screen button returns to the User Login screen  see    Figure 9 5  User Login Screen  on page 9 6  without logging in     Change Password Errors    1  2  3    the User Login screen  see Figure 9 8   If you enter a password with less  than 6 characters  a wrong password alert appears on the User Login screen   see Figure 9 9        If you enter an incorrect new password  a change password error appears on    Note  If more than 24 characters are entered  the additional characters are ignored  and no error is displayed        BacT ALERT  3D 60 User Manual 9 9  95269    21 CFR Part 11 Mode Log In Out of System     21 CFR Part 11 Mode              m BacT ALERT 3D Signature 12 57 08 87 08 85                         Figure 9 8  User Login Screen with Change Password Error    1     Change Password Error  2     Password Field   3     New Password Field   4     Confirm Password Field  5     Previous Screen Button  6     Check Button   7     Change Password Button    9 10 BacT ALERT   3D 60 User Manual  95269    Log In Out of System     21 CFR Part 11 Mode 21 CFR Part 11 Mode    1          BacT ALERT 3D Signature 12 57 09 97 89 85                            Figure 9 9  User Login Screen with Wrong Password Alert    1     Wrong Password Alert   2     Password Field   3     New Password Field   4     Confirm Password Field  5     Previous Screen Button  6     Check Button   7     Change Password Button    To clear the password error     1  Cli
61.  to the Main screen and  shows you how to perform basic functions  ex  enter data  view faults  view  the Cell Status screen  load unload bottles  etc    This chapter also introduces  you to the Setup screen and the associated function buttons     Chapter 5  Editing Test Data     Explains how to access bottle data for  loaded and unloaded bottles using the Edit Bottle Detail screen  This chapter  shows you how to view and edit bottle data     Chapter 6  Software Configuration     Explains how to configure the  software for your specific needs  This chapter shows you how to set the  maximum test time  set the audible alarms  change the system password   initiate a manual backup  configure report screens  and view and print  calibration data     Chapter 7  System Maintenance     This chapter provides you with  procedures on how to perform maintenance on the BacT ALERT 3D 60  hardware and software     Chapter 8  System Troubleshooting     Describes the different types of  instrument fault  instrument status and operator error codes  as well as bottle  and user output device problems  you may encounter when using the  instrument  Cause s  and solutions s  for each type of fault error problem are  also listed     Chapter 9  21 CFR Part 11 Mode     This chapter explains how to log in and  out of the instrument while in 21 CFR Part 11 mode  as well as instructions for  configuring users  ex  adding or deleting a user  or clearing a user password      1 4 BacT ALERT   3D 60 User Manu
62.  tonno Lehrer Mage Many met a  1 2  Purpose of the BacT ALERT   3D 60 Systems   xu een ER ee ENT es 1 2  Additional Supplies                                                1 3  Purpose of This Manual                                            1 3  Manual Organization                                               1 4  Chapter Organization                                              1 5  Pinding TOPICS k ene IR Peu DE eee ie Rire Paridi ced 1 6  Typographic and Usage Conventions                                 1 6  Name and Titl  s       i e s term ear n ho rea Re eee us 1 6  CIICK  i  ie   la Saz BPRS SAR    kardi kat heen hee ea d  r kh d  n   1 6  PIeSS aa buk all ya      k    Wa Xa i Se Ltrs oa yad tn ara bau a dU Nd Een 1 7  Procedural Steps    1 xwina    wanin    adi a Suid   Sea a ler la   a di dida    1 7  References 2 sv e RR Rd Ec ho ak wihe   n Wina ya OR Y 1 7  QZ se i a TE LP E EP RR PPP n 1 7  User Inp  t    x   iex tpe eere puer Bites       yee z   di eee en al     y   1 8  Warnings  Cautions  and Information                                  1 8  SYSTEM OVERVIEW                                                 2 1  About This Chapter                                              2 1  Chapter Gontents o eons cuve See Sd EAR ete 2 1  Introductiori    gt 55 2 i aa n da   mne twee peer rp wd ee ades 2 2  Hardware Configuration                                         2 2  Software Configuration Options          ciiin 2 2  21 GFR Part 11 and HIPAA ini ciscus io boa Eid 
63. 0 User Manual 3 3    95269    System Installation Installation    5  Install the fuse s  for the proper voltage rating  Determine the proper fuse  installation to use based on the Facility Power Ratings listed in  Table 3 1     Table 3 1  Facility Power Rating and Conversion Chart                         Facility Power Rating Configuration Fuse s  to Use   110 Volts AC 115 VAC One  1  6 3A 250V Time Delay Fuse   Refer to Step a and Figure 3 2    115 Volts AC 115 VAC One  1  6 3A 250V Time Delay Fuse   Refer to Step a and Figure 3 2    125 Volts AC 115 VAC One  1  6 3A 250V Time Delay Fuse   Refer to Step a and Figure 3 2    200 Volts AC 230 VAC Two  2  5 0A 250V Time Delay fuses   Refer to Step b and Figure 3 3    220 Volts AC 230 VAC Two  2  5 0A 250V Time Delay fuses   Refer to Step b and Figure 3 3    230 Volts AC 230 VAC Two  2  5 0A 250V Time Delay fuses   Refer to Step b and Figure 3 3    240 Volts AC 230 VAC Two  2  5 0A 250V Time Delay fuses   Refer to Step b and Figure 3 3                       a  To configure the BacT ALERT 3D 60 for 115 VAC  refer to  Figure 3 2 to install a 6 3A 250V time delay fuse        Figure 3 2  PEM with 115 VAC Version  1     Conversion Clip 2     6 3A 250V Time Delay Fuse       3 4 BacT ALERT  3D 60 User Manual  95269    Installation System Installation    b  To configure the BacT ALERT 3D 60 for 230 VAC  see Figure 3 3 to  install the two 5 0A 250V time delay fuses  Be sure to remove and  dispose of the conversion clip  if one is present 
64. 12 53 11 87 08 05    DT                lt 3                      Figure 9 6  User Login Screen with Wrong Password Alert    1   Wrong Password Alert  2   Previous Screen Button  3   Change Password Button  4   Cancel Button    Note  A Wrong User Alert     appears to the right of the User Name field   To clear the alert     1  Click the Cancel button to clear the alert and all of the fields   2  Re enter your user name or password  see Logging In on page 9 6      or    Click the Previous Screen button to return to the User Login screen  without logging in  see Figure 9 5  User Login Screen  on page 9 6      Change Password      Once you have entered a valid user name and password  you can    a  change your password   3  1  From the User Login screen  see Figure 9 5  User Login Screen   click    the Change Password button U            9 8 BacT ALERT  3D 60 User Manual  95269    Log In Out of System     21 CFR Part 11 Mode 21 CFR Part 11 Mode    The New Password and Confirm Password fields appear on the User  Login Screen  see Figure 9 7               BacT ALERT 3D Signature 12 57 00 81768785                         Figure 9 7  User Login Screen with Change Password Fields    1     New Password Field   2     Confirm Password Field  3     Previous Screen Button  4     Check Button   5     Change Password Button    2  Enter your new password in the New Password field    3  Re enter your new password in the Confirm Password field    4  Click either the Check button or the Enter key
65. 3 cm             3  Transfer the dimensions from the Mounting Surface  Drilling  Template   see Figure 3 9  to the actual mounting surface     Rear clearance is  5 in  from hole  or   4 in  from 4  instrument     Drill 3 8 in  holes  four places        Top View    Left side clear   ance  Allow 4    in  from left side  of hole  or   3   in  from    instrument               Note  Door will swing 3 1   2 inches wide        Figure 3 9  Mounting Surface  Drilling  Template  4  Properly locate and drill four 3 8 in  diameter holes in the mounting  surface   5  Remove the rubber feet from the instrument       Position the instrument  Insert the bolts through 1    in  flat washers   through the mounting surface  and into the threaded inserts of the  instrument  see Figure 3 9      6  Lightly tighten the bolts     Note  Over tightening the bolts may loosen the threaded inserts     3 14 BacT ALERT   3D 60 User Manual  95269    Installing the Optional Restraint System Installation    7  Indicate that the optional restraint is installed on the  BacT ALERT   3D 60 Installation Checklist in Appendix C     BacT ALERT   3D 60 User Manual 3 15  95269    System Installation Installing the Optional Restraint    3 16 BacT ALERT   3D 60 User Manual  95269    BASIC FUNCTIONS 4    About This Chapter       This chapter introduces you to the Main screen and provides you with  procedures on how to perform daily basic functions     Chapter Contents       Introduction   4 2  Monitoring the System   4 2 
66. 4 each  3 12 BacT ALERT   3D 60 User Manual    95269    Installing the Optional Restraint System Installation                                  Figure 3 7  Countertop Surface Mounting Diagram    1   Threaded holes are accessible once the four rubber feet are  removed     1  Determine the desired location of the instrument on the countertop or  mounting surface   Care should be taken to avoid braces or bulkheads within the counter which    could interfere with hardware installation and mounting  Drilling into these  braces may reduce the integrity of the counter s strength     Note     2  Determine the length of the bolts needed for mounting  see Figure 3 8      Drill 3 8 in  holes in surface    i c A E 7 Mounting sure yj    Va in  x 20                A   B   C  Calculated Length   A   2    Ain   Equipment Interior Dimension        B   Thickness of your mounting Surface    Figure 3 8  Mounting Surface Diagram    3        BacT ALERT  3D 60 User Manual  95269    1    3    System Installation Installing the Optional Restraint    For mounting surfaces up to 2 74 in  thick  use the 5 in  bolts supplied  with the instrument  For mounting surfaces or surfaces requiring longer  bolts  use Table 3 3 and Figure 3 8 to determine the required bolt length     Table 3 3  Table of Equivalent Dimensions  Inches to Centimeters                       Equivalent Dimensions  Y2 in    1 3 cm 4 in    10 2 cm  2   in    6 4 cm 5 in    12 7 cm  23A in    7 cm 13 in    33 cm  3   in    8 9 cm 21 in    5
67. 9 6 BacT ALERT   3D 60 User Manual  95269    Log In Out of System     21 CFR Part 11 Mode 21 CFR Part 11 Mode    Note     The Main screen appears  see Figure 9 4  Main Screen While Logged In      21 CFR Part 11 Mode  on page 9 5      See Configuring Users     21 CFR Part 11 Mode on page 9 12 for detailed  information on how to add and delete users  and clear user passwords     Inactivity Timeout    Note     Note     Login Errors    BacT ALERT   3D 60 User Manual 9 7    95269    While you are logged in  an inactivity timeout will occur  within a period of  time configured by your bioM  rieux Service Representative  if you do not  perform one of the following actions       press a screen or keyboard button    scan a barcode    load or unload a bottle    If an inactivity timeout occurs  the instrument display reverts back to the Login  screen  see Figure 9 1  Main Screen While Logged Out    21 CFR Part 11  Mode  on page 9 2   Any pending function is cancelled as if the Cancel  button on each successive screen was clicked     If a timeout occurs  it is possible that partially entered information will be lost     The inactivity timeout feature is disabled while a red operator error is  displayed     An alert displays on the User Login screen if you enter an unknown user  name or an incorrect password and click the Enter  Check or Change  Password button  see Figure 9 6      21 CFR Part 11 Mode Log In Out of System     21 CFR Part 11 Mode                 er BacT ALERT 3D Signature 
68. Bottles  on page 4 13     8  Open the Incubation Chamber door  Available cells will have an  illuminated cell indicator light     9  Insertthe bottle  sensor first  into a cell with an illuminated cell indicator  light     WARNING    could occur if a bottle is not fully seated into a cell  When       An erroneous test result  ex  false negative or false positive   inserting a bottle  ensure the bottle is fully seated into the cell        10  The cell indicator light blinks slowly to acknowledge the bottle is loaded   11  Verify that all text fields clear before proceeding     12  Repeat Step 2 through Step 11 for each remaining bottle  Limit the bottle  load time to two minutes in one area to control entry of room temperature  bottles into racks  Close the door to allow temperature to equilibrate  before loading in that area again     4 12 BacT ALERT   3D 60 User Manual  95269    Loading Bottles Basic Functions       CAUTION  If a large number of bottles are loaded into the  Incubation Chamber at the same time and in the same areas  a  large heat mass loss within the racks may occur  This heat loss  may trigger the acceleration or rate algorithms to erroneously  flag positive        13  When all bottles are loaded  ensure that the doors are completely closed   then click the Check button     If no operator or bottle loading activity has been recorded in a period of two  minutes  the instrument will terminate the Load Bottle operation  Operator  activity includes       pressin
69. CE    4B a c T   A L E R T 3D    Bala     03     User Manual    D    95269   01 2010     BIOM  IRIEUX    bioM  rieux  Inc    Box 15969   Durham  North Carolina 27704 0969   USA  Tel   1  800 682 2666    bioM  rieux   SA   au capital de 12 029 370       673 620 399 RCS LYON   69280 Marcy l Etoile   France   t  l  33  0 4 78 87 20 00   fax 33  0 4 78 87 20 90  http   www biomerieux com    Algeria   bioM  rieux Alg  rie EURL  Alg  ria Business Center   Les Pins Maritimes   Mohammadia  Alger   tel   213  21 89 14 81   fax  213  21 89 14 82    Argentina   bioM  rieux Argentina   Av  Congreso 1745  C1428BUE   Capital Federal Buenos Aires  tel   54  11 5555 6800   fax  54  11 5555 6888    Australia   bioM  rieux Australia P L   Unit 25   Parkview Business Centre  1  Maitland Place   Baulkham Hills NSW 2153   tel   61  2 8852 4700   fax  61  2 8852 4777    Austria   bioM  rieux Austria GmbH  Eduard Kittenberger Gasse 97  Top 3   A 1230 Wien   tel   43  186 50 650   fax  43  186 50 661    Belgium   bioM  rieux Benelux s a  n v   Media Square   18 19 Place des Carabiniers  Bruxelles 1030   tel   32  2 743 01 70   fax  32  2 733 55 97    Brazil   bioM  rieux Brasil SA  Estrada Do Mapu     491 Taquara   Jacarepagu    CEP 22710 261   Rio de Janeiro RJ   tel   55  21 2444 1400   fax  55  21 2445 6025    Canada   bioM  rieux Canada  Inc   7815  Henri Bourassa West  Saint Laurent  QC   H4S 1P7   tel   1  514 336 7321   fax  1  514 807 0015    Chile   bioM  rieux Chile S A   Seminario 131  Pr
70. Calibration Standards Kit    Optional Equipment   Speaker Set    For 110V BacT 3D 60   or   Speaker Set    For 220V BacT 3D 60  Fax Modem   Domestic  Optional   120V  or   Fax Modem   International  Optional   Serial Modem Cable  Optional    UPS to Printer Power AC Adaptor   UPS to Printer AC Power Cable    Recommended Tools    O Small flat  plane blade  screwdriver  O Phillips screwdriver    OO   00000000000000000000 0    OOOO ug O    This page may be copied for field use     BacT ALERT   3D 60 User Manual B 1  95269    BacT ALERT   3D 60 Part Checklist Part Checklist    B 2 BacT ALERT   3D 60 User Manual  95269    INSTALLATION CHECKLIST C    BacT ALERT   3D 60 Installation Checklist       SITE NAME  CITY  STATE    SERIAL    SERVICE CALL            Preparation Pass Initials  Site Requirements are met  see page 3 2     Unpack and Verify Contents  see page 3 2     Installation   AC Power Configuration  see page 3 3   Instrument Placement  see page 3 6    Restraint Installation  if required  see page 3 12   Instrument Connections made  see page 3 7   Instrument powered up  see page 3 9   Configure Instrument  see page 3 10   Temperature Calibration  see page 3 10     Functional Testing   Modem Function Validation  see page 3 10   Barcode Reader Validation  see page 3 11    UPS Function Validation  see page 3 12    Record Software Revision and Annotate Logbooks    The following table shows items that may be connected to the instrument as  shipped  or   optionally installed  part
71. LERT   3D 60 User Manual    95269    Configuring Report Screens Software Configuration    8  When the report begins printing       The Print button is disabled while a report is printing  The operator  may  however  view and scroll through the displayed report       The Exit button is disabled while a report is printing       The Cancel Print button Lel  replaces the Print button  Click    the Cancel Print button to stop the printing     9  Click the Previous Screen button to return to the Report Selection  screen     The report content is displayed in the View window and contains the  following features       The ID of each installed rack     The number of cells out of calibration for the rack just identified       The ID of the cells that are out of calibration for the rack just identified            1401 1220    o  1AZ1 1A40       0   1441 1260    Z  lA45 1A59          Figure 6 17  View Window    1     Rack ID  2     Number of Cells out of Calibration for this Rack  3     ID of Cells out of Calibration    Note  Always print a calibration report prior to calibrating any cells  Then print a  report after calibrating the cells  This will ensure that a record is obtained that  shows corrective action was taken     BacT ALERT   3D 60 User Manual 6 21  95269    Software Configuration Configuring Report Screens    Viewing and Printing Calibration History    The Calibration History screen shows you when cells went in and out of    calibration   1 1  Access the Setup screen and ent
72. Lie ws 2 3  Theory OF Operation reri sa po pod nt DUREE 2 3  Principle of Detection                                               2 3  Electrical Warnings                                            2 4  Electrical Grounding                                           2 6  Electrical and Electronic Recycling                                2 7  Fuse Replacement                                            2 7  BacT ALERT   3D 60 Hardware                                      2 8  BacT ALERT   3D 60 User Manul U  s Iu I II S   J I      PZ252PA   Io  p  uaAaAa      AUoO   A      95269    Table of Contents    Instrument    sd E E RU eb 2 8  Monitor ic  aros attest wie ben edo e oem ese od af eene nti e cot d Miy   3 2 9  Barcode Reader    er er ER Lek ee ded dat nee SR OY EO RD 2 9  MOUSE SU ee den dt dtd ee to deus Ce 2 9  Keyboard nhi os pex bete nodus bd xut 2 9  UPS  sov ene ed Su rM Se Ped es es pa meteo eqs 2 9  Backup Driv    si ci tee be EE id ane seek Be i a a 2 9  UPS POf  lt  lt    e na ons ate non ae d   n laya as at de e ee es 2 10  UPS Serial Port  4  4 sas aug A m   teg dalan dul al m cages SE a 2 10  Monitor Port DEYN eee eintreten CRM Bch ee deb ens RC AR oec 2 10  MOUSE POS  vnd deant o Mee ie ete etd e e e oe ost es  2 11  Keyboard Port  che e RSS Halayi cai benessere PEEL 2 11  Printer Port 5   o cote att petty et ROLE  dde Blei nter aint ica te e DRE ese KEWA 2 11  External Speaker Port                                           2 2 11  Power Connector      Esl   da
73. Pa ta  RSS eme rate 4 10  Loading Bottles  xey akai ce dl kanya    Qiz dem WAE DK dae Ree 4 10  Changing the Maximum Test Time  Individual Bottles                4 13  Handling Anonymous Bottles                                   4 14  Unloading Bottles                                                4 14  Unloading Bottles            2 socios pepe a pd 4 15  Handling Unconfirmed Positive Bottles  False Positives               4 17  BacT ALERT   3D 60 User Manul     i    95269    Table of Contents    Accessing the Setup Screen Function Buttons                          4 18  Accessing the Setup Screen                                    4 18  Inactivity Timeout for all Setup Screens                                4 19  Setup Screen Function Buttons                                  4 19  Viewing and Printing                                              4 21  Introduction    o t us de lo acies ERR ale e ned ER od Raus z   4 21  Viewing Bottle Data                                               4 21  Viewing Printing Reports                                           4 21  Viewing Printing Graphs                                           4 21  Using the Print Screen Function                                      4 21  Viewing and Printing Test Data                                  4 22  Viewing and Printing Bottle Graphs                               4 29  Display Bottle Readings                                        4 31  Sending Requesting LIS Information                            
74. S AC receptacle labeled as Surge with Battery Backup    3  Plug the UPS main power cable into the properly rated AC wall outlet    4  Connectthe external speaker cable  if external speakers are installed   into the Ext Spkr jack on the Communications panel  not supplied      optional   External speaker connection is shown in Figure 3 5    5  Plug in the external speaker s AC power cord into the properly rated AC  wall outlet  not supplied     optional     6  Plug in the monitor s15 pin cable into the Monitor port on the  Communications panel  not supplied     optional   Monitor port  connection is shown in Figure 3 5    7  Plugin the monitor main power cable to the properly rated UPS AC  receptacle labeled as Surge with Battery Backup    8  Connectthe keyboard cable into the Keybrd port on the  Communications panel  Keyboard port connection is shown in  Figure 3 5    BacT ALERT   3D 60 User Manual 84    95269    System Installation Installation    9  Connect the printer s parallel cable into the Printer port on the  Communications panel  Printer port connection is shown in Figure 3 5     10  Plug in the printer s main power cord into the UPS AC receptacle for  Surge Only  no Battery Backup      11  Connect the modem s communications interface cable to the Modem  port on the Communications panel  Modem port connection is shown in  Figure 3 5     12  Connect the modem telephone cable to the Jack port on the modem  if  supplied and installed      13  Plug in the modem s power ad
75. Screen button to return to the User  Configuration screen   Note  When you log in to the instrument for the first time  the default password is  blank  See Logging In for the First Time on page 9 2  to set your password   9 14 BacT ALERTS 3D 60 User Manual    95269    Configuring Users     21 CFR Part 11 Mode 21 CFR Part 11 Mode    Deleting a User    To delete a user from the User List       1  From the User Configuration screen  see Figure 9 10  User  a  Configuration Screen  on page 9 13   click the Delete User button    LT     The Delete User screen appears              ds BacT ALERT 3D Signature 19 00 22 167208705    x                   6   New User Name     ld User   User  Name   1 E    5   4  3             Figure 9 12  Delete User Screen    1     Delete User Button   2     Previous Screen Button  3     Check Button   4     Scroll Down Button   5     UserList   6     Scroll Up Button    2  Clickthe Scroll Up or Scroll Down button to locate the user name to be  deleted   3  Click the user name to select     4  Click the Delete User button to delete the selected user from the User  List     5  Click the Check or Previous Screen button to return to the User  Configuration screen     BacT ALERT   3D 60 User Manual 9 15  95269    21 CFR Part 11 Mode Configuring Users     21 CFR Part 11 Mode  Deleting More Than One User  To delete more than one user at a time     1  From the Delete User screen  see Figure 9 12   click on the user names    1  a  to select   3    Note  Ifyou sel
76. Status Checkbox  2     Negative Status Checkbox  3     Negative To Date Status Checkbox    2  Click the checkbox that corresponds to the desired status to insert an X     3  Click the Check button to accept the change and return to the Edit Bottle  Detail screen  or click the Cancel button to keep the current status and  return to the Edit Bottle Detail screen     Note  Results that have been manually changed via the Edit Bottle Detail screen   see Editing Bottle Details Using the Edit Bottle Detail Screen on page 5 5   will be marked on the report with a stick figure         Note  If a bottle is positive  set manually  or positive by any other reason  and then  is manually changed to negative to date  the stick figure     will not appear     BacT ALERT   3D 60 User Manual 5 9  95269    Editing Test Data Viewing Editing Bottle Data  f T  Graph Bottle Readings Button kr       Displays the bottle graph on the Graph Bottle Readings screen  see Viewing  and Printing Bottle Graphs in Chapter 4        Q  1272  View Algorithm Polynomial Icon    The number above the slash represents the type of bottle specific algorithm  used for the data analysis of the selected bottle     Table 5 1  Bottle Specific Algorithms                   Algorithm No  Bottle Type  11 SA Plastic  SN Plastic  12 FA Plastic  13 MP Plastic  15 PF Plastic  17 MB Glass                The number below the slash represents the type of polynomial  There are two  types of polynomials       Polynomial 1     LES Glass   
77. This error will  occur if there is a   2  C change from the setpoint measured at  the sensors for approximately one minute  5 or more readings  are taken every 10 seconds   Five or more readings out of  range are required to report this error  Common causes for this  error are  ambient room temperature is too high  temperature  calibration was not performed correctly  or defective hardware   ex  MOD SIG  temperature sensors  or relay         Cause  The Instrument optimal temperature  setpoint  has  been changed and has not yet equilibrated at the new  temperature     Solution  Wait for the chamber temperature to equilibrate        Cause  Bottle testing may be adversely affected due to one of  the following reasons     Hardware fault with the ModSig Board       Hardware fault with the Solid State Relays that  energize the heater       Faulty temperature sensors     Solution  Contact bioM  rieux immediately         4 INCUBATION CHAMBER TEMPERATURE IS TOO Low    Background Information  The optimal temperature  setpoint   and actual Chamber temperature are not equilibrated  Two  temperature sensors  one in the supply side of the air plenum   and one in the cold air return  are used to monitor the  Incubation or Combination Module temperature  This error will  occur if there is a   2  C change from the setpoint measured at  the sensors for approximately one minute  5 or more readings  are taken every 10 seconds   Five or more readings out of  range are required to report this erro
78. Users     21 CFR Part 11 Mode 21 CFR Part 11 Mode    The User Configuration screen appears        T BacT ALERT 3D Signature  1     2    5  3     4 6                Figure 9 10  User Configuration Screen    1     Add User Button   2     Clear Password Button  3     Delete User Button   4     Previous Screen Button  5     User List   6     Check Button    Note  The Configure Users button is only active when the instrument is configured  for 21 CFR Part 11 mode     Adding a User    To add a user to the User List     1  From the User Configuration screen  see Figure 9 10  User    1  i    Configuration Screen   click the Add User button            BacT ALERT  3D 60 User Manual 9 13  95269    21 CFR Part 11 Mode    Configuring Users     21 CFR Part 11 Mode    The Add User screen appears                  saza BacT ALERT 3D Signature 19594150    t    RE                 mu 7  rna j ANE  2  6  5          Figure 9 11  Add User Screen    1   User Name Field   2   Add User Button   3   Previous Screen Button  4   Check Button   5   Scroll Down Button   6     User List   7   Scroll Up Button    Note  Multiple users can be added without leaving this screen   2  Click in the User Name field  field turns white  and enter the user name   The minimum user name length is 1 character and the maximum is 24  characters   Note  Do not use the asterisk     when adding a user name   3  Click the Add User button or the Enter key   The new user is added to the User List   4  Click the Check or Previous 
79. WARNING SCREEN APPEARS    Cause  A red Informational Warning screen indicates that the  BIOS clock setting is incorrect     INFORMATIONAL WARNING  C       Figure 8 6  Informational Warning Screen  Solution 1  If the software was exited and restarted  but the  system was not powered off  perform the following procedure   1  Press Y on the keyboard to start the system     2  Call your local bioM  rieux representative immediately to  report the incorrect BIOS setting     Solution 2  If the system was powered off and the Red  Information Warning screen  see Figure 8 6  appears when  powered on  perform the following procedure     1  Call your local bioM  rieux representative immediately     2  lfarepresentative is unavailable  press Y on the keyboard  to start the system     All bottles will display Fault Code 72 and or Fault Code 80  and need to be subcultured     e WARNING   The bottles must be subcultured        BacT ALERT   3D 60 User Manual 8 31  95269    System Troubleshooting Fault Codes    8 32 BacT ALERT   3D 60 User Manual  95269    21 CFR PART 11 MODE        About This Chapter       This chapter provides you with instructions on how to log in and out of the  instrument while in 21 CFR Part 11 mode  as well as instructions for  configuring users  ex  adding or deleting a user  or clearing a user password    This chapter also describes the events recorded in the audit trail and how to  access the audit trail     Chapter Contents       Log In Out of System     21 CFR Part
80. You may   however  view and scroll through the displayed report       The Exit button is disabled while a report is printing       The Cancel Print button L amp     is enabled  Click the Cancel Print    button to stop the printing as soon as the print queue empties     9  Click the Previous Screen button to return to the Report Selection  Screen     6 24 BacT ALERT   3D 60 User Manual  95269    SYSTEM MAINTENANCE      About This Chapter       This chapter provides you with procedures on how to perform hardware and  software maintenance on the BacT ALERT   3D 60 instrument     Chapter Contents       Hardware Maintenance   7 2  Preventative Maintenance   7 2  Safety Precautions and Procedures   7 2  Using the Keyboard in Place of the Mouse   7 6  UPS On Off Button Location   7 7  Instrument Reboot Shutdown   7 7  Instrument Startup   7 9   Software Maintenance   7 9  Introduction   7 9  Restarting the Incubation Chamber   7 10  Setting and Formatting the System Date and Time   7 11  Enabling and Disabling Racks and Cells   7 13  Adjusting an Instrument s Temperature   7 15  Calibrating an Instrument Cell   7 18  Viewing Incubation Chamber Information   7 22    BacT ALERT   3D 60 User Manual    7 1  95269    System Maintenance    Hardware Maintenance    Hardware Maintenance       Preventative Maintenance    Routine BacT ALERT   3D 60 preventive maintenance is determined by your  bioM  rieux service program  There is no additional requirement for customer  performed preventive ma
81. a daa du pe et eae yeren ee s RF KORR aies 2 11  Power Entry Module                                               2 11  Modem Port   oo reiner meer    ent teeth rd ue EUR aos es 2 11  LIS  Ports  ate seve DENIM ARR AVA DA Du SA WEK m Xe rs 2 11  Comm  Portaita ataa ne nee de t e e Eua e eee P 2 11   Instrument Specifications                                       2 11  Electrical Power Services Requirements                               2 11  Power Consumed in Watts                                         2 12  Heat Dissipated    s dared    eco eb Stored E DEP RS 2 12  Sound Emission    ses    a ede a ace tea e daa eA EO Ve E 2 12  Instrument Dimensions        4 J see sans xale al ada   akin a nt 2 12   Instrument Environmental Requirements                           2 12  Operating Temperature Range                                      2 12  Storage Temperature Range                                        2 12  Operating Humidity Range                                          2 12  Storage Humidity Range                                            2 12  Maximum Operating and Storage Altitude                              2 12  Pollution Degree 2 in accordance with IEC 664                         2 12  Overvoltage Category Il per IEC 664                                 2 12   Instrument Installation and Setup                                 2 13   BacT ALERT 3D 60 Software                                      2 13   Monitor Screens     uo ee ER per PRIM prise eg 2 13   Common Scr
82. acking A 1  instrument  diagram  back view 2 10  diagram  front view 2 8  location 3 6  reboot 7 7  shutdown 7 7  startup 7 9    instrument environmental requirements 2 12  instrument fault codes 8 3   instrument icon 4 4   instrument specifications 2 11   instrument status codes 8 16    international character  entering D 3  entry D 2  table D 2  introduction  chapter organization 1 5  finding topics 1 6  typographic and usage conventions 1 6    l 4 BacT ALERT   3D 60 User Manual    ndex     95269    Index    K description 2 9  screens 2 13    moving a bottle ID association from one  accession number to another 5 14    keyboard  unresponsive 8 30    using in place of the mouse 7 6 j   NM  moving an accession number association from    L one hospital ID to another 5 16  moving bottles  See relocating bottles   light emitting diode  LED  2 3 mycobacterial testing  LIS  sending and receiving information 4 36 disinfection procedure 7 3  7 4  load report configuration screen  diagram 6 16 LD procedures and special requirements  loading bottles 4 10 safety features 10 7  locating a cell which failed calibration 7 18 system description 10 2  Log In Out of System  21 CFR Part 11 system startup 10 5  Mode  9 2 theory of operation 10 6  change password 9 8  change password button 9 3  9 4 N    change password errors 9 9    confirm password field 9 4 next screen button 2 14    inactivity timeout 9 7 nonsoftware errors 8 29  logging in 9 6  logging in for the first time 9 2 O  logging o
83. act your local bioM  rieux  Representative     Note  When the Edit Bottle ID to Accession Number Relationships screen is first  accessed  the Accession Number field is blank and all bottle IDs not  associated with an Accession Number are displayed in both Bottle ID scroll    boxes   BacT ALERT   3D 60 User Manual 5 13    95269    Editing Test Data Editing Data Relationships  Attaching Bottle IDs Without an Accession Number to an Accession Number    1 1  Access the Edit Bottle ID to Accession Number Relationships screen     see Initiating the Edit Data Relationships Function on page 5 12      3  2  Enterthe accession number in the left Accession Number field that you  wish to associate to the bottle s      If the entered accession number is associated with more than one  hospital ID  use the Accession Number Selection button to scroll  through each instance as indicated in the Hospital ID and Patient Last  Name fields     3  Click the bottle ID s  in the right Bottle ID scroll box to be associated  with the accession number  The selected bottle ID s  highlight     4  Click the top Data Transfer button to move the Bottle ID s  to the left  Bottle ID scroll box     5  Click the Check button to accept the changes  or click the Cancel button  to restore all relationships originally displayed     6  When done  click the Previous Screen button to return to the Edit Data  Relationships screen     Note  Ifthe Edit Bottle ID to Accession Number Relationships screen was accessed  direct
84. aintenance    9     Software Maintenance    Select a particular cell to be calibrated by choosing the appropriate cell   1 60  with the Cell scroll buttons     The first screen displays an X at the base of the Calibration Staircase  icon  This prompts the user to verify the cell is empty and the door is  closed     Note  The Cell scroll buttons will be grayed out and inactive until calibration of the  cell is complete   To view a cell s reading    6  The cell s readings can now be read below the Cell scroll buttons  The  first set of numbers represents the uncalibrated reading and the number  to the right of the arrow represents the calibrated readings    Note  If an Incubation Chamber is not configured properly or is not responding   asterisks will replace the digits on the screen   If you would like to calibrate a cell  proceed to next step    7  Click the Check button    The cell indicator light of the cell selected for calibration is now  illuminated and  1 appears above the first step of the Calibration  Staircase icon     1   8  Insert Standard Number One into the selected cell without touching the  ends of the calibration standard as calibration could be affected   A  single ring around the end of the reflectance standard identifies Standard   1     9  Click the Check button    7 20 BacT ALERTS 3D 60 User Manual    95269    Software Maintenance    10     11     12     13     14     15   16     17     System Maintenance    A  2 appears above the second step of the Calib
85. al  95269    Chapter Organization    How To Use This Manual    This chapter also describes the events recorded in the audit trail and how to  retrieve the audit trail     Chapter 10  Mycobacterial Testing     This chapter provides you with a  complete description of the of the BacT ALERT   3D 60 instrument when it is  configured for Mycobacterial  MB  functions     Appendix A  BacT ALERT 3D 60 Unpacking Instructions     Contains a  diagram illustrating how to unpack the instrument     Appendix B  BacT ALERT 3D 60 Part Checklist     To use when verifying  and inspecting kit contents     Appendix C  BacT ALERT   3D 60 Installation Checklist     To use when  installing the instrument     Appendix D  International Character Entry     Explains how to enter  international characters on the BacT ALERT   3D 60 instrument     Appendix E  Bottle Quality Control     This chapter provides you with a  description of the BacT ALERT 3D 60 culture bottle along with a quality  control procedure     Glossary     An alphabetized list of frequently used terms along with a  definition for each term     Chapter Organization       BacT ALERT   3D 60 User Manual 1 5    95269    All chapters include the following       About This Chapter     Brief description of the chapter s content and  purpose       Chapter Contents     A table of contents for the chapter       Descriptions and or Procedures     Chapters contain descriptions and  procedures appropriate to their subject matter  See the Manual  Orga
86. amber configured for MB is the same time  assigned to the BacT ALERT  MP media type in the Set  Maximum Test Type screen  see Setting the Maximum Test  Time in Chapter 6      All non MB bottles loaded into an Incubation Chamber for BC  have a maximum test time set to the time specified for the  Unknown bottle type     BacT ALERT  MB Bottles should never be loaded with a Generic  media type or loaded anonymously  BacT ALERT  MB must be  displayed on the Bottle Type scroll button before loading a  BacT ALERT   MB bottle     BacT ALERT   3D 60 User Manual 4 11    95269    Basic Functions Loading Bottles    4  Ifthe Accession Number field is enabled and blank  then continue to  Step 5  If the Accession Number field is disabled  then go to Step 7     5  Verify the Accession Number field appears white  then scan or  manually enter the accession number     6  Ifthe fields are displayed and enabled  then manually enter the following  in the order listed  Hospital ID  Patient First Name  and Patient Last  Name       Entries to the Patient First Name and Patient Last Name fields  cannot be made without the Hospital ID entry       To change the order of the patient name fields  contact your  bioM  rieux Representative     Note  The Hospital ID field is a keyboard entry only field     7  The default maximum test time is displayed above the Change  Maximum Test Time button  The scanned bottle s maximum test time  can be adjusted if desired  See Changing the Maximum Test Time   Individual 
87. aneously release all  three keys  Ctrl   Alt   Delete     or    Alternately  to turn Off the power for the Instrument and the UPS  see  Method 4     7 8 BacT ALERT   3D 60 User Manual    95269    Software Maintenance System Maintenance    Shutdown Method 3    1  Press each keyboard key in the order listed  keeping each key  depressed and then simultaneously releasing all four keys  Ctrl   Alt    Shift 2     Note  If keyboard is unresponsive  proceed to Method 4     2  Wait for the C   gt  prompt to appear on a black screen     To reboot the program  click each keyboard key in the order listed  keeping each key depressed and then simultaneously releasing all three  keys  Ctrl   Alt   Delete     or    Alternately  to turn Off the power for the Instrument and the UPS  see  Method 4     Shutdown Method 4       CAUTION  Contact your local bioM  rieux Customer Service  Representative prior to using Method 4        1  Turn Offthe Instrument Power Switch  This switch is located in the back   just above the power cord entry     2  Click the UPS On Off button once to turn Off the power to the UPS  see  UPS On Off Button Location on page 7 7      Instrument Startup    1 1  Turn On the Instrument Power Switch  This switch is located in the lower  al left corner facing the back of the Instrument     2  Click the UPS On Off button once to turn On the power to the UPS  see  UPS On Off Button Location on page 7 7      Software Maintenance       Introduction    The following procedures descri
88. apter       This chapter gives you important information about the  BacT ALERT   3D 60 system and how to use this manual  We recommend  that you read this chapter first     IMPORTANT  Read this manual carefully before you attempt to operate the  BacT ALERT   3D 60 system     Chapter Contents       Intended Audience   1 2  Purpose of the BacT ALERT   3D 60 System   1 2  Additional Supplies   1 3  Purpose of This Manual   1 3  Manual Organization   1 4  Chapter Organization   1 5  Finding Topics   1 6  Typographic and Usage Conventions   1 6  Name and Titles   1 6  Click   1 6  Press   1 7  Procedural Steps   1 7  References   1 7  Select   1 7  User Input   1 8  Warnings  Cautions  and Information   1 8    BacT ALERT   3D 60 User Manual 1 1  95269    How To Use This Manual Intended Audience    Intended Audience       The BacT ALERT 3D 60 system and this manual are intended for laboratory  use by trained  professional users     Purpose of the BacT ALERT   3D 60 System    The BacT ALERT   3D 60 Microbial Detection System is a totally automated  test system capable of incubating  agitating  and continuously monitoring  aerobic and anaerobic media inoculated with patient specimens suspected of  having bacteremia  fungemia  and or mycobacteremia     CAUTION  bioM  rieux shall not be liable as to any defect arising  from abuse of the instrument  failure to operate and maintain the  instrument in accordance with the User Manual  operation of the  instrument by a person who has not be
89. apter into the modem  Plug in the main  power cord from the adapter into the properly rated AC wall outlet  if  supplied and installed      14  Connect the barcode scanner s communications cable into the Barcode  port on the Communications panel  Port connection is shown in  Figure 3 5     15  Connect the mouse cable into the applicable Mouse port on the  Communications panel  Port connections are shown in Figure 3 5     16  Indicate that all instrument connections are complete on the  BacT ALERT   3D 60 Installation Checklist in Appendix C     3 8 BacT ALERT   3D 60 User Manual  95269    Installation System Installation              Line Jack    3D 60 Communications  Panel  See detailed view        Surge outlets  without battery  backup         Figure 3 5  Installation and Setup Diagram     Port and Power Connections    Powering Up the Instrument    1 1  Turn the UPS switch ON   2  a  2  Power up the instrument by turning on the Main Power switch on the rear  of the instrument   3  Power up the monitor  modem  and printer   4  Turn on the electric reference thermometer  if applicable  making sure  that itis set for Celsius   5  Indicate that the instrument is powered up on the BacT ALERT 3D 60  Installation Checklist in Appendix C   BacT ALERT  3D 60 User Manual 3 9       95269    System Installation Functional Testing    Configuring the Instrument  1  Verify that the screen title Select or SelectLink is correctly displayed     2  Setup and verify maximum test times  see Set
90. archie en gene ale  Ran 7 1  Hardware Maintenance                                            7 2  Preventative Maintenance                                       7 2  Safety Precautions and Procedures                               7 2  Spill Cleanup    nene verre IER RT DIR ern e e eet d   7 3  Disinfection Procedure for Spills Onto the Instrument                      7 3  Disinfection Procedure for Spills Within the Instrument                     7 4   Using the Keyboard in Place of the Mouse                          7 6  UPS On Off Button Location                                     7 7  Instrument Reboot Shutdown                                    7 7  Shutdown Method 1             s pia kmn e eee he bb em Re YR RR ee    7 8  Shutdown Method 2                                               7 8  Shutdown  Method Zeier 4 xa    lawk   kik dak a dough Gab kel ye ee dons a ley   ha ere 7 9    BacT ALERT   3D 60 User Manual  95269    Table of Contents    Shutdown Method 4    eso tee sh der ba Wu   a NE US RE uh dde 7 9  Instrument Startup                                             7 9  Software Maintenance                                              7 9  Introduction obe RA ER ed PL nee PX 7 9  Restarting the Incubation Chamber                               7 10  Setting and Formatting the System Date and Time                   7 11  Enabling and Disabling Racks and Cells                           7 13  Relocating  Bottles  2 254 bita Eni ARE A d  ban   dee    dika 7 14  Adjusti
91. are assigned to both the Instrument and the    Incubation Chamber       The programmed optimal temperature  9C  is displayed for the  Incubation Chamber       Software version number for the BacT ALERT 3D 60       Disabled or uninstalled components appear diagonally striped in gray  on the screen     Note  Anentire rack will appear diagonally striped if only one of its cells is disabled                 Figure 4 2  Instrument Icons    1     Incubation Chamber 4     Controller ID  2     Instrument 5     Backup Drive  3     Software Version    Bottle Count Table    Located just above the Instrument icon are the Unload buttons and a table  indicating the number of bottles of each type currently loaded in the  instrument     4 4 BacT ALERT   3D 60 User Manual    95269    Monitoring the System    Viewing Faults    1  2  3         Basic Functions       Figure 4 3  Bottle Count Table Unload Buttons    1     Total number of mycobacteria  MB  bottles loaded in the system     2     Total number of blood or sterile fluid culture  BC  bottles loaded in  the system     3     Total number of identified bottles with a positive test status   4     Unload Positive Identified Bottles Button    5     Total number of bottles  identified and anonymous  with a  negative test status     6     Unload Negative Bottles Button  7     Total number of anonymous bottles with a positive test status   8     Unload Positive Anonymous Bottles Button    9     Total number of anonymous bottles with a negative to
92. are not processed in faulty cells     Solution  Use the Edit Bottle Detail screen to determine when  the last bottle reading was successfully processed  see  Viewing Editing Bottle Data in Chapter 5   If less than one hour  has passed  it is only necessary to relocate the bottles using  the following procedure     1  From the Main screen  press Ctrl   F1  This mode  identifies cells containing bottles with 99  51  52  54  60  or  62 faults with a lit cell indicator light     2  Remove bottles from these cells one at a time  move them  to cells whose cell indicator lights are unlit     Note   If no bottle s  are present in the indicated cell  call  bioM  rieux     If more than an hour has passed  unload and subculture the  bottle in the faulty cells using the following procedure     1  From the Main screen  press Ctrl   F10     2  Remove a bottle to subculture and scan the bottle ID   Repeat this step for the remaining bottles needing  subcultures     Click the Check button when done     4  After subculturing bottles  reload them via the Load Bottle  function on the Main screen     Affected bottles that do not need to be subcultured should be  relocated  Relocate bottles     Note   If no bottle s  are present in the indicated cell  call  bioM  rieux        BacT ALERT   3D 60 User Manual 8 15  95269    System Troubleshooting Fault Codes    Instrument Status Codes    Instrument Status Codes appear in a separate window on the Main screen  and are identified by a 98 in the top lef
93. arrow on the button  changes directions  To return to the original scale  click the Adjust Scale  button s  a second time     7  Clickthe Print Graph button  if available  to print the graph as it appears  on the screen     Note  The Print Graph button is only available if a printer is configured for the  system  The Print Graph button is disabled while a print is in progress     Note  To configure a printer for the system  contact your local bioM  rieux  Representative     8  When done  click the Previous Screen button to return to the Select  Bottle to Edit Graph screen     Display Bottle Readings    The Bottle Readings screen displays the exact values of the bottle readings    1  a  for an individual bottle  along with the date and time each reading was taken   3    Note  The polynomial is applied to the bottle readings  The readings are not the raw  readings     If there are bottle readings available for you to view  the Bottle Readings  button on the Graph Bottle Readings screen turns blue  see Figure 4 15   If  there are no readings available  the button is gray     1  From the Graph Bottle Readings screen  see Figure 4 15  Graph Bottle  Readings Screen  on page 4 30   click the Bottle Readings button    E     BacT ALERT  3D 60 User Manual 4 31  95269       Basic Functions Viewing and Printing    The Bottle Readings screen appears                                15 14 13  BacT ALERT 3D Select 18 52 44 89 81 85  12  68 26 85 16 52 11  7 8 9 10  Figure 4 16  Bottle Reading
94. arting the incubation chamber 7 10    S    safety precautions and procedures 7 2    samples  hazards and precautions 1 8    Screen  add user screen  21 CFR Part 11 Mode  9 14  backup management 6 7  bottle readings 4 32  calibrate cell 7 19  calibrate instrument temperature 7 16  calibration history 6 23  cell calibration report 6 20  change maximum test time  individual bottle  4 13  change password 6 5  clear password  21 CFR Part 11 Mode  9 17  colors determined by configuration 2 2  delete user screen  21CFR part 11 Mode  9 15  edit accession number to hospital ID  relationships 5 15  edit bottle detail 5 5    edit bottle ID to accession number  relationships 5 13   edit cell contents 5 3   edit data relationships 5 12   edit hospital ID to patient name relationships 5 17  edit test result 5 9   enable disable rack  or cell 7 13   graph bottle readings 4 30   load report configuration 6 16   main 4 3   main  load mode  4 10   main  unload mode  4 15   main screen while logged in  21 CFR Part 11  mode  9 5   main screen while logged out  21 CFR Part 11  mode  9 2   report label entry 6 10   report selection 6 10  6 14   select bottle to edit graph 4 29   set audible alarm options 6 3   set maximum test time 6 2   setup 4 18   status report configuration 6 17   unload report configuration 6 18   user configuration  21 CFR Part 11 Mode  9 13  user login  21 CFR Part 11 mode  9 3   view cell status 4 6   view incubation chamber information 7 23    screen ID numbers 2 13  scro
95. assword Error                     sese 9 10  User Login Screen with Wrong Password Alert    9 11  User Configuration Screen                                               nnne nnne nnn 9 13  Add User S  reen     inei n n E din ete 9 14  Delete User Screen    UR REA EUR I ders 9 15  Clear Password Screen    e ov i e e mens 9 17  Instrument Icon for MB Configured System                    eee 10 3  Bottle Count Table and Unload Buttons                     eee 10 4  Metabolic Pathway for Mycobacterial CO2                  sees 10 7  Typical Bact ALERT   Culture Bolle    dire t e E 2       BacT ALERT   3D 60 User Manual    95269    xi          xii BacT ALERT   3D 60 User Manual  95269    LIST OF TABLES    Table 2 1  Common System Buttons                  sisse seien kaka Axa KE ennt 2 14  Table 3 1  Facility Power Rating and Conversion Chart                   see 3 4  Table 3 2  Restraint Hardware ses 3 12  Table 3 3  Table of Equivalent Dimensions  Inches to Centimeters                                3 14  Table 5 1  Bottle Specific Algorithms                    sss 5 10  Table 5 2  Status Determination Codes                   sss eene 5 10  Table 6 1   RepoltField DeSeripiloS 3    xiy l  y ln  aha bn eee 6 12  Table 9 1    Audit Trail Events    iy ay obe PR Ead nr ns Ann ila 9 18  Table D 1  International Character Table                  sss D 2    BacT ALERT   3D 60 User Manual xiii  95269    xiv BacT ALERT   3D 60 User Manual  95269    How Lo USE THIS MANUAL 1    About This Ch
96. ated on the Communications Panel    External Speaker Port  Port for connecting external speakers to the instrument  Available for order as  a separate kit  Located on the Communications Panel    Power Connector    Connector for alternating current  AC  power cord     Power Entry Module    Turns the AC Power to the instrument On and Off     Modem Port    Used to connect an external modem to the instrument allowing remote  diagnosis of instrument problems  The external modem box should be in the  OFF position when not in use by a bioM  rieux Representative     LIS Port    Used to connect the Instrument to a Laboratory Information System  LIS    Located on the Communications Panel     Comm Port    Reserved for future use  Located on the Connection Panel     Instrument Specifications    Electrical Power Services Requirements    100 120 Volts   50 60Hz    220 240 Volts   50 60 Hz    BacT ALERT   3D 60 User Manual 2 11  95269    System Overview BacT ALERT 3D 60 Hardware    Power Consumed in Watts    115 Volts  380W max      255W Typical     230 Volts  380W max      255W Typical     Heat Dissipated    1300 BTU Hr max     870 BTU Hr Typical    Sound Emission    50 8 dB    Instrument Dimensions    Width     22 75 in   57 8 cm     Height     24 in   61 cm     Depth     19 5 in   49 5 cm     Weight  Unloaded      90 Ibs   41 Kg     Weight  Loaded      98 Ibs   45 Kg     Instrument Environmental Requirements    Operating Temperature Range    10  C to 30  C  50  F to 86  F     Storage Tem
97. ayed in the error window on  the Instrument  The cell will also have a rapidly flashing cell  indicator light  Reloading the indicated bottle also causes the  Operator Error screen to vanish     Click the Check button ONLY if the unload was intentional         912 INVALID CELL RELOAD    Cause  When reloading a bottle  the bottle was placed in a  disabled or non functional cell     Solution  Perform the following procedure     1  Remove the bottle from the non functional cell whose cell  indicator light will be flashing rapidly  The cell ID will also  be displayed in the error window on the Instrument     2  Reload the bottle into a functional cell  Moving the  indicated bottle to another cell causes the Operator Error  screen to vanish     DO NOT CLICK the Check button on the Operator Error screen  except to intentionally ignore the error and leave the bottle  loaded in the nonfunctional cell     Ignoring the error leaves the original bottle in a nonfunctional  cell         913  BorrLE ID JUST ENTERED MATCHES THAT OF A  CURRENTLY LOADED BOTTLE  Note   The bottle ID just entered is displayed at the top of the    Operator Error screen  The cell location of a bottle loaded with  the same ID is displayed below the bottle ID        Cause  The bottle ID is incorrect for the bottle being loaded or  unloaded     Solution  Rescan the bottle and click the Check button after it  turns red        8 20 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting       Cause
98. be maintenance procedures that are  performed using the software  These procedures are available regardless of  software configuration  but should not need to be performed on a daily basis   The functions described are     BacT ALERT   3D 60 User Manual    7 9  95269    System Maintenance    Software Maintenance    Restarting the Incubation Chamber  see Restarting the Incubation  Chamber on page 7 10      Setting the date time and selecting date time formats  see Setting and  Formatting the System Date and Time on page 7 11      Enabling and disabling racks and cells  see Enabling and Disabling Racks  and Cells on page 7 13      Checking the temperature  setting the optimal temperature  and calibrating  the temperature of the Instrument  see Adjusting an Instrument s  Temperature on page 7 15      Calibrating and viewing readings of cells  see Calibrating an Instrument  Cell on page 7 18      Viewing Incubation Chamber information  see Viewing Incubation  Chamber Information on page 7 22      Restarting the Incubation Chamber    Perform the following to restart an Incubation Chamber without using the  power switch in the case of a communication problem     1  Click the Instrument icon on the Main screen  see Figure 4 1      7 10 BacT ALERT   3D 60 User Manual    95269    Software Maintenance System Maintenance    The View Cell Status screen appears                                                                                                                                  
99. bottle into an available cell  one which has its  cell indicator light lit      Solution 2  Perform the following procedure if this fault is  recognized more than one hour after loading a bottle  or the  time the bottle was loaded cannot be determined on the Edit  Bottle Detail screen     1  Access the View Cell Status screen  see Figure 4 4  View  Cell Status Screen  on page 4 6  to view the cell error     2  Ifthe cell displays Fault Code 81 and does not alternate  between Fault Codes 81 and 60  readings have been  taken on this bottle  Unload the bottle from the cell and  reload the bottle into a functional cell using the Load  Bottle function  see Figure 4 6  Main Screen     Load  Mode  on page 4 10      3  Ifthe cell displays an error code that alternates between  Fault Codes 81 and 60  then readings have not been  taken on this bottle  Unload the bottle and perform a  subculture  Reload the bottle into a functional cell using  the Load Bottle function  see Figure 4 6  Main Screen      Load Mode  on page 4 10      m    e WARNING   The bottle must be subcultured        8 14 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting       199 BOTTLE LOADED IN A NON OPERATIONAL CELL  Cause  A bottle is currently loaded in either       A cell that has been disabled  or the rack in which the  cell is located is disabled       An enabled cell that is not taking bottle readings  because of one of the following faults  51  52  54  60  or  62     Bottle readings 
100. bottle is loaded in the Edit Bottle Detail  Screen  See Changing the Maximum Test Time  Individual Bottles  in  Chapter 4     1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      2  Click the Set Maximum Test Time button    Eni       The Set Maximum Test Time screen overlays and disables the Setup  screen              BacT   ALERT 3D SelectLink 88 24 21 64 85 81                                        Figure 6 1  Set Maximum Test Time Screen    1     Media Type Scroll Button   2     Previous Screen Button   3     Incubation Period Scroll Buttons  4     Check Button    6 2 BacT ALERT   3D 60 User Manual    95269    Setting the Audible Alarms    Note     Note     Software Configuration    3  Select the appropriate bottle type from the Media Type scroll button   4  Set the incubation period in days and tenths of a day using the  Incubation Period scroll buttons     The minimum test time that can be specified is 0 1 day     5  Click the Check button to save the maximum test time settings  or click  the Cancel button to return the system to the previous maximum test  time settings     Changing the maximum test time has no affect on bottles currently loaded   The new maximum test time will be attributed to bottles loaded after the  setting is changed     6  Click the Previous Screen button to return to the Setup screen     Setting the Audible Alarms            You can enable disable the following audible alarms    
101. bottles  information entered in the  Bottle ID  Bottle Type  Accession Number  Hospital ID  Patient  First Name and Patient Last Name fields is associated with the  unloaded bottle once the next bottle is unloaded or the Check  button is clicked     b  If the bottle is to be reloaded  immediately return the bottle to the cell  with the slowly blinking cell indicator light before unloading another  bottle     WARNING    Bottles with a critical determination in progress will be  temporarily removed from the bottle count table on the Main  screen        Note  Do not reload the anonymous bottle if its status is negative or positive        CAUTION  Reloading bottles anonymously that were previously  loaded will result in duplicate bottle records        7  Repeat Step 3 through Step 7 for the remaining bottles to be unloaded   Limit the bottle unload time to no more than two minutes in one area        4 16 BacT ALERT  3D 60 User Manual  95269    Unloading Bottles Basic Functions    Close the door to allow temperature to equilibrate before unloading from  the area again        CAUTION  If a large number of bottles are unloaded from the   VAN Incubation Chamber at the same time and in the same areas  a  large heat mass loss within the racks may occur  This heat loss  may trigger the acceleration or rate algorithms to erroneously  flag positive        8  When finished unloading bottles  ensure that the door is completely  closed     9  Click the Check button on the Unload Mode screen 
102. buttons become enabled     To correct an error made while entering a password  click the Key Symbol  button and re enter the password     If more than 8 characters are entered  the Password Entry buttons will  become inactive and turn gray  Click the Key Symbol button and re enter the  password     Inactivity Timeout for all Setup Screens    Note     Note     While you are in the Setup screen  see Figure 4 9   or one of its sub menus   an inactivity timeout will occur  within a period of time configured by your  bioM  rieux Service Representative  if you do not perform one of the following  actions       press a screen or keyboard button    scan a barcode    load or unload a bottle    If an inactivity timeout occurs  the instrument display reverts from the  currently displayed screen to the Main screen  Any pending function is  cancelled as if the Cancel button on each successive screen was clicked     If a timeout occurs  it is possible that partially entered information will be lost     The inactivity timeout feature is disabled while a red operator error is  displayed on the screen     Setup Screen Function Buttons       BacT ALERT  3D 60 User Manual 4 1    95269    Set Date Time button  see Setting and Formatting the System Date and Time in  Chapter 7     Enable Disable Rack  or Cell button  see Enabling and Disabling Racks and  Cells in Chapter 7     Calibrate Temperature button  see Checking an Instrument s Temperature in  Chapter 7     9    Basic Functions        20   
103. ck button     If the bottle ID was entered correctly  perform the following  procedure     1  Re enter the bottle ID and click the Check button     Note   The bottle readings for the previously unloaded bottle  will be lost and the bottle ID  Accession Number  First Loaded  Time  Maximum Test Time  and Bottle Type will be assigned to  the newly identified bottle     2  Reload the bottle  if desired  Instrument Fault Code 78  appears and the bottle is flagged positive  see Instrument  Fault Code  78 on page 8 11      in duplicate bottle ID s that will be seen in  Editing Bottle ID to Accession Number  relationships and on the reports in the  BacT ALERT   3D Select and SelectLink  configurations        CAUTION   Performing Step 1 and Step 2 result    3  Ifthe bottle is not reloaded  and another bottle is unloaded  or the Cancel button is clicked   the bottle s anonymous  record will be lost     If the bottle is returned to its cell without identifying the bottle   the bottle will remain anonymous and error code 932 will  disappear         940  BOTTLE DETAIL NOT FOUND    Cause  Occurs only in the Select Bottle to Edit Graph screen  when       An empty cell is selected       The bottle ID entered is not recognized as belonging to  a currently loaded or recently unloaded bottle     Solution  This Operator Error Code will terminate  spontaneously after being briefly displayed  When the Select  Bottle to Edit Graph screen is redisplayed  correct the previous  entry or click the Canc
104. ck in the Password field    The New Password and Confirm Password fields will clear   2  Enter your new password in the New Password field   3  Re enter your new password in the Confirm Password field     4  Click the Check button or the Enter key to change your password     Note  The Previous Screen button returns to the User Login screen  see  Figure 9 5  User Login Screen  on page 9 6  without logging in     BacT ALERT   3D 60 User Manual 9 11  95269    21 CFR Part 11 Mode Configuring Users     21 CFR Part 11 Mode    Logging Out     1  From the Main screen  see Figure 9 4  Main Screen While Logged In       2         21 CFR Part 11 Mode  on page 9 5   click the Logout button       to log out of the instrument     The Main screen  while logged out  appears  see Figure 9 1  Main  Screen While Logged Out    21 CFR Part 11 Mode  on page 9 2      Note   f you do not log out  the system will automatically time out when it reaches  the inactivity timeout period  see Inactivity Timeout on page 9 7      Configuring Users     21 CFR Part 11 Mode         The User Configuration screen allows you to manage user accounts for up to    100 users  You can add users  delete users  and clear user passwords     1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      2  Fromthe Setup screen  see Figure 4 9  Setup Screen   click the    Configure Users button   VRAA       9 12    BacT ALERT  3D 60 User Manual  95269    Configuring 
105. columns  If a section break is also chosen for that sort  then the fields data  will display in the section break line  This  in effect  allows the user to report  two extra data fields     10  Click the Preview Report button to view the report configuration  see  Figure 4 11  Sample Report Screen in Chapter 4      11  Click the Previous Screen button to return to the Report Configuration  Screen     12  Make any adjustments to the report configuration desired     13  Click the Check button to accept the changes to the report configuration   or click the Cancel button to retain the original configuration     14  Click the Previous Screen button to return to the Setup screen     BacT ALERT   3D 60 User Manual 6 15  95269    Software Configuration Configuring Report Screens    Load Report Configuration Screen                                                                      BacT ALERT 3D Select 22 26 44 87 26 85  1  2  3  11  4  5 12     10  Figure 6 12  Load Report Configuration Screen  1     Report Title  2     Column Selection Scroll Buttons  3     Column Width Selection Boxes  4     Edit Report Buttons  5     Preview Report Button  6     Previous Screen Button  7     Cancel Button  8     Check Button  9     Section Break Checkboxes  10    Sort Order Buttons  11     Primary Sort Scroll Button  12     Secondary Sort Scroll Button  6 16 BacT ALERT   3D 60 User Manual    95269    Configuring Report Screens Software Configuration    Status Report Configuration Screen         
106. creen    1     Automatic Backup Time Scroll Buttons  2     Previous Screen Button   3     Check Button   4     Manual Backup Button    The Automatic Backup Time scroll buttons are disabled by default  If you  wish to set an automatic backup time  contact your local bioM  rieux  Representative     3  To initiate an immediate backup  click the Manual Backup button     The system returns to the Setup screen     If a manual backup is initiated without a Zip  disk inserted in the drive or a  USB flash drive inserted in the USB port  then an Instrument Status Code 810  will display  see Instrument Status Codes in Chapter 8      While the system is being backed up  the Backup In Progress icon will  appear in the upper left corner of the Backup Management and Main screens   The icon will disappear every 5 seconds for half a second     nd    Figure 6 8  Backup in Progress Icon       6 8    BacT ALERT  3D 60 User Manual  95269    Configuring Report Screens Software Configuration    Note  If you attempt to perform a function  for example  load or unload a bottle   while a manual backup is taking place  you may encounter a brief screen  grayout  This is a safety feature that prevents database corruption by allowing  the software to close and exit files prior to giving you access     Note  Ifyou have a 250 MB Zip   Drive  only use 250 MB Zip   disks for backups     Note  Ifyou have a 750 MB Zip   Drive  you may use either a 250 MB or 750 MB  Zip   disk for backups        Do not insert any
107. ct the  Modem Interface cable between the modem connector and the port  labeled Modem  located on the bulkhead on the rear of the instrument      3 10 BacT ALERT   3D 60 User Manual    95269    Functional Testing System Installation    Connect the telephone line  designated for modem access  into the Jack  port of the modem  See Figure 3 5 for the bulkhead modem connection  and Figure 3 6 for the 56K Fax Modem configuration diagrams     3  Power up the modem  Have bioM  rieux Support Services dial into the  modem to verify the connection and modem s functionality     Note  US Robotics computer and jack modem ports are labeled on the bottom of  the modem   North America Only     4  Connect and configure the modems as shown in Figure 3 6  Set the  modem dip switch  see Figure 3 6         7  Figure 3 6  Modem Configuration and Dip Switch Settings  1     Dip Switch settings are on 5     Comp  the rear of the modem  6     Modem Port Connection  2     Telephone 7     957 0004 305 25 Pin to  3     Telephone Line 9 Pin Cable    4     Telco Modem    5  Indicate that the Modem Functional Test is complete on the  BacT ALERT   3D 60 Installation Checklist in Appendix C     Barcode Reader Functional Test    1  From the Main screen  see Figure 4 1   click the Load Bottle button   The Load Bottle screen appears     2  Scana bottle and verify that the scanned number matches the bottle     BacT ALERT   3D 60 User Manual 3 11  95269    System Installation Installing the Optional Restraint    3
108. d  see Accessing the  di Setup Screen Function Buttons in Chapter 4      eg  2  From the Setup screen  click the Report button   LI    The Report Selection screen appears   ui BacT ALERT 3D Select 13 34 45 07 08 05  1  Figure 6 15  Report Selection Screen  1     Calibration Report Button  e  3  Click the Calibration Report button     oll     BacT ALERT   3D 60 User Manual 6 19    95269    Software Configuration    Note     Note     Configuring Report Screens    The Cell Calibration Report screen appears        2 19    BacT ALERT 3D Select 19 18 22 07 20 05    1 Calibration Report    18081 1828      8  6  1821 1848      15 1h38                               1R41 1R68      15 1A58          Figure 6 16  Cell Calibration Report Screen    1     Report Header   2     Print Button   3     Cancel Print Button  4     Scroll Down Buttons  5     View Window   6     Scroll Up Buttons    4  Entera report title in the Report Header field  a maximum of 64  alphanumeric characters      5  To scroll up a line  page  or home  click the appropriate Scroll Up  buttons     6  To scroll down a line  page  or end  click the appropriate Scroll Down  buttons     The Scroll Up Down buttons are disabled if there are no available lines   pages in the indicated direction     7  To print the report  click the Print button     The Print buttons are only available if a printer is configured for the system   To configure a printer for the system  contact your local bioM  rieux  Representative     6 20 BacT A
109. d Instrument Fault  Code 74 or 77 will appear in the cell where the bottle was  loaded     3  Unload the bottle with the fault via the Positive Bottle  Unload function     4  Subculture the bottle and reload the bottle to restart testing   see Instrument Fault Code  74 on page 8 10      Note   Unload another bottle or click the Cancel button to  ignore the error     ee    amp  WARNING   The bottle must be subcultured           BacT ALERT  3D 60 User Manual  95269    8 23    System Troubleshooting Fault Codes       Cause  An anonymous bottle is unloaded with a generic  barcode label  The operator uses the Bottle Type scroll button  to specify the media type  The error is reported while selecting  the bottle type     Solution  Perform the following procedure     1  Note that the Operator Error screen also has a Bottle  Type scroll button  If an incorrect media type was entered   correct it now and click the Check button     2  Seeinstructions above if no changes are made and the  Check button is clicked     Note   Unload another bottle or click the Cancel button to  ignore the error     a    e WARNING   The bottle must be subcultured        8 24 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting        932  BOTTLE ID SCANNED MATCHES THAT OF A  PREVIOUSLY UNLOADED BOTTLE    Cause  An anonymous bottle is identified with a previously  unloaded bottle s ID     Solution  If the bottle ID was entered incorrectly  enter the  correct bottle ID and click the Che
110. date      Bottles with a critical determination in progress status will be temporarily  removed from the bottle count table on the Main screen     Cells loaded with an anonymous bottle contain a    If a loaded cell contains  no    then the bottle is identified     Disabled racks and cells are indicated by gray diagonal stripes  see  Figure 4 5  within their borders   see Enabling and Disabling Racks and  Cells in Chapter 7      Figure 4 5  Disabled Cell    Basic Functions Text Data Entry    Text Data Entry       Common Text Fields and Field Limits    OT Gel  k  3 Patient First Name field     may contain up to 20  BL  enaracters  E Patient Last Name field     may contain up to 31  BL   kharaders   Accession Number field     may contain up to  EL  16 characters  E Hospital ID field     may contain up to 22  BL  enaracters    Note  The field length and initial character type  alpha  numeric  or other  can be  configured for the Accession Number field  The initial character type can be  configured for the Bottle ID field  To configure these fields  contact your local  bioM  rieux Representative                                Note  The fields may manually be made unavailable or disabled regardless of  software configuration  To make the field s  unavailable or disabled  call your  local bioM  rieux Representative     Using the Barcode Scanner to Enter Data    1   To scan a bottle or accession barcode   2  2 1  Before scanning the barcode  click the desired field to place focus on 
111. dible beep  If no  microbial growth is present after a specified time  a specimen is determined  to be negative  The system will also indicate the negative samples that are  ready for removal when prompted  Because the system handles bottles  individually  testing of new specimens may begin at any time  The system  also utilizes barcode technology to assist in specimen and data tracking     The disposable culture bottles contain a liquid emulsion sensor that is  monitored continuously using solid state photodetectors  In addition  the  bottles contain media and atmosphere which promote the recovery of a wide  variety of microorganisms without venting     Hardware Configuration    The BacT ALERT 3D 60 utilizes a stand alone instrument that has 60 cells  for bottle monitoring     Software Configuration Options    The instrument supervises the reading of the sensors and contains decision   making algorithms to determine which specimens are positive or negative   The instrument can be arranged in one of two BacT ALERT   3D 60 software  configurations       BacT ALERT 3D Select configuration    The BacT ALERT   3D 60 is  not connected to a Laboratory Information System  LIS   Limited data  management is available through the system       BacT ALERT 3D SelectLink configuration     The BacT ALERT 3D 60  is connected directly to an LIS  Limited data management is available  through the system     The software configuration is listed at the top of all screens  see Figure 4 1   Main Sc
112. direction     8  To move to a relative record position  click the Relative Record scroll  bar above below the Relative Record Indicator     The Relative Record Indicator is sized proportionally to the amount of records  in the report     The Relative Record scroll bar is disabled if the Relative Record Indicator is  the same size as the scroll bar and all the data records in the report are  displayed     9  To print the report  click the appropriate Print button     BacT ALERT   3D 60 User Manual 4 25    95269    Basic Functions    Note     Note     Viewing and Printing      Clicking the Print Report button prints all records in the database   with a maximum of 1 920 records        Clicking the Print Current Section button prints the Current Section  Line and all data records associated with the section     The Print buttons are only available if a printer is configured for the system   To configure a printer for the system  contact your local bioM  rieux  Representative     10  While the report is printing     All Print and Save buttons are disabled       The operator may  however  view and scroll through the displayed  report  search for text in the displayed report  or exit the Report screen  and perform other operations       The Cancel Print button becomes available     11  Click the Cancel Print button to stop sending data to the printer and to  empty the queue of any data waiting to be sent to the printer     Once the cancellation has been completed  the Print and Save
113. e Power Supply  is external to the  BacT ALERT 3D 60     Backup Drive    The Backup Drive allows system backups to be made to either a Zip  disk or  USB flash drive  depending on system configuration     System Overview             BacT ALERT   3D 60 Hardware                                                                                                                                                                                                    2  3 vx  Oe  4 12  5 11  6  7  8  9  1  W  Figure 2 3  Instrument Rear View  1     Communications Panel 7     Monitor Port  2     Printer Port 8     Keyboard Port  3     Mouse Ports 9     External Speaker Port  4     LIS Port 10     Power Entry Module  5     Modem Port 11     UPS Port  6     Serial UPS Port 12     Barcode Reader Port  UPS Port  Used to connect an external UPS to the instrument  Located on the  Communications Panel   UPS Serial Port  Reserved for future use  Located on the Communications Panel   Monitor Port  Port for connecting the monitor to the instrument  Located on the  Communications Panel   2 10 BacT ALERT   3D 60 User Manual    95269    BacT ALERT 3D 60 Hardware System Overview    Mouse Ports    Used for connecting the mouse to the instrument  Located on the  Communications Panel     Keyboard Port  Port for connecting the keyboard to the instrument  Located on the  Communications Panel    Printer Port  Interface port  parallel  for connecting the printer to the instrument to produce  hard copy reports  Loc
114. e Safety Precautions and  Procedures in Chapter 7   See also Spill Cleanup in Chapter 7      Disinfection Procedure for Spills Within Onto the Instrument    If a spill is detected  only persons wearing protective clothing including  gloves  and a HEPA filter respirator should remain in the room  Any test  specimen spilled in an instrument should be removed immediately using the  disinfection procedures  see Disinfection Procedure for Spills Onto the  Instrument in Chapter 7      10 8 BacT ALERT   3D 60 User Manual  95269    UNPACKING INSTRUCTIONS       BacT ALERT   3D 60 Unpacking Instructions                                  BacT ALERT  3D 60 User Manual A 1  95269    Unpacking Instructions    A 2 BacT ALERT   3D 60 User Manual  95269    PART CHECKLIST       BacT ALERT 3D 60 Part Checklist       SITE NAME SERIAL    CITY  STATE SERVICE CALL            The following checklist can be used when verifying and inspecting kit contents  see Verifying  Contents in Chapter 3      Contents    BacT ALERT 3D 60 Instrument    BacT ALERT   3D 60 User Manual Multi language CD  2 ea  5 amp fuse   1 ea  6 3 amp fuse   1 ea  blank USB Flash Drive  Decontamination Procedure  Decontamination Certificate  Anonymous BTL Labeling Set   WARNING      Rack   Bottle Carrier BTA  Mouse and Mouse Pad  Barcode Scanner and Manual  Scanner Stand   Keyboard   Power Cord   Printer   Parallel Printer cable   1 4  X20X5  bolt   1 4  flat washer   UPS   UPS Serial Cable   CRT Monitor   or    Flat Panel Monitor  
115. e Selecting Bottles Using the Select Bottle to  Edit Graph Button on page 5 4      1   Note  This function can only be used for currently loaded bottles  To view    1  From the Setup screen  see Figure 4 9   click the Edit Cell Contents  button     The Edit Cell Contents screen appears           IO  OO  OO                                           N       48    33030                                                                                           QooooQ  E    3  Q    3                      Figure 5 1  Edit Cell Contents Screen    1     Cell  2     Rack  3     Restart Incubation Chamber Button    Note  The Edit Cell Contents screen displays the same information as the View Cell  Status screen  see Understanding the View Cell Status Screen Display in  Chapter 4  and is continuously updated     2  Click the appropriate Cell icon     The Edit Bottle Detail screen appears  see Editing Bottle Details Using  the Edit Bottle Detail Screen on page 5 5      BacT ALERT   3D 60 User Manual 5 3  95269    Editing Test Data Viewing Editing Bottle Data    Selecting Bottles Using the Select Bottle to Edit Graph Button EN    1 1  From the Setup screen  see Figure 4 9   click the Select Bottle to Edit     2      Graph button     The Select Bottle to Edit Graph screen overlays and disables the Setup  screen              Ba cT ALERT 3D SeiectLink 143315890 nez22789                      0203020909  0909090909  1 1 annannnan   0202020202             0909090909  0202020202                  
116. e Transmitted by Blood   Body fluids  and Tissue    CLSI Document M29 A     2  After decontamination  wipe with damp  water only  towel and thoroughly  dry     BacT ALERT   3D 60 User Manual 7 3  95269    System Maintenance Hardware Maintenance    Disinfection Procedure for Spills Within the Instrument    WARNING    If a spill is detected that might involve M  tuberculosis  only  persons wearing protective clothing and suitable respiratory    protection should remain in the room  Any test specimen  spilled in an instrument should be removed immediately and  the affected areas decontaminated using the following  procedure          1  Visually inspect the extent of the leakage or spill  Determine if the  a  instrument or any rack is contaminated   3    2  Remove the leaking bottle if possible     Note  Ifa bottle becomes lodged in the cell  contact bioM  rieux Customer Service   Do not try to dislodge bottle by pulling on the rack     3  Unload positive and negative bottles in affected rack s   see Unloading  Bottles in Chapter 4      4  Relocate the remaining bottles in the affected rack s  using the following  procedure     a  From the Main screen  press Ctrl   F10 to enter a special Bottles  Relocation mode  The cell indicator lights will illuminate in the  following pattern       Cells with bottles are lit continuously     Cells available for reloading are unlit     Note  Bottles affected by the spill should not be reloaded until they have been  decontaminated  Decontaminat
117. e contents of the BacT ALERT   3D 60 using the  BacT ALERT   3D 60 Unpacking Instructions in Appendix A   2  Verify and Inspect contents of the BacT ALERT   3D 60 for shipping  damage using the BacT ALERT   3D 60 Part Checklist in Appendix B   3  Indicate that contents are verified on the BacT ALERT   3D 60  Installation Checklist in Appendix C   3 2 BacT ALERTS 3D 60 User Manual    95269    Installation    Installation    System Installation       Setting the AC Power    WARNING    The BacT ALERT   3D 60 ships without a default voltage    setting  The procedure that follows describes how to insert the  fuse s  for proper voltage setting  After installing proper  fuse s   discard the remaining fuse s         Note     Note     Note     The Power Entry Module  805 001 7 02  is located in the rear and lower left  corner of the instrument     When configured for 115 VAC  the PEM has one 6 3 Amp 250V time delay  fuse  870 0008 25   In addition  a conversion clip is located across the  neutral line in the fuse holder     When configured for 230 VAC  each PEM has two 5 0 Amp 250V time delay  fuses  870 0008 24      1  Ensure the instrument is powered down   2  Ensure that the main power and interface cables are disconnected   3  Open the PEM cover using a small flat blade screwdriver     4  Slide out the fuse holder  see Figure 3 1         Figure 3 1  Power Entry Module with Fuse Holder Removed    1     Note the fuse orientation to the rear of the fuse holder        BacT ALERT  3D 6
118. e displayed  bottle record     View Patient First Name Field ess    Disabled field that displays the patient first name associated with the  displayed bottle record     View Patient Last Name Field an HEEE    Disabled field that displays the patient last name associated with the  displayed bottle record     Note  The View Accession Number  View Hospital ID  View Patient First Name  and View Patient Last Name fields are    view only    fields     Note  The fields may also be made unavailable manually  To make the field s   unavailable  call your local bioM  rieux Representative                 ra  Edit Load Status Slidebar Switch He    It is possible to change the load status of an identified bottle in a faulty rack  from loaded to unloaded  However  it is not possible to change a bottle s load  status from unloaded to loaded        5 6 BacT ALERT   3D 60 User Manual    95269    Viewing Editing Bottle Data    Note     Editing Test Data    Slidebar interpretation       0   unloaded      1  loaded    The slidebar is disabled if the associated rack is functioning properly     CL  Edit Maximum Test Time Scroll Buttons       Note     Edit Bottle Type Scroll Button    Note     Note     View Cell Location Icon    Displays the incubation period for the selected bottle after which the bottle s  status will change from negative to date to negative     The maximum test time of a bottle can be edited in days and tenths of a day  at any time     tn          Displays the media type of the s
119. e the bottles following your institution s  recommended procedure for decontamination or the procedure described in  the latest revision of CLSI guideline  Protection of Laboratory Workers from  Instrument Biohazards and Infectious Disease Transmitted by Blood  Body  Fluids  and Tissue    CLSI Document M 29A  Click the Load Bottles button to  reload the decontaminated bottles     b  Relocate bottles one at a time into any available cell or unload  contaminated bottles     Note  When relocating bottles using Ctrl   F10  you must unload one bottle from a  cell and reload it into the destination cell BEFORE unloading another bottle   This procedure must be done one bottle at a time     7 4 BacT ALERT   3D 60 User Manual  95269    Hardware Maintenance System Maintenance    BacT ALERT   3D 60 User Manual 7 5    95269    c  If the Bottle ID field for a loaded bottle is blank  be sure to identify the  anonymous bottle by scanning the barcode as it is unloaded  see  Handling Anonymous Bottles in Chapter 4      d  When all bottles are relocated or unloaded  click the Check button on  the Main screen        bottles must be reloaded before one hour has passed using the  normal Load Bottles icon to avoid a subculture event     A CAUTION  When unloading multiple bottles using Ctrl   F10  the       5  Disable the affected cell s  or rack s   see Enabling and Disabling Racks  and Cells on page 7 13      6  Ifan affected cell contains a large amount of liquid  carefully aspirate it  using a 
120. ect the wrong user name  click on the user name again to deselect   2  Click the Delete User button to delete the selected users from the User  List     3  Click the Check or Previous Screen button to return to the User  Configuration screen     Clearing a User Password    In the event you may need to clear a user s password  ex  a user forgets their  password   perform the following procedure       1  From the User Configuration screen  see Figure 9 10  User    Configuration Screen  on page 9 13   click the Clear Password button       h    9 16 BacT ALERT   3D 60 User Manual    95269    Configuring Users     21 CFR Part 11 Mode 21 CFR Part 11 Mode    The Clear Password screen appears        2 23 3    BacT ALERT 3D Signature 13 07 20 07 80 05                               6  New  User  Name  User  Name  1 au 5  4  2  li  3       Figure 9 13  Clear Password Screen    1     Clear Password Button 4     Scroll Down Button  2     Previous Screen Button 5     User List  3     Check Button 6     Scroll Up Button    2  Click the Scroll Up or Scroll Down button to locate the user name   3  Click the user name to select     4  Click the Clear Password button to clear the password for the selected  user     5  Click the Check or Previous Screen button to return to the User  Configuration screen     Note  When you clear a user password  the password is reset to the blank setting   The user will then have to recreate a password  see Logging In for the First  Time on page 9 2      Clearing
121. een     BacT ALERT   3D 60 User Manual 7 23  95269    System Maintenance Software Maintenance    7 24 BacT ALERT   3D 60 User Manual  95269    SYSTEM TROUBLESHOOTING 8    About This Chapter       This chapter provides you with a description of the different types of  instrument fault  instrument status and operator error codes  as well as bottle  and user output device problems  that may be encountered when using the  instrument  Cause s  and solutions s  for each type of fault error problem are  also listed     Chapter Contents       Introduction   8 2   Fault Codes   8 3  Instrument Fault Codes   8 3  Instrument Status Codes   8 16  Operator Error Codes   8 18  Bottle Problems   8 29  User Output Device Problems   8 29    BacT ALERT   3D 60 User Manual    8 1  95269    System Troubleshooting Introduction       Introduction   CAUTION  Failure to follow the procedures in this User Manual  or failure to attend to fault conditions reported by the instrument  within one hour may lead to invalid test results and the need to  subculture bottles   The following codes are discussed in this chapter    1 39 56 99 923   2 41 57 710 930   3 42 60 800 931   4 43 62 810 932   6 44 71 820 940   10 45 72 901 941   11 46 73 902 942   12 47 74 909 943   14 51 75 910 944   19 52 77 911 945   20 53 78 912 960   21 54 80 913 961   22 55 81 921  If the problem cannot be corrected using the solutions listed  or a code is  displayed that does not appear in this list  call your local bioM  rieux  Re
122. een Elements                                     2 14  ICON  TT 2 14  BUttOn   9o Re Nan p REPE E Roe s eret  ee uid nes ocd sh 2 14  Common System Buttons                                          2 14  Scroll BUttoriz   uo e qreT Sonat Sapna  IT RS DA ar RN EVEREST IA SES 2 15  Slid  bar SWitcli    lt c dan En ex ane ANH ERR RS 2 15  Anchor Display Scroll Buttons                                       2 15  text Entry Field u s DD E 2 16   SYSTEM  INSTALLATION fs 225  sure c2 iunc hike Kin aa ERE R WERA GU Kin ura S   eonun asc co GER E RAW ERO VE K  R te A SERA 3 1  About This Chapter      axur  a s   oe ety REESE dire KANAL ES 3 1  ii BacT ALERTS 3D 60 User Manual    95269    Table of Contents    Chapter Contents    5d wan montent nt sm Men SUE xpo 3 1  Preparation  serere ee e ded pie let eke po RETE Fere HE nRENnM 3 2  Verifying Site Requirements Are Met                              3 2  Verifying  Contents    s TP a ee LA pere e ne TU 3 2  Installation  nom ee Ren een RESP RR E rb ara aches 3 3  Setting the AC Power                                          3 3  Choosing Instrument Location                                   3 6  Making Instrument Connections                                  3 7  Powering Up the Instrument                                     3 9  Configuring the Instrument                                     3 10  Setting the Temperature                                       3 10  Checking for EMOS d i 2255044 sns BRASS PEARSE GASES ARA SES 3 10  Functiona
123. egistered trademark of lomega Corporation     No part of this publication may be reproduced  transmitted  transcribed   stored in a retrieval system  or translated into any language  human or  computer  in any form  or by any means whatsoever  without the prior  express written permission of bioM  rieux  Inc        2010 bioM  rieux  Inc  All rights reserved           Warranty    Seller  bioM  rieux  Inc   warrants the BacT ALERT 3D 60 instrument  the     instrument     to the original purchaser for a period of one  1  year after date of  installation against defects in material and workmanship and defects arising  from failure to conform to specifications applicable on the date of installation   Seller further agrees to correct  either by repair  or  at its election  by  replacement  any such defect found on examination to have occurred  under  normal use and service  during such one  1  year period  provided Seller is  promptly notified in writing upon discovery of such defect     Seller shall not be liable under this Warranty for any defect arising from abuse  of the system  failure to operate and maintain the system in accordance with  the documentation included with the Instrument  including repair service   alteration or modification of the system by any person other than service  personnel of bioM  rieux  Inc   or Seller  or use of modified  changed  or  previously used disposables     The Warranty of Seller set forth above and the obligations and liabilities of  Seller
124. el button        BacT ALERT   3D 60 User Manual 8 25  95269    System Troubleshooting     941    Fault Codes       Cause  This error may occur while in the Edit Cell Contents  screen when a loaded cell is selected  but no bottle record was  found     Solution  Call bioM  rieux        BOTTLE ID ENTERED MATCHES THAT OF A BOTTLE  THAT IS CURRENTLY LOADED IN A DIFFERENT CELL    Cause  When editing a bottle ID on the Edit Bottle Detail  Screen  the bottle ID entered is the same as the bottle ID of a  bottle loaded in a different cell  Click the Cancel button to clear  the error     Solution  If the bottle ID was entered incorrectly  enter the  correct bottle ID now and click the Check button     If the bottle ID is correctly entered  perform the following  procedure     1  Click the Cancel button on the Edit Bottle Detail screen     2  Enterthe same bottle ID  the one used on the previous  screen  and click the Check button to view information on  this bottle  Note the cell location on the Edit Bottle Detail  Screen and remove the bottle currently in that cell to record  the actual bottle ID  Ignore the Operational Error 911 that  appears on the screen when the bottle is unloaded      N CAUTION   DO NOT click the Check button     3  Return the bottle to the same cell from which it was  removed     4  Correct the bottle ID and click the Check button  It is now  possible to edit or identify the original bottle ID        8 26 BacT ALERT   3D 60 User Manual    95269    Fault Codes Sys
125. el the save  request and return to the Bottle Readings screen     Note  The Print buttons will be disabled while the save is taking place  Once the  save has completed  the Print buttons will be enabled     WARNING    Do not insert any object  other than a Zip   disk  into the Zip    drive under any circumstances           BacT ALERT  3D 60 User Manual 4 35  95269    Basic Functions Sending Requesting LIS Information    CAUTION  Do not forcibly remove the Zip  disk from the  instrument  Forcibly removing the Zip  disk may cause damage  to the Zip  disk or Zip  drive and may cause the system to lock  up     14  Click the Previous Screen button to return to the screen from which the  Bottle Readings screen was accessed     15  When done  click the Previous Screen button to return to the Graph  Bottle Readings screen     Sending Requesting LIS Information       Results can be manually sent to and demographics can be manually  requested from an LIS when the BacT ALERT   3D SelectLink configuration  is used     Note  The system can be configured to perform these functions automatically  To  adjust these settings  call your local bioM  rieux Representative     Note  The arrows on the Manual Send Test Results and Manual Request Test  Orders buttons also serve as an indicator of automatic data transfer     Sending Results to the LIS    1 1  From the Main screen  see Figure 4 1   click the Manual Send Test    2  Results button    asi      3  The arrow on the button face will blink dur
126. elected bottle  Use the scroll buttons to select  the appropriate bottle type     Anonymous bottles loaded into a BC type Incubation Chamber are assigned  to the UNKNOWN bottle type     The Bottle ID  Load Status  Maximum Test Time  and Bottle Type fields  can be edited concurrently or one at a time  Click the Check button to save  changes     18001  gv    Displays the location of the selected bottle  The location is either the current  location or the last cell location  depending on whether the bottle is still  loaded     Cell ID consists of the following three components in order       Incubation Chamber    Always 1     Drawer letter  Always A       Cell    Note  In order to maintain consistency with the BacT ALERT   3D family  the cell ID  includes incubation module and Drawer IDs as well as cell IDs  Incubation  Module and Drawer IDs cannot be changed   BacT ALERTS 3D 60 User Manual 5 7    95269    Editing Test Data Viewing Editing Bottle Data    5 06 30 99 22 07 08  View First Loaded Time Icon       1 79     Displays the date and time the selected bottle was first loaded into the  system  The number of days since the bottle was first loaded appears in  parenthesis below the date and time     Hiz 07 01 99 21 52 25  View Last Unloaded Time Icon Wa  0 70     Displays the date and time the selected bottle was last unloaded from the  system  The number of days since the bottle was unloaded appears in  parenthesis below the date and time  No time will be displayed if the bott
127. en trained in its operation  by bioM  rieux  repair  service  alteration or modification of the  instrument by any person other than service personnel of  bioM  rieux  or modification  change or reuse of the disposables  supplied by bioM  rieux for use in the instrument     for use with B 30 Software or higher  The software version B 30   or higher  is displayed at the bottom of the instrument icon on  the Main screen        CAUTION  This BacT ALERT 3D User Manual is only intended       CAUTION  All figures depicting monitor screens are examples  only  Actual screens may differ to the extent they are affected by  the actual data entered by the user  or actual data transmitted to  the instrument over the LIS interface  or actual data generated  by the instrument     1 2 BacT ALERT   3D 60 User Manual  95269    Additional Supplies    How To Use This Manual    CAUTION  Regarding section  Entering Report Labels   the user  is solely responsible for the choice of customized report label  text and for validating that the intended label text appears in all  associated reports  bioM  rieux shall not be liable for any  consequences resulting from misinterpretation of customized  report labels        Additional Supplies       Contact bioM  rieux or your local vendor for laboratory supplies and  accessories     Purpose of This Manual       BacT ALERT   3D 60 User Manual 1 3    95269    Note     This manual focuses on the BacT ALERT   3D 60 software application and  how you use it in you
128. ent Alarm Setting  Changed    Time  Date  User ID  Action  enable or disable        Operator Error Alarm  Setting Changed    Time  Date  User ID  Action  enable or disable        System Password  Changed    Time  Date  User ID          21 CFR Part 11 Mode  Changed       Time  Date  User ID  Action  enable or disable     Note   User ID is recorded only for  disable           BacT ALERT   3D 60 User Manual 9 19    95269    21 CFR Part 11 Mode Audit Trail    Table 9 1  Audit Trail Events  Continued        Event Event Parameters       User Account Changed Time  Date  User ID  Action  user added  user  deleted  password changed or cleared           Patient Name Changed Time  Date  User ID  Hospital ID  First Name   Last Name   Hospital ID Changed Time Date  User ID  Accession Number   Hospital ID       Cell Gap Detection Faults Time  Date  User ID  Number of bottles cleared  Cleared                Note  Some recorded events may occur while you are logged out and will not have  an associated User ID  ex   upgrading firmware   In these cases  the user is  listed as  Unknown      Note  The audit trail is available on all BacT ALERT 3D 60 software  configurations  regardless of 21 CFR Part 11 status   Accessing the Audit Trail    The audit trail is available in English only and is not editable  The audit trail is  available as one of the Software Test screens     To access the audit trail     1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Functi
129. er a valid password  see Accessing the  di Setup Screen Function Buttons in Chapter 4      E  2  From the Setup screen  click the Report button   em       The Report Selection screen appears        BacT ALERT 3D Select 19 94 49  67700705                                     Figure 6 18  Report Selection Screen    1     Calibration History Button    Il  3  Click the Calibration History button  jn         6 22    BacT ALERT  3D 60 User Manual  95269    Configuring Report Screens    Software Configuration    The Calibration History screen appears               EE BacT ALERT 3D Select 19015412 Wrczeres    1 Calibration History  88 21 2889 15 46 15 1R81 8    68 21 2889 15 46 15 1A84 8   68 21 2889 15 54 25 1A81 1   68 21 2889 15 54 38 1n03 8   68 21 2889 15 58 24 1803 1 john  68 21 2889 16 84 25 1A81 8   68 21 2889 16 23 27 1R84 1 john  68 27 2889 11 88 48 1A81 1 jacob  68 27 2889 11 88 45 1A83 8   68 27 2889 11 18 48 182 8   69 82 2889 17 10 26 1A81 8   89 89 2889 16 37 21 1A81 1 jacob  89 18 2889 11 28 87 1882 1  calibrated   69 18 2889 11 21 12 1883 1  calibrated   69 22 2689 11 32 26 1883 1  calibrated                                                        Figure 6 19  Calibration History Screen    1     Report Header   2     Date  Time  Cell Location  and Cell Status  3     Print Button   4     Cancel Print Button   5     Scroll Down Buttons   6     View Window   7     Scroll Up Buttons    The report content is displayed in the View window and contains the  following features 
130. erature calibration is required     3   Anytime the optimal  setpoint  temperature is changed        BacT ALERT  3D 60 User Manual 7 1  95269    7    System Maintenance Software Maintenance      Any time the periodic check of the Reference Thermometer reveals  that the temperature is more than 0 5  C above or below the setpoint     1  Check the Instrument s temperature  see Checking an Instrument s  Temperature on page 7 15      2  Enterthe temperature from the Reference Thermometer in degrees  Centigrade   C  on the Actual Temp scroll buttons  see Figure 7 5      3  Click the Check button to initiate the calibration  or click the Cancel  button to retain the previous calibration     4  Click the Previous Screen button to return to the Setup screen   5  Check the temperature when stable to verify the calibration was  successful   Calibrating an Instrument Cell    The following procedures describe how to       locate a cell which failed calibration    view a cell s readings    calibrate a cell   Note  Itis not necessary to perform routine cell calibration  If a cell fails its    automatic internal diagnostic check  Instrument Fault Code 60 appears in the  Instrument icon on the Main screen        CAUTION  A cell which has failed the automatic internal  diagnostic check no longer records bottle readings and will not  be indicated as available when loading bottles  The cell must be  calibrated or disabled           CAUTION  Do not invoke the Calibrate Cell screen unless the  cel
131. es in the  indicated direction     6  To print the bottle readings  click the Print button     Note  The Print buttons are only available if a printer is configured for the system   To configure a printer for the system  contact your local bioM  rieux  Representative     7  While the report is printing     All Print and Save buttons are disabled       The operator may  however  view and scroll through the displayed list   search for text in the displayed list  or exit the Bottle Readings screen  and perform other operations       The Cancel Print button becomes available     8  Click the Cancel Print button to stop sending data to the printer and to  empty the queue of any data waiting to be sent to the printer     Note  Once the cancellation has been completed the Print and Save buttons will  become enabled  and the Cancel Print button will be disabled     9  To specify a text string and initiate a search of the report data for the  specified text  click the Find Text button     BacT ALERT   3D 60 User Manual 4 33  95269    Basic Functions Viewing and Printing    The Find Text screen appears        BacT ALERT 3D Select 14 53 22 67 88 85                   AE             Figure 4 17  Find Text Screen  1   Find Text Field    Use the keyboard to enter the text you wish to seek  and click the Check  button to return to the Bottle Readings screen  Clicking the Cancel  button will cancel the search request and return to the Bottle Readings  screen     Note  The search will be perfo
132. eux India Pvt  Ltd   A 32  Mohan Co Operative Ind  Estate  New Delhi 110 024   tel   91  11 42 09 88 00   fax  91  11 24 64 88 30    Indonesia   Representation Office  bioM  rieux Indonesia   Enseval Building   Kawasan Industri Pulo Gadung    JI  Pulo   Lentut No  10   Jakarta Timur 13920   tel   62  21 461 51 11   fax  62  21 460 41 07    Italy   bioM  rieux Italia S p A   Via Fiume Bianco  56  00144 Roma   tel   39  06 523 081   fax  39  06 523 08240    Ivory Coast   bioM  rieux Afrique Occidentale  08 BP 2634   Avenue Joseph Blohorn   Abidjan 08   tel   225  22 40 93 93 22 40 41 40  fax  225  22 40 93 94    Japan   Sysmex bioM  rieux  Ltd   Osaki Central Tower 8F  1 2 2 Osaki Shinagawa ku  Tokyo 141 0032   tel   81  3 6834 2666   fax  81  3 6834 2667    Korea   bioM  rieux Korea Co   Ltd    1st  amp  2nd Floor  Yoosung Building    830 67 Yeoksam dong   Kangnam gu   S  oul 135 080   tel   82  2 2188 4700   fax  82  2 547 6263    Mexico   bioM  rieux M  xico SA de CV  Chihuahua 88  col  Progreso  M  xico 01080  D F    tel   52  55 5481 9550   fax  52  55 5616 2245    Netherlands  The   bioM  rieux Benelux BV  Boseind 15   P O  Box 23   5280 AA Boxtel   tel   31  411 65 48 88  fax  31  411 65 48 73          New Zealand   bioM  rieux New Zealand Ltd   C   Logical Freight Solutions  12C Rennie Drive  Airport Oaks  Auckland   tel   64  9 918 6354   fax  64  9 918 6355    Norway   bioM  rieux Norge AS    kernveien 145  N 0513  Oslo   tel   47  23 37 55 50  fax  47  23 37 55 51   
133. for inspection purposes  If additional QC is desired  bottles  should be seeded at approximately 400 CFU bottle using SPS anticoagulated  fresh human blood with fresh growth of one or more of the organisms listed  on the Certificate of Conformance for each bottle type  The general  procedure is described below     1  Add 1 2 mL blood to the bottle s      2  Using growth from solid media which is 18   24 hours old  prepare a  suspension in Tryptic Soy Broth  TSB  at 85 90  transmittance at 660  nm or a McFarland 0 5 density  105      S  Perform serial dilutions of this suspension as follows     a  Dilute 1 100  Pipette 0 1 mL of suspension from Step 2 into 9 9 mL  TSB     b  Dilute 1 100  Pipette 0 1 mL of suspension from Step 3a into 9 9 mL  TSB     c  Dilute 1 10  Pipette 1 0 mL of dilution from Step 3b into 9 0 mL TSB   density should then be approximately 10      4   noculate 0 4 mL of the final dilution from Step 3c into the desired adult  bottle  If using BacT ALERT   PF  inoculate 0 2 mL of the final dilution  from Step 3c     E 4 BacT ALERT   3D 60 User Manual  95269    BacT ALERT Culture Bottles Bottle Quality Control    5  As soon as possible  load the bottle s   All aerobic organisms should be  positive within 48 hours and all anaerobic organisms within 72 hours     Mycobacteria Culture Bottles  MB and MP     Each case of BacT ALERT   Mycobacteria culture bottles  including MP and  MB  is packaged with a Certificate of Conformance that should be filed for  inspectio
134. g keys on the keyboard    scanning barcodes     moving the mouse     loading or unloading bottles    Changing the Maximum Test Time  Individual Bottles                         1  From the Load screen  click the Change Maximum Test Time button  2  3 ET       after scanning the bottle barcode   The Change Maximum Test Time screen overlays and disables the Load  screen   1 2  Figure 4 7  Change Maximum Test Time Screen  1     Bottle ID Field  2     Max Test Time Scroll Buttons  2  Verify the bottle ID matches that of the bottle for which you wish to  change the maximum test time   BacT ALERTS 3D 60 User Manual 4 13    95269    Basic Functions Unloading Bottles    3  Adjust the maximum test time in days using the Max Test Time scroll  buttons     4  Click the Check button to accept the changes  or the Cancel button to  retain the original setting     The system returns to the Load Mode screen     Note  Changing the maximum test time of an individual bottle during loading does  not affect any other bottles of the same type     Note  The maximum test time of an individual bottle can also be changed from the  Edit Bottle Detail screen  see Viewing Editing Bottle Data in Chapter 5  after  loading     Handling Anonymous Bottles    Bottles loaded into the Incubation Chamber without accessing the Load  Bottles function on the Main screen are referred to as Anonymous bottles  because they are not associated with a bottle ID     CAUTION  BacT ALERT   MB  Mycobacteria Blood  Bottles   VAN 
135. gitation motor either disconnected or inoperative     Solution  Call bioM  rieux        Cause  Fault in bottom rack     Solution  Call bioM  rieux         22   UNEXPECTED AGITATION  Cause  Instrument not configured properly     Solution  Call bioM  rieux        8 6 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting        39 RACK TEMPERATURE FAULT    Background Information  The temperature in a specific rack  has changed beyond the setpoint  high or low   Two  temperature sensors  one at each end of the bottle rack  are  polled for the input signals  This fault code was added as an  early warning system requiring the user to observe the system  for temperature related issues  This error will occur if there is a    4 C change from the setpoint measured at the bottle racks for  more than 60 minutes  six readings are taken every 10  minutes   Six or more readings out of range are required to  report this error  Typically  this error is seen after bottle loading  or unloading events  The change in thermal mass takes the  BacT ALERT   3D System several minutes to readjust  If the  temperature is high  bottle relocation is required and the  defective hardware is suspected  for example  temperature  sensor   If the temperature is low  ensure that the drawers are  closed and monitor the temperature for the next 30 to 40  minutes  If the fault code does not clear  bottle relocation is  required and defective hardware is suspected  ex  MOD SIG   temperature sen
136. gure 6 3  Change Password Screen                sse 6 6  Figure 6 4  Padlock Icon  Full Open Position                        seen 6 6  Figure 6 5  Padlock Icon  Half Open Position                      seen 6 7  Figure 6 6  Padlock Icon  Closed Position                       u Li  E  E Elek enn 6 7  Figure 6 7  Backup Management Screen               sse eene 6 8  Figure 6 8    Backup in Progress Icon             ssssssseeee eene nnne nnne entren 6 8  Figure 6 9  Report Selection Screen ss 6 10  Figure 6 10  Report Label Entry Screen sin 6 11  Figure 6 11  Report Selection Screen                LELEL  Lu EEE eee nennen nnne nnne nnn 6 14  Figure 6 12  Load Report Configuration Screen                  LELk          id Ela aka kk kk eker 6 16  Figure 6 13  Status Report Configuration Screen                                                               6 17  Figure 6 14  Unload Report Configuration Screen                 sse 6 18  Figure 6 15  Report Selection Screen si 6 19  Figure 6 16  Cell Calibration Report Screen                    sss 6 20  Figure 6 17  View Window ss 6 21  Figure 6 18  Report Selection Screen si 6 22  Figure 6 19  Calibration History Screen                 sse nnne nnns 6 23  Figure 7 1  View Cell Status Screen               sss ener 7 11  Figure 7 2  Set Date Time Screen ss 7 12  Figure 7 3   Enable Disable Rack or Cell Screen                LEEELLCL EE nenne 7 13  Figure 7 4    Reference Thermometer                sessi eene nennen nennen nnns 7 15      
137. hapter 5      Bottle ID   Accession number   Hospital ID  where applicable   Patient first and last name  where applicable   Cell ID   Maximum test time   Bottle type   Date time loaded   Date time unloaded   Date time of last bottle reading  Test time   Test result   Algorithm type   How determined positivity index    Viewing Printing Reports    Reports are viewed and printed by using the Report button as described in  the topic  Viewing and Printing Test Data on page 4 22     Viewing Printing Graphs    Note     Bottle Graphs can be viewed on the BacT ALERT 3D 60 as described in the  topic  Viewing and Printing Bottle Graphs on page 4 29     The print feature can be made unavailable  When the feature is unavailable   the Print buttons do not display  To make the print feature unavailable  call  your local bioM  rieux Representative     Using the Print Screen Function    You can print the current screen on the instrument by pressing Ctrl   P on  the keyboard     BacT ALERT   3D 60 User Manual 4 21    95269    Basic Functions Viewing and Printing    Viewing and Printing Test Data    1  From the Setup screen  see Figure 4 9   click the Report button  1  3       The Report Selection screen appears                          m BacT ALERT 3D Select 13tadan 67 00 05  1        ei   a  2 Re   Wal  3 Wwe                   Figure 4 10  Report Selection Screen    1     Display Report 1 Button  2     Display Report 2 Button  3     Display Report 3 Button  4     Previous Screen Button  5   
138. he specified type are used for replacement  The use of  makeshift fuses and the short circuiting of fuse holders is  prohibited     Whenever it is likely that the BacT ALERT  3D 60 instrument  has been impaired  it should be rendered inoperative and  secured against any unintended operation by disconnecting  the power cord  If the presence of moisture is evident  turn  off the machine at the breaker before removing the power  cord and fuse     Do not forcibly remove the Zip  disk from the instrument   Forcibly removing the Zip  disk may cause damage to the  Zip  disk or Zip  drive and may cause the system to lock up        BacT ALERT   3D 60 User Manual 2 5  95269    System Overview    Introduction    WARNING    Contact your local bioM  rieux Representative if any of the  following conditions occur     System shows visible damage     System fails to perform intended measurements    System has been subjected to storage under unfavorable  conditions  ex  above 90  humidity  extreme temperatures   dusty environment  prolonged storage      System has been subjected to severe transport stresses        Electrical Grounding    An electrical ground is required for this instrument  Before installing the  instrument  ensure a grounded wall receptacle is available  It must be  plugged into a mating grounding type wall receptacle in accordance with the  National Electrical Code and applicable local codes and ordinances for this  type of installation  see Figure 2 1      WARNING    Do not
139. he system determined to be positive but  no confirmation is available by Gram stain or subculture   Also referred to as a false positive    UPS Uninterruptible Power Supply  battery backup    BacT ALERTS 3D 60 User Manual Glossary 3    95269    Glossary    USB Flash Drive Flash memory storage device integrated with a Universal  Serial Bus  USB      The methods by which a computer communicates with the  user     User Interface    G BacT ALERT   3D 60 User Manual    lossary 4  95269    INDEX    Numerics    21 CFR Part 11 Mode 9 1  accessing the audit trail 9 20  adding a user 9 13  audit trail 9 18  change password 9 8  change password errors 9 9  clearing a user password 9 16  clearing more than one user password 9 17  configuring users 9 12  deleting a user 9 15  deleting more than one user 9 16  inactivity timeout 9 7  log in out of system 9 2  logging in 9 6  logging in for the first time 9 2  logging out 9 12  login errors 9 7  user list 9 13  wrong password alert 9 8  wrong user alert 9 8    A    accession  attaching to a hospital ID 5 16  moving from one hospital ID to another 5 16    add user screen  21 CFR Part 11 Mode  9 14  additional supplies 1 3  alarm  priority 6 5  setting 6 3  terminating an instrument alarm 6 5  alarm not sounding 8 29    alerts  21 CFR Part 11 Mode   wrong password 9 8  wrong user 9 8    anchor display scroll buttons 2 15  anonymous bottle indicated in empty cell 8 29    attaching accession numbers to a  hospital ID 5 16    attaching bottle ID
140. ied S ee n dE as ours dE a 10 2   BacT ALERT 3D 60 Instrument                                 10 3   Circulation Falc  uere KC CR eom IR WISH ROT BATUR Ped redi 10 3   Installation Procedures and Special Requirements                       10 3   BacT ALERT 3D 60 Software                                  10 4   Bareodes rne eoe mM EE Messe E cs 10 4   Set Maximum Test Time                                           10 4   Positive Detection Algorithm                                        10 4   Bottle Status 5e a Lr RA bead WE di de end HERR Eee 10 4   SYSTEM Startup i o eos Dee wa    Par Wala AE a tee ERN Pp ut eet Een 10 5   General Information                                           10 5   MB Configuration                                                 10 5   Limitations of the  Test  j  gt  isse gon areca ee eb RS dde em kul ner mere 10 5   Service and Maintenance                                          10 6   Theory of Operation                                           10 6   Principle of Detection                                              10 6   Safety Feal  ras  iss Aa ea te dad RW 10 7   General Precautions x gt    r xaw al een ETC FL e RR Rae a cg de 10 8   Spill Cleanup PA ERE ER UR ere Dee arm RATHER aee    10 8   Disinfection Procedure for Spills Within Onto the Instrument                10 8   UNPACKING INSTRUCTIONS                      ese nee nennen nennen KAR KA KAR KA KAK AA KA AA KAK eas KA KAR KK KK KRA na KA Ak AR RR A 1   BacT ALERT   3D 60 Unpacki
141. ight  The bottle IDs associated  With the accession number that was clicked last is displayed in the Bottle  ID list box   4  Click the top Data Transfer button to move the accession number s  to  the left Accession Number scroll box   5  Click the Check button to accept the changes  or click the Cancel button  to restore all original relationships   6  When done  click the Previous Screen button to return to the Edit Data  Relationships screen    Note  If the Edit Accession Number to Hospital ID Relationships screen was  accessed directly from the Setup screen  then the Previous Screen button  will return to the Setup screen    Moving an Accession Number Association from one Hospital ID to Another  1 1  Access the Edit Accession Number to Hospital ID Relationships screen  di  see Initiating the Edit Data Relationships Function on page 5 12    2  Enterthe hospital ID in the left Hospital ID field that the accession  number s  is currently associated   S  Enterthe hospital ID in the right Hospital ID field with which you wish to  associate to the accession number s    4  Click the accession number s  in the left Accession Number scroll box  that are to be transferred   The selected accession number s  highlight  The bottle IDs associated  with the accession number that was clicked last is displayed in the Bottle  ID list box   5  Click the bottom Data Transfer button to move the accession number s   to the right Accession Number scroll box   6  Click the Check button to accept
142. ing the transfer     Note  Only accessions with one or more bottles that have had a status change to  positive  or that have reached maximum test time with a negative status and  have been unloaded  since the last transfer will be sent     Requesting Information from the LIS    1 1  From the Main screen  see Figure 4 1   click the Manual Request Test    2  El  Orders button  Bsa     3  The arrow on the button face will blink during the transfer        4 36 BacT ALERT  3D 60 User Manual  95269    EDITING TEST DATA 5    About This Chapter       This chapter provides you with procedures for viewing and editing bottle data     Chapter Contents       Viewing Editing Bottle Data   5 2  Introduction   5 2  Selecting Bottles Using the Edit Cell Contents Button   5 3  Selecting Bottles Using the Select Bottle to Edit Graph Button   5 4  Editing Bottle Details Using the Edit Bottle Detail Screen   5 5  Editing Data Relationships   5 11  Introduction   5 11  Initiating the Edit Data Relationships Function   5 12  Editing Bottle ID to Accession Number Relationships   5 13  Editing Accession Number to Hospital ID Relationships   5 15  Editing Hospital ID to Patient Name Relationships   5 17    BacT ALERT   3D 60 User Manual 5 1  95269    Editing Test Data Viewing Editing Bottle Data    Viewing Editing Bottle Data       Introduction  1 By accessing the Edit Bottle Detail screen of both currently loaded and  di recently unloaded bottles  the following bottle editing functions can be  E perf
143. ing until stable  14 51 temperature is reached   Indicates the temperature is stable  The  4 oc Reference Thermometer may be read     4  Read the temperature once the temperature is stable     5  Close the door immediately after taking the reading     Setting the Optimal Temperature for an Instrument    1 1  Access the Setup screen and enter a valid password  see Accessing the    Setup Screen Function Buttons in Chapter 4        fle  2  Click the Calibrate Instrument Temperature button  ER       The Calibrate Instrument Temperature screen overlays and disables the  Setup screen  see Figure 7 5      3    3  Enter the desired optimal temperature in degrees Centigrade    C  on the  Optimal Temp scroll buttons     Note  The valid range of values for the optimal temperature of an Instrument is  25 0  C to 45 0  C  However  the usual test range encountered in clinical  laboratories is 35  C to 37  C  If a temperature is entered that is outside the  range of 35  C to 37  C  a bright yellow icon   7  is displayed below the scroll  button  The lowest temperature the instrument can maintain is 5  C  above ambient     4  Clickthe Check button to initiate the temperature adjustment  or click the  Cancel button to retain the previous setting     5  Click the Previous Screen button to return to the Setup screen   6  Calibrate the Incubation Chamber after the temperature becomes stable   see Checking an Instrument s Temperature on page 7 15    Calibrating an Instrument s Temperature    Temp
144. input begin with the word    type    or    enter     This manual  uses bold for literal user input and italic for placeholders     Example of a Literal User Input  Enter the Software Exit Password  24313124     In this example  you are to type exactly what you see on the page  24313124  in this example      Example of a Placeholder  Enter your password before you       In this example  you are to type your assigned password     Warnings  Cautions  and Information       This manual uses different types of symbols to alert you to important  information  Symbols and their associated information are labeled in text  where they occur and set off from surrounding paragraphs  as shown in the  following examples        injury  death  or other serious adverse reactions associated    Warning is a statement that alerts the user to the possibility of  A with the use or misuse of a device     CAUTION  Caution is a statement that alerts the user to the  possibility of a problem with the device associated with its use  or misuse  Such problems include device malfunction  device  failure  damage to the device  or damage to other property   Where applicable  a caution statement may include a precaution  that should be taken to avoid the hazard        IMPORTANT  Important relates to content presented in this manual  It is used to  reinforce the importance of your understanding or remembering  something     Note  Note supplies additional information about a topic     1 8 BacT ALERT   3D 60 User
145. intenance  Contact your local bioM  rieux  Representative to schedule periodic service     Safety Precautions and Procedures    The design of the BacT ALERT 3D 60 provides several features in the  interest of operator and laboratory safety     All glass bioM  rieux BacT ALERT   media bottles are manufactured  with a polyethylene safety sleeve to limit the effects of damage to a  bottle     All bioM  rieux BacT ALERT   media bottles are non venting to  minimize the risk of needle sticks     Each bottle cell within the BacT ALERT   3D 60 Instrument is sealed to  help contain and minimize effects of liquid leakage     The circulating fans within the Instrument turn off whenever the door is  open  minimizing airflow and the potential for aerosols     To reduce the chance for binding a heavily overlabeled bottle   Instrument cells are gently tapered and fabricated from a pliable  polymer     Electrical voltages within the Incubation Chamber are low   approximately 5 volts or less  to minimize potential electrical hazards     Should the optimal temperature in the Instrument be set to a point  outside the range 35 37  C  a yellow Operator alert will appear on the  Calibrate Temperature screen of the Instrument     Any mention of bleach refers to the standard 5 25  sodium  hypochlorite  A 1096 bleach solution would indicate a 1 10 dilution of  the standard 5 2596 sodium hypochlorite        A All spills should be treated as if capable of transmitting    VW   disease        7 2    BacT
146. inutes     Solution  Perform the following procedure   1  Remove the bottle from the cell that was just loaded   The error will disappear     2   Scanthe Bottle ID again and Accession Number  if  needed      3  Reload the bottle into an available cell  one which has its  cell indicator light lit          910  INVALID CELL LOAD    Cause  Indicates that a bottle was loaded in a cell that is  disabled or non functional  This error also occurs if a bottle is  loaded while an Unload function is active     Solution  Perform the following procedure     1  Remove the bottle from the cell that was just loaded  The  cell ID will be displayed in the error window on the  Instrument     2  If in the Load function  re scan the bottle ID and load the  bottle in a cell which has its cell indicator light lit   Removing the indicated bottle also causes the Operator  Error screen to vanish     DO NOT CLICK the Check button on the Operator Error screen  except to intentionally ignore the error and leave the bottle  loaded     Loading another bottle will clear the error and leave the original  bottle loaded in the non functional cell        BacT ALERT   3D 60 User Manual 8 19  95269    System Troubleshooting Fault Codes        911 INVALID CELL UNLOAD    Cause  Indicates an incorrect bottle was unloaded from a non   indicated cell or that a bottle was unloaded while not in an  Unload function     Solution  Replace the bottle into the cell from which it was just  unloaded  The cell ID will be displ
147. ioM  rieux shall not  be liable for any consequences resulting from misinterpretation  of customized report labels     Table 6 1  Report Field Descriptions       Field Description    Displays the maximum number of days a bottle will be tested to   the tenth of a day  ex  XX X    Rm Displays the bottle type with no abbreviation   n afes   Displays 1 for bottle loaded or 0 for bottle not loaded    I    n   A CE Displays cell location  Example  1A01      ru   Displays the date the bottle was loaded in one of the following  eS 70707  formats  depending on Set Date Time screen setting                       MM DD YY or DD MM YY   oc   Displays the date the bottle was unloaded in one of the   East una rime  following formats  depending on Set Date Time screen setting   MM DD YY or DD MM YY        Displays the Date and Time of the last successful bottle    reading in one of the following formats  depending on Set Date   Time screen setting  MM DD YY HH MM or DD MM YY  HH MM    The time is always displayed in 24 hour format regardless of  the Set Date Time screen setting     EH Displays the time in days since the bottle has been loaded for   negative to date bottles  or the time it took to make the result  determination for positive and negative bottles  The time is  displayed in hundredths of days  ex  XX XX      Eg Displays the bottle test result as   for positive    for negative  or    for negative to date                          6 12 BacT ALERT  3D 60 User Manual  95269    Config
148. ion    s Sea omega ET XV ER ETYM pe E 2   Flip Cap   E ERGOURME EP a RN es Oy Sn bed ete ere ve gd E 3   Stopper S  ali   axana ak pter nt let qt oen uat ee sc end detenti er d E 3   Bottle  12 tee mee a teo m erepti p CN AER deep E 3   Volume Designations                                              E 3   BatCcodG i  ND Re ET D En ee NUUS ti anh UR   S Sida E 3   OT a el uns sons eet ve Nie E nee DD e cA den eine eG ART E 3   Limitations of the Test                                             E 4   Quality Control of Growth Performance                             E 4   Blood Culture Bottles  SA  SN  FA  FN  and PF                         E 4   Mycobacteria Culture Bottles  MB and MP                             E 5   GLOSSARY                                   GLOSSARY 1  INDEX  cect 5 EATA TL DERGA A Le KEK tant KEV R   Kin    dou EVAR VER E na MERE cee   NDEX 1   viii BacT ALERT   3D 60 User Manual    95269    LIST OF FIGURES       Fig  re 1 1  Procedure Icon   eie eee e eo Men mer te 1 7  Figure 2 1  Electrical Grounding Requirements                   sse 2 7  Figure 2 2  Instrument Front View seen 2 8  Figure 2 3  Instrument Rear View                   uE Elek ak aka ka keka nsns nnn nnne nnn 2 10  Figure 2 4  Button Examples                 yyi kiir ara kina cilan H  n n  re da   a x  k esta ta husa dako 4 duw   z nnn ranas nn 2 14  Figure 2 5    Scroll Button    nr nee na REL y   cenda las te ine be nee tn koi      n  n  2 15  Fig  re 2 6     Slidebar Switch 5  ns bei d 
149. k Cable Cover  see Figure 7 4   This thermometer is the      reference used to calibrate the temperature        Figure 7 4  Reference Thermometer    1     Thermometer Location    Note  The thermometer should be periodically validated according to your current    protocol   BacT ALERT   3D 60 User Manual 7 15    95269    System Maintenance Software Maintenance    Before opening the door to take a reading with this thermometer  verify that  the temperature is stable by doing the following     1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4           2  Clickthe Calibrate Instrument Temperature button  ER   The    Calibrate Instrument Temperature screen overlays and disables the  Setup screen                                                           BacT ALERT 3D SelectLink 14 35 21 64 22 07  1  5  2 4  3  Figure 7 5  Calibrate Instrument Temperature Screen  1     Internal Air Temp Indicator  2     Time Remaining Until Stable Indicator  3     Setup Screen  Disabled   4     Actual Temp Scroll Buttons  5     Optimal Temp Scroll Buttons  3  Observe the icon to the left of the Actual Temp scroll buttons   Indicates the temperature is not stable  Do not  read the Reference Thermometer at this time   7 16 BacT ALERT  3D 60 User Manual       95269    Software Maintenance System Maintenance    Indicates the temperature is nearly stable  The   x  GS time underneath the hourglass is the number of  minutes  seconds remain
150. l  95269    Monitoring the System       Basic Functions    10             1 9 BacT ALERT 3D SeiectLink 12 56 49 08 18 85 9                                  Figure 4 1  Main Screen    1     Screen ID Number  2     Bottle Count Table  3     Unload Buttons    4     Manual Send Test Results  button  SelectLink only    5     Manual Request Test  Orders button  SelectLink  only     6     Logout button  21 CFR  Part 11 mode only     7     Load Bottles button   8     Instrument Icon   9     Current Date Time   10     Software Configuration    CAUTION  If the current date time displayed at the top of the  screen does not advance  call bioM  rieux Customer Service    immediately     Background Color    The default background color is determined by the software configuration   see Software Configuration Options in Chapter 2   The following conditions    will override default background colors       A yellow screen indicates that the instrument has detected a positive bottle     BacT ALERT   3D 60 User Manual 4 3    95269    Basic Functions Monitoring the System      Ared screen indicates that an instrument fault has occurred  Clicking  anywhere on the screen or pressing any key on the keyboard returns a red  screen to yellow  or the configuration default color  depending on whether  positive bottles are present  The fault code will remain on the screen until  the error is corrected    Instrument Icon   The following information is indicated on the Instrument icon      System ID numbers 
151. l Testing   2  gt  lt       x5 wan cn   k   ha er RAI e hey pere 3 10  Modem Functional Test                                       3 10  Barcode Reader Functional Test                                3 11  UPS Functional Test  BacT ALERT   3D 60 Only  APC UPS 650        3 12  Installing the Optional Restraint                                     3 12  BASIC FUNC TIO  N ae                         aN 4 1  About This Chapter     oce Eo ewe day uet oe aed 4 1  Chapter Contents    3 6 cose    esas rdi mange erg mas da Mag etude 4 1  Introductions     k   va Ro w   et eee diane waded ee ELDER me AR A 4 2  Monitoring the System                                             4 2  Main Screen Introduction                                        4 2  Background Color                                                 4 3  Instrument l  on  iassa os at oe eae kla   k e did   ale dk deb Ute he 4 4  Bottle Count Table    ala de salek   a   e We nne ek  rh parte 4 4  VIC WING  AUIS Ja rnt re alal ala land ted x a el adalet en 4 5  Viewing the Cell Status Screen                                  4 6  Understanding the View Cell Status Screen Display                       4 6  TextData Entry    ils b GAV    kala Eyba aslan b   a Ree D   V pud 4 8  Common Text Fields and Field Limits                                  4 8  Using the Barcode Scanner to Enter Data                          4 8  Manually Entering Text into a Data Entry Field  Keyboard              4 9  Loading Bottles    s ruit pes cee ee A 
152. l to be calibrated is empty        Locating a Cell Which Failed Calibration    Instrument icon     1  View the Main screen to locate the Instrument Fault Code 60 in the    2  Locate the cell with the fault  see Viewing Faults in Chapter 4         7 18 BacT ALERT  3D 60 User Manual  95269    Software Maintenance System Maintenance    Note  Ifthe cell cannot be calibrated immediately  disable the cell  see Enabling  and Disabling Racks and Cells on page 7 13         CAUTION  To prevent anonymous loading into the disabled cell   place an orange cell plug into the cell        Viewing a Cell s Readings and or Calibrating a Cell    1  If calibrating  print out the Cell Calibration Report  see Viewing and    1  a  Printing Calibration Data in Chapter 6      2  Ifthe cell to be calibrated contains a bottle  then relocate it  see  Relocating Bottles on page 7 14      3  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      4  Click the Calibrate Cell button   al       The Calibrate Cell screen overlays and disables the Setup screen              BacT ALERT 3D SeiectLink ei ee nd ve             O200000000  0000000000          1 0000000000  0000000000 4    00000000   2    00000000                               Figure 7 6  Calibrate Cell Screen    1     Cell Scroll Buttons   2     Cell Reading Indicator   3     Setup Screen  Disabled   4     Calibration Staircase Icon    BacT ALERT   3D 60 User Manual 7 19  95269    System M
153. le  has never been unloaded     07 02 99 15 27 50    View Time of Last Bottle Reading Icon TN    Displays the date and time of the last bottle reading that was successfully  processed by the detection algorithm  The number of days since the last  bottle reading was processed appears in parenthesis below the date and time  of the last bottle reading     ELI 11 11 00 11 22 35    View Test Time Icon        Displays the date and time the last test result changed  The number of days  that have passed between load and last determination appears in  parenthesis below the date and time  The date and time will not be displayed  if the bottle s status has not change from negative to date     View Test Result Icon EU    Displays the test status of the selected bottle  Test status is displayed inside  the bottle icon       Positive  yellow bottle     Negative  green bottle     Negative to date  gray bottle        Critical determination in progress  gray bottle   5 8 BacT ALERT   3D 60 User Manual    95269    Viewing Editing Bottle Data Editing Test Data    Edit Test Result Button      You can use the Edit Test Result button to change the status of the      displayed bottle     1  Click the Edit Test Result button     The Edit Test Result screen overlays and disables the Edit Bottle Detail  Screen        BacT  ALERT 3D SelectLink 98 39 42 8067207801             Dm 1P540726 KED W1234                            BACT ALERT PF             Figure 5 4  Edit Test Result Screen    1     Positive 
154. le 2 1  Common System Buttons       Check button     Accept changes  save data or  entries on that particular screen        Cancel button     Discard changes or entries on  that particular screen to keep the original  values        Previous Screen Button     Return to the  previous screen     Next Screen Button     Move to the next  available screen     HE E                   2 14 BacT ALERT  3D 60 User Manual  95269    BacT ALERT   3D 60 Software System Overview    Scroll Button      Used for numeric entry and symbolic or media type selection      Consists of two small buttons and an area between them to display  the current value      Clicking the top or bottom button of the scroll button displays the  next higher or lower value      Adjacent scroll buttons provide entry for multi digit values        Figure 2 5  Scroll Button    Slidebar Switch      Turns a function On or Off  The specific function is represented by a  separate icon next to the slidebar       Clicking the right half of the icon moves the slidebar to the right   indicating an On selection  1        Clicking the left half of the icon moves the slidebar to the left  indicating  an Off selection  0      ON P    Figure 2 6  Slidebar Switch    Anchor Display Scroll Buttons      Anchor Display top or bottom buttons     Control whether the display  stays anchored on the first or last line of the diagnostic output       Line scroll up or down buttons     Move the display area one line at a  time  up or down   This f
155. les E 5    growth performance  general E 4    H    hardware  maintenance 7 2  overview 2 8  preventative maintenance 7 2  safety precautions and procedures 7 2    hazards and precautions  electrical and electronic recycling 2 7    health insurance and portability and  accountability act  HIPAA  requirements 2 3    icon 2 14  backup in progress 6 8  calibration staircase 7 19  instrument 4 4  instrument  with fault codes 8 3  load bottles 4 10  padlock 6 6  unload bottles 4 15  view algorithm polynomial 5 10  view cell location 5 7  view first loaded time 5 8  view how determined positivity index 5 10  view last unloaded time 5 8  view test result 5 8  view test time 5 8  view time of last bottle reading 5 8    inactivity timeout  21 CFR Part 11 mode  9 7    incubation chamber  description 2 8  instrument icon 4 4  restarting 7 10  safety information 7 2  setting optimal temperature of 7 17  viewing faults 4 5    viewing information for 7 22    indicator  gap detection 4 24    indicator light  cell 7 4  7 14  8 8  Installation  hardware 3 3  instrument 2 13  system 3 1    installation  checking for errors 3 10  choosing instrument location 3 6  configure the instrument 3 10  functional testing 3 10  instrument connections 3 7  optional restraint 3 12  power up the instrument 3 9  preparation 3 2  set the AC power 3 3  setting the temperature 3 10  verify contents 3 2  verifying site requirements 3 2  installation checklist C 1  installation instructions 2 13  instructions  unp
156. ll button 2 15  select bottle to edit graph screen  diagram 4 29    selecting a bottle  via edit cell contents screen 5 3  via select bottle to edit graph screen 5 4    sending test results to LIS 4 36   set maximum test time screen  diagram 6 2  setting optimal temperatures 7 17   setting system date time 7 11   setup instructions 2 13    setup screen  accessing 4 18  diagram 4 18  function buttons 4 18  shutting down the instrument 7 7    slidebar switch 2 15  edit load status 5 6    l 6 BacT ALERT   3D 60 User Manual    ndex     95269    Index    software   configuration 6 1   configuration options 2 2   background color 4 3   maintenance 7 9   setting date time 7 11  software configuration   Select 2 2   SelectLink 2 2  software overview 2 13  specifications  instrument 2 11  spills   cleanup 7 3   onto the instrument  disinfection 7 3   within the instrument  disinfection 7 4  starting up the instrument 7 9  status codes  710 820  8 16  status report configuration screen  diagram 6 17  system   maintenance 7 1   monitoring 4 2   setting date time 7 11   setup instructions 2 13   troubleshooting 8 1   unresponsive 8 31  system backup   USB flash drive 6 7   zip drive 6 7    T    temperature  calibration 7 17  checking 7 15  setting optimal 7 17  test data  viewing and printing 4 22  text entry field  description 2 16  size limits 4 8  theory of operation 2 3  thermometer  location 7 15  reference 7 15  tips  backup 6 8    entering bottle type 4 11  typographic and usage c
157. ls calibration or there is visible blood residue still present in  the cell  particularly on the bottom  clean as follows     a  Insert absorbent material  such as gauze  into the cell to remove any  remaining fluid  Carefully remove and discard the gauze in a  biohazardous waste container     b  Rinse with 1096 bleach solution  then distilled water and let air dry     c  Calibrate the cell  If the cell still cannot be calibrated  disable the cell  and insert an orange cell plug to indicate the cell should not be used     9  For more extensive spills  it may be necessary to remove one or more  racks  To gain access to internal instrument surfaces  remove all three  racks  contact your bioM  rieux Representative      Note  Decontaminate bottles  cells  and racks  following your institution s  recommended procedure for decontamination or the procedure described in  the latest revision of CLSI guideline  Protection of Laboratory Workers from  Instrument Biohazards and Infectious Disease Transmitted by Blood  Body  Fluids  and Tissue  CLSI Document M 29A     Using the Keyboard in Place of the Mouse    Normally  the mouse and monitor are used to make selections and enter  data  The keyboard provides an alternate method as follows        tems on a screen may be selected using the Tab key  The selected item is  identified by a contrasting color outlining the item       Pressing the Enter key initiates the function for the selected item       For menus that require entry of a numeric
158. luding Hepatitis B virus and  Human Immunodeficiency Virus  HIV  may be present in  specimens  Universal Precautions and Local Laboratory  guidelines should be followed in handling all items    contaminated with blood or body fluids  If an inoculated tube is  found to be leaking or is accidentally broken during collection  or transport  use the established procedures in your facility for  dealing with Mycobacterial spills  As a minimum  Universal  Precautions should be employed  Tubes should be discarded  in an appropriate manner        General Precautions    The following precautions should be observed during Maintenance and  Repair  even in situations where a spill is neither observed nor suspected  At  a minimum  disposable gloves  eye protection  and a laboratory coat should  be worn  Any parts removed or tools used should be decontaminated using a  1096 bleach solution or other EPA registered tuberculocidal disinfectant  before removal from the laboratory  Anything which cannot be disinfected  should be sealed in a plastic bag  labeled as biohazardous  and handled  accordingly  In addition  the institution s safety precautions should always be  observed  Refer to Biosafety in Microbiological and Biomedical Laboratories   HHS Publication No  CDC 93 8395  US Dept of Health and Human Services   Public Health Service  Centers for Disease Control and Prevention  National  Institutes of Health  ed 3  1993  pp 93 96     Spill Cleanup    For specific spill cleanup procedures  se
159. ly from the Setup screen  then the Previous Screen button will return to  the Setup screen     Moving a Bottle ID Association from one Accession Number to Another        1  Access the Edit Bottle ID to Accession Number Relationships screen     see Initiating the Edit Data Relationships Function on page 5 12      3  2  Enterthe accession number in the left Accession Number field to which  the bottle s  is currently associated     If the entered accession number is associated with more than one  hospital ID  the Accession Number Selection button can be used to  scroll through each instance as indicated in the Hospital ID and Patient  Last Name fields     3  Enter the accession number in the right Accession Number field that  you wish to associate to the bottle s      If the entered accession number is associated with more than one  hospital ID  the Accession Number Selection button can be used to  scroll through each instance as indicated in the Hospital ID and Patient  Last Name fields     4  Click the bottle ID s  in the left Bottle ID scroll box that are to be  transferred  The selected bottle ID s  highlight     5 14 BacT ALERT   3D 60 User Manual  95269    Editing Data Relationships Editing Test Data    5  Click the bottom Data Transfer button to move the bottle ID s  to the  right Bottle ID scroll box     6  Click the Check button to accept the changes  or click the Cancel button  to restore all relationships originally displayed     7  When done  click the Previous Scree
160. n after it turns  red        8 22 BacT ALERT   3D 60 User Manual    95269    Fault Codes    System Troubleshooting       Cause  The correct barcode label is scanned after unloading  the bottle  apparently  the incorrect label was scanned when the  bottle was originally loaded     Solution  Perform the following procedure     1  Ifthe unloaded bottle was scanned correctly  DO NOT click  anywhere on the screen     2  Record the bottle ID and the cell ID  and return the bottle to  the cell from which it came     3  Goto the Select Bottle to Edit screen and use the scroll  buttons to enter the cell ID recorded     4  Click the Check button to display this bottle s information  on the Edit Bottle Detail screen  Edit the bottle ID to match  the bottle ID recorded and click the Check button     5  Return to the Unload function to unload the original bottle     6  Ifthe error persists  call bioM  rieux         931    DETECTION ALGORITHM HAS BEEN CHANGED    Cause  An anonymous or identified bottle is unloaded and its  barcode is scanned  The instrument determines that the media  type associated with the barcode does not match the algorithm  used in analyzing the initial data     Solution  Perform the following procedure     1  If the bottle has multiple labels  it may be that the wrong  label was scanned  Try rescanning the bottle ID and if  correctly entered  click the Check button     2  If no changes are made and the Check button is clicked   the bottle will be flagged positive  an
161. n button to return to the Edit Data  Relationships screen     Note  Ifthe Edit Bottle ID to Accession Number Relationships screen was accessed  directly from the Setup screen  then the Previous Screen button will return to  the Setup screen     Editing Accession Number to Hospital ID Relationships             BacT ALERT 3D Select 99 28 22 68 23 81       E 3  JOHN MARY                                              H1234   PB1QK5H                Figure 5 7  Edit Accession Number to Hospital ID Relationships Screen    1     Hospital ID Field   2     Patient Last Name Field   3     Accession Number Scroll Box  4     Bottle ID List Box   5     Data Transfer Buttons    Note  When the Edit Accession Number to Hospital ID Relationships screen is first  accessed  the Hospital ID field is blank and all accession number s  not  associated with a hospital ID are displayed in both Accession Number scroll    boxes   BacT ALERT   3D 60 User Manual 5 15    95269    Editing Test Data Editing Data Relationships    Attaching Accession Numbers Without a Hospital ID to a Hospital ID    1 1  Access the Edit Accession Number to Hospital ID Relationships screen  di  see Initiating the Edit Data Relationships Function on page 5 12    2  Enter the hospital ID in the left Hospital ID field that you wish to  associate to the accession number s    3  Click the accession number s  in the right Accession Number scroll box  that are to be associated to the hospital ID   The selected accession number s  highl
162. n determine the hour  and the scroll buttons to the right  of the colon determine the minutes     Adjust the time format using the Time Format scroll button  When the  scroll button is set to AM or PM  a 12 hour format is employed  If H is  selected  the 24 hour format will apply     Adjust the date using the Set Date scroll buttons  The two scroll bars  used to enter the month have  1   12  displayed below them  and the two  Scroll bars used to enter the day have  1   31  displayed below them  The  order of these will depend on the date format selection     7 12 BacT ALERT   3D 60 User Manual    95269    Software Maintenance System Maintenance    6  Adjust the date format using the Date Format slidebar switch  The left  option is MM DD YY and the right option is DD MM YY     Note  The date format selected applies to the current date time display at the top of  each screen  to all fields that display a date and or time  and to reports where  available     7  Click the Check button to accept the changes  or click the Cancel button  to retain the original settings     8  The system returns to the Setup screen     Enabling and Disabling Racks and Cells    1  Before disabling a rack or cell  make certain there are no bottles in the    1  al part to be disabled  see Relocating Bottles on page 7 14    2  Access the Setup screen and enter a valid password  see Accessing the    Setup Screen Function Buttons in Chapter 4           3  Click the Enable Disable Rack or Cell button EA    
163. n purposes  If additional QC is desired  refer to the instructions in the  package insert     BacT ALERT   3D 60 User Manual E 5  95269    Bottle Quality Control BacT ALERT   Culture Bottles    E 6 BacT ALERT   3D 60 User Manual  95269    GLOSSARY       Accession  Accession ID    Accession Number    Anonymous Bottle    Audible Alarm    Audit Trail    BacT ALERT      Barcode Reader    Bottle Graph    Bottle ID    Bottle Type    Cell    Cell Flag    Cell Indicator Light    Check Box    CLSI    95269    A sample collected from a patient during a single event   Synonym for accession number     A number that uniquely identifies the sample or patient  specimen     A bottle that has been placed in an Incubation Chamber  without going through the formal bottle loading process   Bottles loaded anonymously must eventually be identified  and assigned a bottle ID     Specified by the user to flag positive bottle s   instrument  failure  or an Operator Error     Record of activities and other related information  ex  bottle  events      bioM  rieux   s automated instrumentation to screen test  specimens for the presence of microbes     Used to scan accession numbers or bottle barcode labels  and to identify bottles when loading or unloading     A line graph that plots the microbial activity in a culture over  time     Usually a barcode that uniquely identifies a single culture  bottle     BacT ALERT   bottle with a specific type of culture medium   ex  BacT ALERT   SA      Holds and monit
164. nd printing 6 19  calibration history  viewing and printing 6 22  cancel button 2 14  carbon dioxide detection  See principle of  detection  cell  calibration procedure 7 18  enable disable 7 13  indicator light s  never come on 8 29  reading indicator 7 19  viewing readings 7 19  cell calibration report screen  diagram 6 20    changing maximum test time  See editing  maximum test time     chapter organization 1 5  check button 2 14    checklist  installation C 1  part B 1  clear password screen  21 CFR Part 11 Mode     BacT ALERT   3D 60 User Manual    ndex 2    95269    9 17  codes   1 99  8 3   710 820  8 16   901 961  8 18  configuring report contents  load report configuration screen 6 16  section break checkboxes 6 16  6 17  status report configuration screen 6 17  unload report configuration screen 6 18  configuring report screens 6 9    configuring users  21 CFR Part 11 Mode  9 12   9 13   add user screen 9 14   adding a user 9 13   clear password screen 9 17   clearing a user password 9 16   clearing more than one user password 9 17   delete user screen 9 15   deleting a user 9 15   deleting more than one user 9 16   user list 9 13    conventions  typographic and usage 1 6    D    data entry field  entering text 4 9   delete user screen  21 CFR Part 11 Mode   deleting more than one user 9 16   delete user screen  21 CFR part 11 Mode  9 15  deleting a user 9 15   disinfection  spill cleanup 7 3  spills onto the instrument 7 3  spills within the instrument 7 4   displa
165. ng Instructions                            A 1   PART CHECKLIST aaan eoe ce ati en K   V  n    ERN KWE N KRN    ann e cce v w   ur nina V   VENE B 1   BacT ALERT   3D 60 Part Checklist                                  B 1   COMENIS ogh uentus ones cedes z   A E ana Ai Q   W b   ac al   Lt B 1   Optional Equipment    oso X  d   yane neil   K  rt RE onu TER B 1   Recommended Tools                                          B 1   INSTALLATION  CHECKLIST    si yase rasiye   la k 2  dan   k   xan   yedek    xu v  k   k biwa ya peka kaya s  da wu kal aA NE VERE C 1   BacT ALERT   3D 60 Installation Checklist                              C 1  BacT ALERT   3D 60 User Manual Vi    95269    Table of Contents    INTERNATIONAL CHARACTER ENTRY     x uukkekkkkekekaka kake kk KA KAK AK KAN AKA AA KA KAKA KAK KA KAK KK KA KAKA KA D 1  About This Chapter    cesse      ar   xa ee DEI din kul kla yr d  r   V   D 1  Chapter Contents  os  cis exi ma a   sih hanan n store eet Pa ale yaaa eda    D 1  International Character Entry        aana kk kk kK KK KK KK KK KI KK K  K   KI K  K   K  K   eee D 2   Entering International Characters                                 D 3   BOTTLE QUALITY CONTROL    aka cece enna ka KAK KAKA KAR AA AKA WEAR AA HA HAK AKAR AHAA sa KAK HAAA nsa WAK n E 1  About ThiS Chapter ss oec PENa KE aw ata ye A REUS dE REN divin E 1  Chapter Contents                                                E 1  BacT ALERT Culture Bottles                                        E 2   Introduct
166. ng an Instrument s Temperature                            7 15  Checking an Instrument s Temperature                                7 15  Setting the Optimal Temperature for an Instrument                       7 17  Calibrating an Instrument s Temperature                               7 17  Calibrating an Instrument Cell                                    7 18  Locating a Cell Which Failed Calibration                               7 18  Viewing a Cell s Readings and or Calibrating a Cell                      7 19  Viewing Incubation Chamber Information                           7 22  SYSTEM TROUBLESHOOTING                 eene enne nnne nnne nnn nnne innen ran KAK KA KAK KA HAK AA HA KAHR WA 8 1  About This Chapter                                             2 8 1  Chapter Contents    esa daira petere os RN a aya aa net 8 1  Introduction  t eot cepe Dep EU RI ru eae Be 8 2  Fault Codes   ci nep tute ne EE dor HARE 4ha a HEV goi Meng egesta 8 3  Instrument Fault Codes                                         8 3  Instrument Status Codes                                       8 16  Operator Error Codes    edo rs dod EE rs anale 8 18  Bottle Problems  pont oe ul Way ala alee Oe EO EA 8 29  User Output Device Problems                                   8 29  21 CFR PART 11 MODE    enne nennen nnn nnne   s    ew a a   rawa kak innate 9 1  Abo  t This Chapter aie 3 44   ea bun   S   beber eid PCR 9 1  Chapter  Contents ver a hee dae  ats  D ERR e de bara e 9 1  Log In Out of System   
167. nge the system password that is used  di to enable the Setup screen function buttons   1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4    2  Click the Change Password button  El     The Change Password screen overlays and disables the Setup screen   BacT ALERT   3D 60 User Manual 6 5    95269    Software Configuration Changing the System Password             BacT      ALERT 3D SelectLink 08 26 82 84 05 01                            Figure 6 3  Change Password Screen    1     Password Entry Keypad  2     Previous Screen Button  3     Check Button  4     Padlock Icon    3  Enter a valid password using the Password Entry Keypad buttons     Note  Acceptable passwords consist of any combination of the numbers 1 to 4 and  have a maximum length of eight characters     4  The Padlock icon changes to a full open position after the Key Symbol  button is clicked  If the Padlock icon does not open  then repeat Step 3           Figure 6 4  Padlock Icon  Full Open Position     5  Enter the new password using the Password Entry Keypad buttons     6  Click the Key Symbol button     6 6 BacT ALERT   3D 60 User Manual  95269    Initiating Manual Backup    Note     7   8     9     Software Configuration    The Padlock icon changes to a half open position        Figure 6 5  Padlock Icon  Half Open Position     Re enter the new password to verify     Click the Key Symbol button  If the same password is entered both  times  then 
168. nitiated  such as load or unload  bottles     Solution  No action is required to correct this error  It  automatically resolves after 2 seconds        BacT ALERT   3D 60 User Manual 8 21  95269    System Troubleshooting     923     930    Fault Codes       INVALID BARCODE ENTRY    Cause  The scanned barcode cannot be accepted becauseitis  the wrong length  has the wrong starting character  or has an  invalid character     Unacceptable bottle ID characters are              Unacceptable Accession Number characters are       V   z       Solution  Acknowledge error and rescan bottle  If error persists  after rescanning the barcode  attempt to enter the accession  number or bottle ID via the keyboard     Ensure that barcode is entered into the correct field     If error persists  use a Generic bottle ID barcode        INCORRECT OR UNEXPECTED BARCODE LABEL  SCANNED WHILE UNLOADING A BOTTLE    Cause  A previously identified bottle is unloaded  but the wrong  label was scanned while unloading the bottle  The instrument  determines that it is not the same barcode currently associated  with the bottle and reports this error     Note   Two bottle IDs are displayed in a box on the Operator  Error screen  At the top is the bottle ID of the bottle just  unloaded and scanned  The second bottle ID displayed was  assigned to the bottle when it was originally loaded or  identified     Solution  If an error was made during the scanning of the  bottle  rescan the bottle and click the Check butto
169. nization section in this chapter for more information       Background Information  where applicable and useful     How To Use This Manual Finding Topics    Finding Topics       This manual uses several methods to help you find information and keep your  bearings     Table of Contents     Located at the front of the manual  It contains the titles  of all chapters appendices and their sections  and the page number of each  title and section     List of Figures     Located at the front of the manual  It contains a list of all  figures in the manual and the page number of each figure     List of Tables     Located at the front of the manual  It contains a list of all  tables in the manual and the page number of each table     Chapter Contents     Located at the front of each chapter  It lists all sections  in the chapter and their page numbers     Page Headers     Located at the top of each page  There are two parts to a  header  the chapter title and the primary section title     Page Footers     Located at the bottom of each page  There are three parts  to a footer  the manual s title  the chapter s part number  and the page  number     Index     Located at the back of the manual  It contains topical entries and  their page numbers     Typographic and Usage Conventions       Name and Titles    Button  icon and field names are in Proper Case  bold   Example  Click the Select Maximum Test Time button     The names of windows and screens are in Proper Case  but are not bolded    
170. ns Software Configuration                BacT ALERT 3D Select 10 29 43 eyaz raniya    Em EH  Mi EI  n  E rpm  n  Ja  m im       n   a 1st Load Time Hospital ID  n  cI   A   mx        Figure 6 10  Report Label Entry Screen    1     Cancel Button  2     Check Button    Note  The above default report labels are assigned at installation and can be  modified or changed     4  Click the field where you will enter the new label   The field turns white     5  Enter the new label  Labels may contain up to 15 characters  however   labels will be truncated on the reports if the column widths do not allow  room for the entire label  see Configuring Report Contents on  page 6 13      6  After all desired label changes have been made  verify that all labels are  unique and that no label fields are empty     7  Click the Check button to accept the label changes  or click the Cancel  button to retain the previous labels     The system returns to the Setup screen     Note  Operator Error 960 displays if the Check button is clicked with duplicate  Report Label entries present  see Operator Error Codes in Chapter 8      BacT ALERT   3D 60 User Manual 6 11  95269    Software Configuration Configuring Report Screens    Note  Operator Error 961 displays if the Check button is clicked with blank Report  Label fields present     CAUTION  The user is solely responsible for the choice of  customized report label text and for validating that the intended  label text appears in all associates reports  b
171. nt Last Name fields will remain  unavailable until a known hospital ID is entered     Note  If the Edit Hospital ID to Patient Name Relationships screen was accessed  directly from the Setup screen  then the Previous Screen button will return to    the Setup screen     5 18 BacT ALERT   3D 60 User Manual    95269    SOFTWARE CONFIGURATION 6    About This Chapter       This chapter provides you with procedures on how to configure the software     Chapter Contents       Setting the Maximum Test Time   6 2  Setting the Audible Alarms   6 3  Priority of Alarms   6 5  Terminating an Instrument Alarm   6 5  Changing the System Password   6 5  Initiating Manual Backup   6 7  Configuring Report Screens   6 9  Introduction   6 9  Entering Report Labels   6 9  Configuring Report Contents   6 13  Viewing and Printing Calibration Data   6 19  Viewing and Printing Calibration History   6 22    BacT ALERT   3D 60 User Manual    6 1  95269    Software Configuration    Setting the Maximum Test Time    Setting the Maximum Test Time       1  2  3    Note     Perform the following procedure to set a universal maximum test time  or time  that a negative to date bottle will be tested before being called final negative   for each media type  The result is that each time a bottle is loaded  its  maximum test time will default to the maximum test time configured for its  media type     The maximum test time can be changed for an individual bottle while loading  if desired  or can be changed after a 
172. nt icon  see  Figure 4 1  Main Screen            09 01 37 61 29 02    FIN FEN de                      C2        m     Kew   OHO    7  PEN                ar  S                                  Q000              VA                                                                                                    Figure 4 4  View Cell Status Screen    1     Door Fault Code 4     Restart Incubation  2     Rack Fault Code Chamber Button    3     Cell Fault Code 5     Rack  6     Cell Button    2  Click the Previous Screen button to return to the Main screen     Understanding the View Cell Status Screen Display    For each cell  the cell identification number appears at the top of the circle     4 6 BacT ALERT   3D 60 User Manual    95269    Monitoring the System    Note     BacT ALERT   3D 60 User Manual 4 7    95269    Basic Functions    A hollow circle indicates an empty cell  and a solid circle indicates a loaded  cell  The color of the solid circle indicates the bottle status or a cell that is  pending quality control check       Black     negative to date bottle     Green     negative bottle     Yellow     positive bottle     White     cell is pending quality control check    Loaded cells also contain symbols to indicate the bottle status       Positive     Negative      Negative to date      Critical determination in progress   Represents a bottle    that is presently undergoing a critical determination as  to whether it will turn positive or remain negative or  negative to 
173. nt in the test sample  carbon dioxide is produced  as the microorganisms metabolize the substrates in the culture medium   When growth of the microorganisms produces CO    the color of the sensor in  the bottom of each culture bottle changes from blue green to a lighter color     A light emitting diode  LED  projects light onto the sensor  The light reflected  is measured by a photodetector  As more CO  is generated  more light is  reflected  This information is compared to the initial CO  level in the bottle  If  there is a high initial CO  content  an unusually high rate of CO   production   and or a sustained production of CO    the sample is determined to be  positive     Mycobacterial growth in the BacT ALERT   MP Bottles may also be  determined positive by the delta or a slow sustained change of CO   production  If the CO   level does not change significantly after a specified  number of days at optimal conditions  the sample is determined to be  negative     System Overview Introduction    CAUTION  Unloading or manipulating the bottles when not  indicated by the system may interfere with critical bottle  readings     Electrical Warnings    The BacT ALERT 3D 60 has been designed and tested in accordance with  the standards listed below and has been supplied in a safe condition  A CB  Certification and Construction File have been established for the apparatus       UL 61010 1  2nd Edition  2001   Safety Requirements for Electrical  Equipment for Measurement  Control  and
174. ntents   3 2  Installation   3 3  Setting the AC Power   3 3  Choosing Instrument Location   3 6  Making Instrument Connections   3 7  Powering Up the Instrument   3 9  Configuring the Instrument   3 10  Setting the Temperature   3 10  Checking for Errors   3 10  Functional Testing   3 10  Modem Functional Test   3 10  Barcode Reader Functional Test   3 11  UPS Functional Test  BacT ALERT   3D 60 Only  APC UPS 650    3 12  Installing the Optional Restraint   3 12    BacT ALERT   3D 60 User Manual 3 1  95269    System Installation    Preparation    Preparation       Verifying Site Requirements Are Met    1     2     Verifying Contents    Review the mandatory requirements below to ensure they are met       Lab environment temperature and humidity are within specified  tolerances       Temperature is between 10  C   30  C    Humidity is between 20    90       Unit is positioned away from direct sunlight and bright overhead lights     Telephone line for modem access is located within 25 feet       Floor or bench that is capable of supporting 126 0 Ibs   57 2 Kg  per  instrument installed       Unobstructed clearance of 4 inches behind and 12 inches above the  module       Verify that a dedicated AC circuit with proper voltage and current  ratings for the instrument and UPS are available and located within 8  feet  see Instrument Specifications in Chapter 2      Indicate that site requirements are met on the BacT ALERT   3D 60  Installation Checklist in Appendix C     1  Unpack th
175. of temperature    In Vitro Diagnostic Medical Device    Batch code    Authorized Representative in the European Community    Catalog number    Serial Number    Do not reuse    Recyclable    Separate collection for waste electrical and electronic  equipment       Standard Symbols          CONTROL                        CONTROL           Very toxic    Corrosive    Sodium azide    Irritant    Positive control    Negative control    Keep away from sunlight    Protect from light    This way up    Do not stack    Humidity limitation    Fuse    Direct current        gt  E O    O   lt     OG 222    Standard Symbols    Alternating current    Both direct and alternating current    Three phase alternating current    Earth  ground  terminal    Protective conductor terminal    Frame or chassis terminal    Equipotentiality    ON  supply     OFF  supply     ON  only for a component of the system equipment     OFF  only for a component of the system equipment     Equipment protected throughout by double insulation or  reinforced insulation  Equivalent to Class Il of IEC 536     Potential tip over crush hazard       TABLE OF CONTENTS    Standard Symbols                          esee ener nenne nennen init E vi  LiSt Of FIQUr  S EIE IEEE ix  LIST OF Tables  E HL xiii  How To USE THIS MANUAL                   eene nnn tenen nennen nenne nnn 1 1  About This Chapter  nre epe PESE UTOR moe Le eas 1 1  Chapter Contents  osse alya Kele AA a de r ei eee Se en N 1 1  Intended Audience  ic 41   yenii d
176. oll Button 9     Cells Available for  4     Bottle ID Field Loading    5     Patient First Name Field    The number of available cells appears at the bottom left hand side of the  Instrument icon     4 10 BacT ALERT   3D 60 User Manual  95269    Loading Bottles    Basic Functions    CAUTION  Inspect each bottle and sensor before loading     If the sensor is yellow  treat the bottle as positive  If the bottle is  cracked  do not load the bottle     2  Verify the Bottle ID field appears white  then scan or manually enter the  bottle ID  see Text Data Entry on page 4 8      If the field is left blank when a bottle is loaded  then the bottle is  considered anonymously loaded  see Handling Anonymous Bottles on  page 4 14      3  Verify the correct bottle type is displayed on the Bottle Type scroll  button     If the Bottle ID field contains data from a generic label  the bottle type  can be manually entered using the Bottle Type scroll button before  inserting the bottle to ensure proper testing of the bottle  The instrument  will also beep continuously to alert the operator that the bottle type needs  to be manually entered  The audible alert can be disabled by calling  bioM  rieux for assistance  See Figure 4 6  Main Screen     Load   Mode  on page 4 10        CAUTION  For best results  manually enter the bottle type when   GENERIC  is the displayed bottle type  Otherwise  observe the  following     The maximum test time assigned to a generic bottle loaded into  an incubation ch
177. on Buttons in Chapter 4      2  From the Setup screen  press Ctrl   D on the keyboard   The Software Test screen appears   3  Press the 7 key on the keyboard     The Audit trail appears in the Software Test screen window     9 20 BacT ALERT   3D 60 User Manual    95269    MYCOBACTERIAL TESTING 1 0       About This Chapter       This chapter provides you with a complete description of the of the  BacT ALERT   3D 60 instrument when it is configured for Mycobacterial  MB   functions     Chapter Contents       System Description   10 2   Intended Use   10 2   Overview   10 2   BacT ALERT  3D 60 Instrument   10 3   BacT ALERT 3D 60 Software   10 4  System Startup   10 5   General Information   10 5   Theory of Operation   10 6   Safety Features   10 7    BacT ALERT   3D 60 User Manual 10 1  95269    Mycobacterial Testing    System Description    System Description       Intended Use    Overview    The Mycobacterial  MB  configuration of the BacT ALERT 3D 60 instrument  is designed to grow and detect mycobacteria from patient samples     The BacT ALERT   3D 60 system uses no radioactive reagents  is non   invasive  and offers walk away automation for mycobacteria detection  No  handling of the bottle inoculated with specimen is required after it is placed in  the BacT ALERT   3D 60 instrument  Positives are signaled immediately  upon detection  After a specified time  which can be determined by the  operator  negatives are signaled if no growth has been detected     The BacT ALERT 
178. onventions 1 6  click 1 6  name and titles 1 6  press 1 7  procedural steps 1 7  references 1 7  select 1 7  user input 1 8  warnings  cautions  and information 1 8    typographic conventions 1 6    U    unconfirmed positives 4 17  unloading bottles 4 14  unpacking instructions A 1  unresponsive system 8 31  usage  conventions 1 6  USB flash drive  system backup 6 7  user configuration screen 9 13  user list  21 CFR Part 11 Mode  9 13    V    view cell status screen  diagram 4 6  view incubation chamber information screen   diagram 7 23  viewing  bottle counts 4 5  bottle data 4 21  bottle graphs 4 29  bottle readings 4 31  calibration data 6 19  calibration history 6 22  faults 4 5  incubation chamber information 7 22  test data 4 22    Z    zip drive  system backup 6 7    BacT ALERT   3D 60 User Manual    95269    Index 7    Index    Index 8 BacT ALERT   3D 60 User Manual  95269    
179. ormed       Identifying an anonymous bottle     Editing a bottle ID     Editing the maximum test time of a currently loaded bottle    Editing a bottle type     Manually changing a bottle s test result      Unloading a bottle from a faulty rack    Note  The bottle record must be one of the 1 920 bottle records stored in the  database     1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      2  Access the Edit Bottle Detail screen for a specific bottle  There are two  methods you can use to access the Edit Bottle Detail screen       Select loaded bottles using the Edit Cell Contents button Id       See Selecting Bottles Using the Edit Cell Contents Button on page 5 3   or    Select loaded and recently unloaded bottles using the Select Bottle to    ER nes  Edit Graph button   mill    See Selecting Bottles Using the Select  Bottle to Edit Graph Button on page 5 4     3  Editthe bottle details as necessary  see Editing Bottle Details Using the  Edit Bottle Detail Screen on page 5 5      4  Click the Check button to save the changes and exit the screen or click  the Cancel button to restore the information originally displayed and exit  the screen     5 2 BacT ALERT   3D 60 User Manual  95269    Viewing Editing Bottle Data Editing Test Data    Selecting Bottles Using the Edit Cell Contents Button BP    2 information of recently unloaded bottles  select the bottle from the Select      Bottle to Edit Graph screen  se
180. ors each culture bottle  Each cell is  numbered from 1 through 60     Secures bottles in cells  Aids in cell diagnostics and with  bottle loading and unloading determinations     Illuminates to show the location of positive  negative or  anonymous bottles as well as to show where new bottles  should be placed removed  A cell indicator light is adjacent  to each cell     Textless Yes No prompt  A check in the box equals YES  while no check equals NO     Clinical and Laboratory Standards Institute    acT ALERT   3D 60 User Manual    Glossary 1    Glossary    Dimmed    Disabled    Enabled    Field    Generic Bottle ID    Grayed    Hospital ID    Icons    Indicator Light or Lamp    Keyboard    Laboratory Information System    LIS    LIS Port    Monitor    Negative    Negative to date    BacT ALERT 3D 60 disables   dims  or    grays     user  interface items  ex  menu items  buttons  text fields  that are  unavailable due to security restrictions or due to the current  context of the software  Disabled user interface items are  not selectable     Describes a user interface item  ex  button  text entry field   that is not currently selectable by the user  Disabled user  interlace items are usually displayed in gray     The opposite of disabled     Refers to an area on the screen where variable text is  displayed     A Bottle ID that does not indicate one of the pre defined  bottle types     See dimmed  Refers to user interface items that are not  selectable     Text string that uni
181. ovidencia   Santiago   tel   56  2634 20 92  fax  56  2634 20 93    China   bioM  rieux China Limited  Room 1601 02B  amp  10   Est Ocean Centre   n  24A Jiang Guo Men Nei Street  100004 Beijing   tel   86  10 6515 6963   fax  86  10 6515 6993    bioM  rieux China Limited   Room 2605  South Tower    World Trade Center   371 375 Huan Shi Dong East Road  510095 Guangzhou   tel   86  20 8762 7010   fax  86  20 8762 7015    Colombia  bioM  rieux Colombia Ltda  Avenida 15 No  100 43  Piso 2  Bogot    D C   tel   57  1 520 0080  fax  57  1 520 0088   57  1 520 0831    Czech Republic   bioM  rieux CZ s r o    Business Park Kosice   Jinonick   80   158 00 Praha 5   tel   420  2 57 290 623   420  2 57 290 232   fax  420  2 57 290 964    Denmark   bioM  rieux Danmark Aps  Smedeholm 13C   2730 Herlev   tel   45  70 10 84 00   fax  45  70 10 84 01    Finland   bioM  rieux Suomi Oy  Konalantie 47 C  Fl 00390 Helsinki   tel   358  9 8545 6000  fax  358  9 8545 6045    France   bioM  rieux SA   69280 Marcy l Etoile   tel   33   0 4 78 87 20 00  fax  33   0 4 78 87 20 90  http   www biomerieux com    Germany   bioM  rieux Deutschland GmbH  Weberstrasse 8   D 72622 N  rtingen   tel   49  7022 30070   fax  49  7022 36110    Greece   bioM  rieux Hellas S A   Papanikoli 70   15232 Halandri   Athens   tel   30  2 10 81 72 400  fax  30  2 10 68 00 880    Hungary   bioM  rieux Hung  ria Kft   F  to   t  56  5  emelet   H 1047 Budapest   tel   36  1 231 3050   fax  36  1 231 3059    India   bioM  ri
182. perature Range     17  C to 57  C  0  F to 135  F     Operating Humidity Range      10  to 90  relative humidity  non condensing     Storage Humidity Range      10  to 90  relative humidity  non condensing     Maximum Operating and Storage Altitude    6562 feet  2000 meters     Pollution Degree 2 in accordance with IEC 664    Overvoltage Category II per IEC 664    2 12 BacT ALERT   3D 60 User Manual  95269    BacT ALERT   3D 60 Software System Overview  Instrument Installation and Setup    For information on the Installation and Setup of the BacT ALERT 3D 60  instrument  see Chapter 3  System Installation     BacT ALERT 3D 60 Software       Monitor Screens    The Main screen is normally visible on the Monitor  but other screens may be  displayed to perform a variety of functions  Each screen has a screen ID  number in the upper left hand corner to cross reference it to the following  descriptions and instructions in this Manual  When selected  the Setup  Screen replaces the Main screen     Screen ID Numbers      1 0 Main screen     1 1 View Cell Status screen     1 2 Change Maximum Test Time screen     1 3 User Login screen  21 CFR Part 11 mode only     2 0 Setup screen     2 1 Set Date Time screen     22 Enable Disable Rack or Cell screen     2 3 Calibrate Temperature screen     24 Calibrate Cell screen     24 1 Cell Calibration Report screen     2 7 Set Maximum Test Time screen     2 8 Set Audible Alarm Options screen     2 9 Change Password screen     2 11 Select Bottle to
183. pipette or similar device and dispose of it in an appropriate  biohazardous waste container     7  Ifthe spill is confined to one or a few cells of one rack  the affected cells  may be cleaned and disinfected with a 1096 bleach solution  using the  following procedure        for an extended period  10  bleach is the ONLY disinfectant that  has been validated for use with the cells  DO NOT use a different  disinfectant or a bleach solution stronger than 10  or damage  to cell components may occur     A CAUTION  Do not expose the cell or rack to the bleach solution       a  Insert absorbent material  such as gauze  into the cell to remove any  remaining fluid  Carefully remove and discard the gauze in a  biohazardous waste container     b  Wipe out the interior of the cell with gauze soaked with 10  bleach  solution and discard in a biohazardous waste container     c  Insert several layers of gauze saturated with a 10  bleach solution  into the cell and let sit for 15 30 minutes to decontaminate  The gauze  should be soaked to the point of saturation but not so wet that liquid  drips out of the cell     d  Remove and discard the gauze in a biohazardous waste container     e  Wipe the interior of the cell with gauze soaked in distilled water to  rinse     f  Allow the cell to air dry     System Maintenance Hardware Maintenance    g  Calibrate the cell  If the cell passes calibration  enable the cell  see  Enabling and Disabling Racks and Cells on page 7 13      8  Ifthe cell fai
184. play the section that is associated  with the first displayed data record  It is always highlighted for easy reference   If there are no section breaks in the displayed report  this line will become the  first line of data records displayed and reference highlighting will not occur     3  To scroll up or down a section  click the appropriate Section scroll  button     The Section scroll buttons are disabled if there are no section breaks in the  displayed report or if there are no available sections in the indicated direction     4  To scroll up or down a data line  click the appropriate Line scroll button  or press the appropriate T or 4 key on the keyboard     The Line scroll buttons are disabled if there are no data lines in the indicated  direction     5  To scroll up or down a data page  click the appropriate Page scroll button  or press the appropriate Page Up or Page Down key on the keyboard     The Page scroll buttons are disabled if there are no data lines in the indicated  direction     6  To scroll up to the oldest data line  the first data record in the report    click the Home scroll button or click the Home key on the keyboard     The Home scroll button is disabled if there are no report data lines in the  indicated direction     7  To scroll down to the newest data line  the last data record in the report    click the End scroll button or click the End key on the keyboard     The End scroll button is disabled if there are no report data lines in the  indicated 
185. ppropriate topical disinfectant  The instrument must not be placed in an  open corridor or hallway that is accessible to the general public or the patient  population     3 6 BacT ALERT   3D 60 User Manual  95269    Installation    Note     System Installation    If it is necessary to move or store the BacT ALERT   3D 60 System  contact  bioM  rieux Service for assistance     1  Assemble and install the BacT ALERT 3D 60 Instrument in the  specified installation location     If countertop or other permanent  bolted  installation is required  see  Installing the Optional Restraint on page 3 12     2  Indicate that location for instrument placement is chosen on the  BacT ALERT   3D 60 Installation Checklist in Appendix C     Making Instrument Connections    The following steps describe the connections that need to be made prior to  powering up the BacT ALERT 3D 60  Figure 3 5 depicts the connections  described in the following steps     1  Connectthe UPS battery per the instructions on the UPS  Place the UPS  near the instrument  Connect the UPS serial cable to the 9 pin connector  on the rear of the UPS and the other end to the UPS connector  not  Serial UPS  on the 3D 60 instrument Communications panel  UPS port  connection is shown in Figure 3 5     Note  The 9 Pin cable packed with the UPS should not be used and should be   discarded  Use the UPS Serial Cable  9 Pin  provided in the accessory kit    2  Connectthe 3D 60 instrument s main power cord into the properly rated  UP
186. presentative    82            Bacl ALERT  3D 60 User Manual    95269    Fault Codes System Troubleshooting    Fault Codes       Instrument Fault Codes    Instrument Fault Codes appear in the Instrument icon  A description of each  Instrument Fault Code is provided  The following is an example of an  Instrument icon with Instrument Fault Codes 2  10  and 20  Fault codes are  displayed on the particular components where the errors are located                    Figure 8 1  Instrument Icon with Fault Codes    Note  Locate specific bottles with fault by clicking the Incubation Chamber on the  Instrument icon on the Main screen to display the View Cell Status screen        may adversely affect bottle testing and should be addressed  immediately     A CAUTION  Fault codes referring to loss of incubator temperature           1 POWER FAULT IN INCUBATION CHAMBER  Cause  Fuse has been blown     Solution  Contact bioM  rieux         2 COMMUNICATION LOST WITH INCUBATION CHAMBER  Cause  Internal cables may be loose  or hardware problem     Solution  Contact bioM  rieux        BacT ALERT   3D 60 User Manual 8 3  95269    System Troubleshooting Fault Codes        3 INCUBATION CHAMBER TEMPERATURE IS TOO HIGH    Background Information  The optimal temperature  setpoint   and actual Chamber temperature are not equilibrated  Two  temperature sensors  one in the supply side of the air plenum   and one in the cold air return  are used to monitor the  Incubation or Combination Module temperature  
187. quely identifies a patient     System functions or buttons appearing on screen in pictorial  form     An identifier for a cell that lights up to indicate location of a  particular bottle or bottle type  They are located on the  racks adjacent to the indicated cell     Provides a means of input for Bottle IDs  Accession  Numbers  Hospital IDs  and Names  Also serves as a  backup input device should the Touchscreen or Barcode  Reader fail     Name for a customer maintained computer  usually a  mainframe  that is used to collect information from  laboratory instruments  Abbreviated LIS     Acronym for Laboratory Information System     Connector fitting on the Instrument to connect to a  Laboratory Information System     A device upon which video images are displayed     Describes a culture bottle that has no evidence of microbial  activity     Describes a culture bottle that is under test and negative so  far  pending      NIST National Institute of Standards and Technology   Glossary 2 BacT ALERTS 3D 60 User Manual    95269    Positive    Power Connector    Printer Port    Prompt    Quick Reference Card    Rack    Reference Thermometer    Scroll Button    Select    Select Configuration    SelectLink Configuration    Slidebar Switch    Thermometer    Toggle Button    Unconfirmed Positive    Glossary    Describes a culture bottle that has evidence of microbial  activity     A fitting to attach the Alternating Current  AC  power cord     Printer interface port  parallel  on the In
188. r  Common causes for this  error are drawer left open  setpoint changed and the module  has not yet equilibrated at the new temperature  drawer switch  misaligned  defective hardware  ex  MOD SIG  temperature  sensors  relay  cutoff switch tripped  or heater element         Cause  The Instrument optimal temperature  setpoint  has  been changed and the chamber has not yet equilibrated at the  new temperature     Solution  Wait until Instrument temperature equilibrates        8 4 BacT ALERT   3D 60 User Manual  95269    Fault Codes    System Troubleshooting       Cause  The door has been left open or ajar for an extended  period     Solution  Make sure the door closes tightly and allow the  chamber temperature one hour to equilibrate        Cause  Bottle testing may be adversely affected due to one of  the following reasons     Hardware fault with the ModSig Board       Hardware fault with the Solid State Relays that  energize the heater       Faulty temperature sensors     Solution  Call bioM  rieux immediately         6    AGITATION STEPPER MOTOR FAULT  Cause  Agitation Stepper Motor has reported a fault     Solution  Call bioM  rieux         10    INSTRUMENT POWER FAULT  Cause  The Instrument is not receiving AC power   Solution     1  Ensure AC power source is adequate or connect to an  alternate power source     2  The Instrument runs on UPS power for 1 minute  If AC  power is not restored during this time  the Instrument and  UPS turn Off  When AC power is restored the In
189. r negative  test status appears rightmost  and is associated with the corresponding icon     System Startup       General Information  The installation of the BacT ALERT   3D 60 instrument is described in  Chapter 3  System Installation   MB Configuration    The BacT ALERT 3D 60 agitation mechanism can be disengaged at the  factory or by a service engineer on site  after which the three racks remain  immobile  The BacT ALERT   3D 60 Instrument is also configured by  bioM  rieux personnel to activate the MB status     Limitations of the Test    Refer to the package insert enclosed with the Mycobacteria Process Bottles   MP  for additional information     BacT ALERT   3D 60 User Manual 10 5  95269    Mycobacterial Testing System Startup    Service and Maintenance    Preventive maintenance and troubleshooting are performed as described in  Chapter 7  System Maintenance     Additional procedures pertinent to Mycobacteria are referenced in this  chapter  see Safety Features on page 10 7      Theory of Operation    The MB BacT   Mycobacterial Detection System utilizes a colorimetric sensor  and reflectance detector to determine the level of carbon dioxide within the  bottle  If microorganisms grow in the bottle  carbon dioxide is produced which  will change the color of the sensor on the bottom of the bottle  The instrument  monitors this color while incubating the sample and determines if growth has  occurred     The Mycobacteria Process Bottles  MP  contain a media which will  in
190. r workflow  It contains step by step procedures for using  your BacT ALERT 3D 60 system     By using these procedures  you can perform all the functions required to  operate your system  including       accessing the BacT ALERT 3D 60 software     system monitoring     entering order information  where applicable      loading and unloading bottles     viewing and printing data     LIS interaction with the BacT ALERT   3D 60 SelectLink     accessing the Setup screen   Screens and figures are intended for illustrative purposes only and are not to    be construed as representations of actual test data  results  or components   Screens and components are not shown to scale     How To Use This Manual Manual Organization    Manual Organization       This manual is organized by chapters  Chapters are organized according to  the order of menu command  s in the software application     Chapter 1  How To Use This Manual     Provides an introduction to the  BacT ALERT 3D 60 system and how to use this manual  It is recommended  that you read this chapter first     Chapter 2  System Overview     This chapter gives you a complete  description of the different BacT ALERT 3D 60 hardware and software  configurations available  Also  the monitor screens are listed along with a  description of common screen elements     Chapter 3  System Installation     Provides detailed instructions on how to  install the instrument and perform functional tests     Chapter 4  Basic Functions     Introduces you
191. ration Staircase icon          Insert Standard Number Two into the selected cell   Two rings around  the end of the reflectance standard identifies Standard  2      Click the Check button     A  3 appears above the third step of the Calibration Staircase icon          Insert Standard Number Three into the selected cell   Three rings around  the end of the reflectance standard identifies Standard  3      Click the Check button     A  4 appears above the fourth step of the Calibration Staircase icon          Insert Standard Number Four into the selected cell   Four rings around  the end of the reflectance standard identifies Standard  4      Click the Check button     If a check mark appears at the top of the Calibration Staircase icon   then the calibration of the cell was successful  Remove Standard  Number Four and click the Check button to save the new calibration  values          If instrument fault code 60 appears at the top of the Calibration  Staircase icon  then the calibration of the cell is unsuccessful  Click the  Cancel button and follow Step 4 through Step 14 to recalibrate the cell        BacT ALERT  3D 60 User Manual  95269    7 21    System Maintenance    Note     Note     Software Maintenance    The cell is not automatically enabled after calibration is completed  successfully  If the cell was previously disabled  it must be enabled  see  Enabling and Disabling Racks and Cells on page 7 13      18  Click the Previous Screen button to return to the Setup screen
192. rculosis or Mycobacterium species grown in  culture  BioSafety Level 3 Practice  Containment Equipment  and Facilities  are required as recommended by CDC and NIH guidelines     At a minimum  the instrument should be placed in a contained environment  with controlled access which has a tuberculosis exposure control plan     BacT ALERT   3D 60 User Manual 10 3  95269    Mycobacterial Testing System Description    The locations should have surfaces which can be easily decontaminated  using an appropriate topical disinfectant  The instrument must not be placed  in an open corridor or hallway that is accessible to the general public or the  patient population     BacT ALERT   3D 60 Software    Barcodes      Mycobacteria process bottle  MP  barcodes are encoded with the bottle  type and have an SM  plastic  prefix       Mycobacteria blood bottle  MB  barcodes are encoded with the bottle type  and have an  B  glass  prefix     WARNING       Do not use Generic barcodes to load BacT ALERT   MB Bottles        Set Maximum Test Time    The system default maximum test time is 42 days for Mycobacteria bottles   Test times may be changed manually through the Set Maximum Test Time  screen  see Setting the Maximum Test Time in Chapter 6      Positive Detection Algorithm    A special detection algorithm is used to detect growth of Mycobacterium  species  This algorithm is designed to detect growth at the earliest possible  time     Bottle Status    The Main Screen on the monitor displays the 
193. reen  except for the Edit Cell Contents or View Cell Contents screen   see Figure 5 1  Edit Cell Contents Screen   The background color will also    2 2 BacT ALERT   3D 60 User Manual  95269    Introduction    System Overview    indicate the configuration unless there is an error condition or a loaded  positive bottle  see Main Screen Introduction in Chapter 4        Blue     BacT ALERT 3D Select configuration    Green     BacT ALERT   3D SelectLink configuration    21 CFR Part 11 and HIPAA    The BacT ALERT   3D 60 Version B 30 or higher product release provides  compatibility with 21 CFR Part 11 and Health Insurance and Portability and  Accountability Act  HIPAA  requirements     When installed  the BacT ALERT   3D 60 instrument can be configured to  operate in 21 CFR Part 11 mode  If 21 CFR Part 11 mode is enabled  you will  need to enter a user name and password to access all functions available to  the user  see Log In Out of System     21 CFR Part 11 Mode in Chapter 9      To meet HIPAA requirements  a password is required to view and print test  data  These functions include access to the Print  Report Label Entry   Report Configuration  Calibration Report and Calibration History  buttons  These buttons are accessed via a Report Selection screen  see  Figure 4 10   See the topic  Configuring Report Screens in Chapter 6 for  further information     Theory Of Operation    BacT ALERT   3D 60 User Manual 2 3    95269    Principle of Detection    If microorganisms are prese
194. rmed upon returning to the report screen starting  from the top of the report  The record that contains the first occurrence of the  text will be scrolled to the first line of data displayed and the text itself will be  highlighted for reference     If no occurrence of the specified text is found  the data displayed will not  change and no reference highlighting will occur     10  To find the next instance of the specified text  press the F3 key on the  keyboard     Note  If no new instance of the text is found  the data displayed  and the highlighted  text will remain the same     11  To save the bottle readings to a text file  click the Save button     4 34 BacT ALERT   3D 60 User Manual  95269    Viewing and Printing Basic Functions    The Save To File screen appears              BacT ALERT 3D Select 14134122   92708705             BE NUSU 1    ZIP          Figure 4 18  Save to File Screen  1     File Name Field    Note  The default file name and path will appear automatically in the File Name  field  Use the keyboard to change the name of the file     Note  All reports are saved to the pathname  D  REPORTS  either using the default  file name or a specified file name  All reports are automatically given an  extension of  TXT     12  Place the backup media in the backup drive   Note  Backup media can either be a Zip   disk or a USB flash drive     13  Click the Check button to initiate the save and return to the Bottle  Readings screen  Clicking the Cancel button will canc
195. rms by adjusting the slidebar switches to the  desired settings       0     disabled    1    enabled   4  Click the Check button to save any changes  or click the Cancel button  to return the system to the original settings     The system returns to the Setup screen     Note  In addition to the Instrument Audible Alarms  the bar code reader is also  programmed to provide an audible alarm in three instances  These are       Bar code is scanned with entry to Bottle ID field    Accession bar code is scanned with entry to Accession Number field      Any Operator errors related to scanning  loading or unloading    The bar code reader alarms are not disabled by setting the Operator Error  Alarm slide bar to the zero setting     6 4 BacT ALERT   3D 60 User Manual  95269    Changing the System Password Software Configuration    Priority of Alarms    The audible alarms which will sound correspond to the most critical condition  according to the priorities listed  highest to lowest  below     1  Instrument fault  2  Positive bottles    3  Operator errors  Terminating an Instrument Alarm  To terminate an alarm  perform one of the following       Acknowledge the condition causing the alarm by clicking on any area  of any screen of the monitor or by pressing any key on the keyboard       Disable the alarm     Note  To remove or adjust your error alarm delay cycle  contact your local  bioM  rieux Representative     Changing the System Password       1 Perform the following procedure to cha
196. rresponds to the report you wish to  reconfigure     5  Adjustthe Column Selection scroll buttons so that the desired fields are  reported in the desired order  The scroll buttons correspond to the report  columns from left to right     Note  Each Column Selection scroll button contains all reportable fields plus a  blank selection so that the column can be left blank     6  Adjust the column widths by clicking the Column Width selection box  under the column to be altered  and enter the new width  Make certain  the column widths do not exceed the total available     6 14 BacT ALERT   3D 60 User Manual  95269    Configuring Report Screens Software Configuration    Note  The 70 to the left of the selection boxes denotes the total available width and  the number to the right of the equals sign denotes the available width left  ex   the total minus the sum of the Column Width selection boxes      7  Adjust the Primary Secondary Sort scroll buttons  if desired  to sort the  report     Note  Each Primary Secondary Sort scroll button both contain all reportable fields  plus a blank selection if a sort is not to be performed     8  Select the order of any sorts with the Sort Order Selection button  If the  arrow is pointed upward  there will be an ascending sort and if the arrow  is pointed downward  there will be a descending sort     9  Click the Section Break checkbox es  to set a section break     Note  A sort can be selected for a field that is not chosen as one of the report  
197. rst Name Field  2     Unload Buttons 6     Accession Number Field  3     Bottle Type Scroll Button 7     Patient Last Name Field  4     Bottle ID Field 8     Hospital ID Field  3  Open the door  When the door is open  the cell indicator lights will light  next to all bottles in the selected category   4  Remove one of the bottles indicated  Wait for the cell indicator light to  blink slowly to acknowledge the removal of the bottle   BacT ALERTS 3D 60 User Manual 4 15    95269    Basic Functions Unloading Bottles    5  Ifthe bottle was identified when loaded     a  The bottle ID and the bottle type will appear on the Unload Mode  screen  however  the accession number  hospital ID  patient first name  and patient last name will appear in disabled text fields  if information  is available     b  It is not necessary to re scan the bottle ID  however  doing so will  verify that bottle s identity     c  If fields are blank or need editing  then use the Edit Data  Relationships function  see Editing Data Relationships in Chapter 5      6  Ifthe bottle was anonymously loaded  the Bottle ID field is blank   scan  or manually enter the bottle ID     a  Identify the bottle by entering the bottle ID  bottle type  accession  number  hospital ID  and patient first and last name  see Loading  Bottles on page 4 10        Scanning the bottle ID successfully results in two short beeps      Scanning the accession number successfully results in three short  beeps      When identifying anonymous 
198. s     Comments   This page may be copied for field use   BacT ALERTS 3D 60 User Manual C 1    95269    UPS   Domestic or International     Monitor  Flat Panel or CRT     Printer    Modem AC Adapter  Must be installed  with modem     Modem  Domestic or International     External Speaker Set  Domestic or  International     Keyboard   Must be installed with the instrument     Barcode Scanner    Mouse   Must be installed with the instrument                 BacT ALERT   3D 60 Installation Checklist Installation Checklist    C 2 BacT ALERT   3D 60 User Manual  95269    INTERNATIONAL CHARACTER ENTRY D    About This Chapter       This chapter explains how to enter international characters on the  BacT ALERT 3D 60 instrument     Chapter Contents       International Character Entry   D 2  Entering International Characters   D 3    BacT ALERT   3D 60 User Manual D 1  95269    International Character Entry International Character Entry    International Character Entry       You can enter International characters on the BacT ALERT   3D 60  Since  the keyboard does not contain the International characters  enter a base  character then use the Page Up or Page Down keys to toggle to the variant  character desired     Each block in the table below lists a base character on the left and the  variants that can be accessed from that base character on the right     Table D 1  International Character Table             Uppercase Lowercase  Base Char Variant Base Variant  Char  A    a               
199. s Screen  1     Bottle Cell Location 9     Page Scroll Down Button  2     Find Text Button 10     End Scroll Button  3     Save Button 11     Bottle Reading  Date   4     Print Button Time Reading   5     Cancel Print Button 12     Home Scroll Button  6     Previous Screen Button 13     Page Scroll Up Button  7     Anchor Display Bottom 14     Line Scroll Up Button  Button 15     Anchor Display Top  8     Line Scroll Down Button Button    2  To scroll up or down a data line  click the appropriate Line scroll button  or click the appropriate T or 4 key on the keyboard     Note  The Line scroll buttons are disabled if there are no data lines in the indicated  direction     3  To scroll up or down a data page  click the appropriate Page scroll button  or click the appropriate Page Up or Page Down key on the keyboard     Note  The Page scroll buttons are disabled if there are no data lines in the indicated    direction     4 32 BacT ALERT   3D 60 User Manual    95269    Viewing and Printing Basic Functions    4  To scroll up to the oldest data line  the first data record in the report    click the Home scroll button or click the Home key on the keyboard     Note  The Home scroll button is disabled if there are no report data lines in the  indicated direction     5  To scroll down to the newest data line  the last data record in the report    click the End scroll button or click the End key on the keyboard     Note  The End scroll button is disabled if there are no report data lin
200. s to an accession       number 5 14    audit trail  accessing 9 20  events 9 18    background color  monitor 4 3    backup s   initiating scheduling 6 7  tips 6 8  barcode cannot be scanned 8 30    barcode reader  description 2 9  doesn t beep 8 29  location 2 8    basic functions 4 1  blank monitor 8 31    bottle  attaching ID to an accession 5 14  description E 2  diagram E 2  loading procedure 4 10  lodged in cell 8 29  moving from one accession to another 5 14  quality control E 1  relocation procedure 7 14  selecting 5 3  5 4  unconfirmed positive handling 4 17  unloading procedure 4 14  viewing printing graphs 4 29  bottle counts 4 5  bottle quality control E 1    bottle type  entry tips 4 11  scroll button 4 10   button  accession number selection 5 13  add user  21 CFR Part 11 Mode  9 13  adjust X scale 4 30  adjust Y scale 4 30  anchor display top or bottom 2 15  anchor display scroll 2 15  backup management 4 20    BacT ALERT   3D 60 User Manual  95269    Index 1    Index    bottle processing customization 4 20  bottle readings 4 30  bottle type scroll 4 10  calibrate cell 4 20  calibrate instrument temperature 4 19  calibration history 6 22  calibration report 6 19  cancel 2 14  cell scroll 4 29  change password 4 20  6 5  change password  21 CFR Part 11 mode  9 3  9 8  check 2 14  clear password  21 CFR Part 11 Mode  9 13  9   16  column selection scroll 6 16  6 17  6 18  configure users 4 20  configure users  21 CFR Part 11 Mode  9 12  data transfer 5 13  delete 
201. ser Manual  95269    Fault Codes System Troubleshooting        81 BOTTLE LOADED IN CELL DURING QC    Cause  This fault occurs when a bottle is loaded in a cell that  has not completed the QC cycle  In this case  the fault is  displayed with no other fault on the View Cell Status screen   The QC cycle for a cell is indicated by a white circle on the cell  status screen  see Figure 4 4  View Cell Status Screen  on  page 4 6   Bottle readings are taken while the fault is present     Solution  Perform the following procedure   1  Remove the bottle from the cell that was just loaded     2  Reload the bottle into an available cell  one which has its  cell indicator light lit         BacT ALERT   3D 60 User Manual 8 13  95269    System Troubleshooting Fault Codes       Cause  This fault occurs when a bottle is loaded in a cell that is  out of calibration  indicated by Fault Code 60   In this case   Fault Codes 60 and 81 are both displayed on the View Cell  Status screen  alternating between the two faults  see   Figure 4 4  View Cell Status Screen  on page 4 6   Bottle  readings are not taken while Fault Codes 60 and 81 are present  at the same time     Solution 1  Perform the following procedure if this fault is  recognized within one hour of loading a bottle     Note   To check the time the bottle was loaded  access the Edit  Bottle Detail screen  see Figure 5 3  Edit Bottle Detail  Screen  on page 5 5      1  Remove the bottle from the cell that was just loaded     2  Reload the 
202. set KA HANA A ss KAK nn KAWA 6 1  About This Chapter 4 242  ee dala eds       a   RO rd anne ek AA  ne 6 1  Chapter Contents y a 12 122 erue gau    her    Alana hm E m den TE des 6 1  Setting the Maximum Test Time                                     6 2  Setting the Audible Alarms                                          6 3  Pr  rIty OT Al  l  llS  oi soe te Ge Andel Bat AGA vk Wa bee    lat   6 5  Terminating an Instrument Alarm                                 6 5  Changing the System Password                                     6 5  Initiating Manual Backup                                            6 7  Configuring Report Screens                                         6 9  Introduction i2     el d epp eU ER RD teet eio 6 9  Entering Report Labels                                         6 9  Configuring Report Contents                                   6 13  Load Report Configuration Screen                                   6 16   Status Report Configuration Screen                                  6 17   Unload Report Configuration Screen                                  6 18   Viewing and Printing Calibration Data                            6 19  Viewing and Printing Calibration History                           6 22  SYSTEM MAINTENANCE                  eeeeeeennnnnen ennt nn KAK KAKA nnne HAA HAWAR KA HAAA AA tnn HA AKA KA tenta KA KARAR KAK nn 7 1  About This Chapter                                               7 1  Chapter  Gontents   lt  j    Z ces aska tea ue e Re 
203. should never be loaded anonymously  Appropriate testing of  anonymous bottles occurs only when BacT ALERT   MP bottles  are loaded into an Incubation Chamber configured for MB     The maximum test time of anonymous bottles loaded into the  MB Chamber is the same time specified for the BacT ALERT    MP media type on the Set Maximum Test Time screen     Anonymous bottles loaded into the BC chamber are assigned  the standard default algorithm        Anonymous bottles should be either removed and identified as specified in  Unloading Bottles on page 4 15 or identified using the Edit Bottle Detail  screen  see Editing Bottle Details Using the Edit Bottle Detail Screen in  Chapter 5      Unloading Bottles       The BacT ALERT 3D 60 signals which type of bottles are ready for  unloading by enabling the appropriate Unload button     4 14 BacT ALERT   3D 60 User Manual    95269    Unloading Bottles Basic Functions    CAUTION  In order to preserve test data integrity  handle only  one bottle at a time  It is important to complete the procedure for  each bottle before proceeding to the next bottle     Unloading Bottles                                           1 1  Generate an Unload report  see Viewing and Printing Test Data on  a  page 4 22    2  From the Main screen  see Figure 4 1   click the appropriate Unload  button   The Unload Mode screen appears   ae BacT  ALERT 3D SelectLink 13 13 26 98 18 95  Figure 4 8  Main Screen     Unload Mode  1     Unload Bottles Icon 5     Patient Fi
204. sing the keyboard  enter the desired text     2  Press the Tab key to move focus to the next field     If desired  change the cursor location using the keyboard keys  Keys that  provide cursor positioning and editing functions are as follows     LEFT ARROW Moves cursor left one position    RIGHT Moves cursor right one position  ARROW    HOME Moves cursor to the start of the text field  END Moves cursor to one position past end of text  DELETE Deletes the character at the current cursor position    BACKSPACE Deletes the character at the current cursor position  and moves the cursor left one position    Entering text does not over write existing text located to the right of the  insertion point     Entered text defaults to all uppercase  To change the default  contact your  local bioM  rieux Representative     Basic Functions Loading Bottles    Loading Bottles       CAUTION  In order to preserve test data integrity  handle only  one bottle at a time  Completely load a bottle according to this  procedure before proceeding to the next bottle     Loading Bottles    1  From the Main screen  see Figure 4 1   click the Load Bottles button    i        The Load Mode screen appears              BacT  ALERT 3D SelectLink 19 01 22  8718785                                  9  5 6 7 8  Figure 4 6  Main Screen     Load Mode  1     Load Bottles Icon 6     Accession Number Field  2     Change Maximum Test 7     Patient Last Name Field  Time Button 8     Hospital ID Field  3     Bottle Type Scr
205. sors  relay  cutoff switch tripped  or heater  element         Cause  The door has been left ajar for an extended period or  there is a system failure     Solution  Perform the following procedure   1  Check the temperature in the Incubation Chamber     2  Ifthe temperature is high  there is a system failure  Leave  the door open so the bottles will not overheat and call  bioM  rieux     3  If the temperature is low  make sure the door is  completely closed and wait 30 minutes to see if the fault  goes away  If the fault does not go away  call bioM  rieux         41   RACK S  X NOT RESPONDING  47 Cause  Faulty rack controller or rack interface cable s      Solution  Call bioM  rieux         51     RACK HARDWARE FAILURE  57 Cause  Faulty Rack printed circuit board     Solution  Call bioM  rieux        BacT ALERT   3D 60 User Manual 8 7  95269    System Troubleshooting Fault Codes        60 CELL FAILED QC    Cause  A cell failed the automatic internal diagnostic check   Solution  Perform the following procedure     1  Identify the cell that failed the QC using the View Cell  Status screen    2  Inspect the cell for debris and remove or clean  if  necessary     3  Calibrate  see Calibrating an Instrument Cell in Chapter 7    Get corrected Calibration Report  if necessary     4  If calibration cannot be performed at this time  or if a cell  fails to calibrate  disable cell  and insert an orange cell plug  in the disabled cell     5  Call bioM  rieux if cell calibration is unsucce
206. ssful         62 ERRONEOUS CELL LOAD STATUS REPORTED  Cause  A cell is out of calibration     Solution  Use the View Cell Status screen  see Viewing  Faults in Chapter 4  to locate affected cells  Relocate bottle in  affected cells using the following procedure     1  From the Main screen  press Ctrl   F10 to enter a special  Bottle Relocation mode that allows bottles to be relocated   The cell indicator lights will illuminate in the following  pattern       Cells with bottles are lit continuously     Cells available for reloading are unlit   2  Pull bottles out one at a time and reload one at a time into  any available cell     3  Ifthe bottle is anonymous  the Bottle ID field is blank    then enter the bottle ID  see Text Data Entry in Chapter 4    When all bottles are unloaded  click the Check button on  the Main screen     4  Attempt to calibrate the cell  see Calibrating an Instrument  Cell in Chapter 7   Get corrected Calibration Report if  necessary     5  If the calibration fails  then disable the cell  see Enabling  and Disabling Racks and Cells in Chapter 7        Insert an orange cell plug into the disabled cell     Call bioM  rieux     Note   Call bioM  rieux if error occurs with numerous cells  it  could be a faulty rack controller         8 8 BacT ALERT   3D 60 User Manual  95269                Fault Codes System Troubleshooting   71 INVALID TIME STAMP  Cause  Hardware failure involving the real time clock   CAUTION   Bottle readings are not processed  while the
207. status of positive or negative  Mycobacteria bottles separately from the status of other bottle types        Figure 10 2  Bottle Count Table and Unload Buttons       10 4 BacT ALERT  3D 60 User Manual  95269    System Startup Mycobacterial Testing    Located just above the Instrument icon on the Main screen are the Unload  buttons  Above each Unload button is a rectangular box containing the  number of bottles currently matching the unload criteria for that button     The Bottle Count Table contains two rows  The top row displays the bottle  count for Mycobacteria culture bottles and is labeled MB  The bottom row  displays the bottle counts for non mycobacterial culture bottles and is labeled  BC     The leftmost box in each bottle count row contains the culture type label  ex   BC  MB  and is not associated with an Unload button  The number displayed  within this box represents the total number of bottles  of any status  currently  loaded into the system     The second leftmost box shows the total number of identified bottles with a  positive test status  It appears above the Positive Bottle icon     The box third from the left shows the total number of identified and  anonymous bottles with a negative test status  It appears above the Negative  Bottle icon     The box second from the right shows the total number of anonymous bottles  with a positive test status  and is associated with the corresponding icon     The total number of anonymous bottles with a negative to date o
208. strument  will automatically reboot     3  If power is not restored within an hour  it may be  necessary to subculture bottles     CAUTION   Do not load or unload bottles until  power is restored         11    INSUFFICIENT CHARGE IN UPS  Cause  The UPS battery is low     Solution  Call bioM  rieux         12    LIS COMMUNICATION FAULT  Cause  The LIS is not responding to the Instrument     Solution  Check the LIS  The fault automatically goes away  when communication with the LIS resumes        BacT ALERT   3D 60 User Manual 8 5    95269    System Troubleshooting Fault Codes       Cause  The message from the Instrument is not reaching the  LIS     Solution  Checkthe cable connections between the Instrument  and the LIS         14 SYSTEM AUTOMATICALLY REBOOTED  Cause  Unresponsive state detected in the software     Solution  Call bioM  rieux immediately  System performance  may be compromised         19 SOFTWARE EXCEPTION  Cause  A software exception has occurred     Solution  Call bioM  rieux immediately  System performance  may be compromised         20 DOOR OPEN FOR TOO LONG    Cause  The door has been left open or ajar for an extended  period     Solution  Make sure door is tightly closed        Cause  Door sensors have failed or become misaligned     Solution  Call bioM  rieux        Cause  Fault in the ModSig board     Solution  Call bioM  rieux         21 AGITATION FAILURE  Cause  Mechanical failure in the agitation linkage     Solution  Call bioM  rieux        Cause  A
209. strument for  producing hard copy reports and graphs     A text entry field that appears on a screen  The primary  purpose for a prompt is for data entry  Read only prompts  are not selectable and are dimmed  User entries into a  prompt are checked for validity according to the value range  internally assigned for that prompt     Outlines instructions for system operation and describes  specific error codes     Contains 20 cells  each of which can hold and monitor an  individual culture bottle  Racks gently rock to agitate bottles     See Thermometer     A button that allows selection of numerical or symbolic  values by clicking arrows above or below a window which  shows the selected character  While an arrow is being  clicked  the center portion shows one character from among  the available list of choices     To choose a screen option with a pointing device     A BacT ALERT 3D 60 configuration where the Instrument  is connected to neither an bioM  rieux data management  computer nor an LIS     A BacT ALERT   3D 60 configuration where the Instrument  is connected directly to an LIS     A rectangular icon which moves between ON and OFF   symbolized by 1 and 0  respectively  when the  corresponding end of the rectangle is touched     An independent  NIST traceable temperature monitoring  device     A button that becomes active  appears to be clicked  after  the corresponding screen area is clicked  and continues to  be active until it is clicked again     Describes a bottle t
210. t    Load Report                      Figure 4 13  Save to File Screen  1     File Name Field    The default file name and path will appear automatically in the File Name  field  Use the keyboard to change the name of the file     All reports are saved to the pathname  D  REPORTS  either using the default  file name or a specified file name  All reports are automatically given an  extension of  TXT     15  Place the backup media in the backup drive   Backup media can either be a Zip disk or a USB flash drive     16  Click the Check button to initiate the save and return to the report  screen  Clicking the Cancel button will cancel the save request and  return to the Report screen     The Print buttons will be disabled while the save is taking place  Once the  save has completed  the Print buttons will be enabled     WARNING    Do not insert any object  other than a Zip  disk  into the Zip   drive under any circumstances           4 28    BacT ALERT  3D 60 User Manual  95269    Viewing and Printing Basic Functions    CAUTION  Do not forcibly remove the Zip  disk from the  instrument  Forcibly removing the Zip  disk may cause damage  to the Zip  disk or Zip  drive and may cause the system to lock  up     17  Click the Previous Screen button to return to the screen from which the  Report screen was accessed     Viewing and Printing Bottle Graphs    2 Setup Screen Function Buttons on page 4 18      1 1  Access the Setup screen and enter a valid password  see Accessing the  i    2
211. t Codes        74 ALGORITHM CHANGE    Cause  An incorrect media type has been previously assigned  to a bottle  Bottles with fault are flagged positive and bottle  readings are not processed while the fault is present     Solution  Perform the following procedure     1  Click the Unload Positive Bottle button and unload the  affected bottle     2  Subculture the bottle     Reload the bottle via the Load Bottle function on the Main  screen  The original first loaded date and time are  maintained     4  Ifthe fault code persists  call bioM  rieux         15 BOTTLE DATA CORRUPTED    Cause  The data integrity check has found corrupted bottle  data  Bottles with fault are flagged positive and bottle readings  are not processed while the fault is present     Solution  Perform the following procedure     1  Click the Unload Positive Bottle button and unload the  affected bottle     Subculture the bottle     Reload the bottle via the Load Bottle function on the Main  screen to begin testing of bottle     4  The original first loaded date and time is replaced with the  date and time the bottle is reloaded     5  The maximum test time is set to the default associated with  the bottle type     6  If desired  the bottle s maximum test time may be  shortened so that the bottle will complete testing when  expected     7  If the fault code persists  call bioM  rieux        8 10 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting        77 READING POLYNOMIAL CHANGE   
212. t corner  A description of each  Instrument Status Code is provided  The following is an example of  Instrument Status Code 710        BacT ALERT 3D SeiectLink Dem no                                  Figure 8 2  Instrument Status Code 710        710 INCUBATION CHAMBER TEMPORARILY UNAVAILABLE  WHILE POWER UP INITIALIZATION TAKES PLACE  Cause  Turning On the power of an Instrument or clicking the  Restart Incubation Chamber button invokes the Power Up    screen to appear on the monitor  It is NOT possible to perform  any action when the Power Up screen is present     Solution  No operator action is necessary  The Power Up  screen will disappear when the Incubation Chamber is ready   Do NOT load bottles while the Power Up screen is present      800 PRINTER FAULT    Cause  The Instrument was unable to print to the printer        Solution  Check the following     The printer is powered on and connected to the  Instrument properly     The printer has paper     The paper is not jammed in the printer        8 16 BacT ALERT   3D 60 User Manual  95269    Fault Codes     810     820    System Troubleshooting    BACKUP FAILED    Cause  The Instrument was unable to write backup data to the  backup media  because the backup media was either missing   defective  or removed while the backup was still in progress     Solution 1  Perform the following procedure if the backup  media is a Zip   drive     1  Verify that there is a Zip disk in the Zip drive and attempt  a manual backup  see Initia
213. tem Troubleshooting        942 BOTTLE TYPE CHANGE REQUIRES DIFFERENT  ALGORITHM  Cause  In the Edit Bottle Detail screen  a bottle s media type    has been changed to a media type that requires different data  analysis     Solution  If an error was made entering the new media   perform the following procedure     1  Click the Cancel button and return to the Edit Bottle Detail  Screen to correct the entry     2  Click the Check button on the Edit Bottle Detail screen to  save the changes     If an error was not made  perform the following procedure     1  Click the Check button to override the error  Note the cell  ID of the bottle     2  Click the Check button on the Edit Bottle Detail screen to  save changes     3  Go to the View Cell Status screen and check the cell for  Instrument Fault Code 74     4  Ifthe fault is present  follow the procedure provided to  correct the problem  see Instrument Fault Code  74 on  page 8 10         943 IDENTIFIED BOTTLE CHANGED TO ANONYMOUS    Cause  The Bottle ID field has been cleared for an identified  bottle in the Edit Bottle Detail screen     Solution  Click Cancel to return to the Edit Bottle Detail  Screen  Enter the correct bottle ID and click the Check button        944 MANUAL UNLOAD OF ANONYMOUS BOTTLE    Cause  An attempt was made to manually unload an  anonymous bottle from the Edit Bottle Detail screen     Solution  Click the Cancel button to return to the Edit Bottle  Detail screen  Enter a bottle ID or change the Load Status 
214. the Padlock icon closes  If the new password was not  verified correctly  the Padlock icon will open completely  The user must  then start over with Step 5 to change the password         2 IL  I  E e    Figure 6 6  Padlock Icon  Closed Position           Click the Check button to accept the new password  or click the Cancel  button to retain the old password     10  Click the Previous Screen button to return to the Setup screen     Record the new password in a secure location  This password will be needed  to access all function buttons on the Setup screen     Initiating Manual Backup       IMPORTANT     Perform the following procedure to initiate an immediate backup of the  system toa Zip   disk or USB flash drive  The backup procedure  though  lengthy  does not prohibit you from simultaneously performing any other  functions on the system     If you have a USB Port  use only USB Flash Drives provided by  bioM  rieux for backups     1     2     Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      Click the Backup Management button  Bil       The Backup Management screen overlays and disables the Setup  screen           BacT ALERT  3D 60 User Manual    95269    6 7    Software Configuration    Note     Note     Note     Initiating Manual Backup             Ba cT ALERT 3D Signature 13 08 33 07 08 85    Ld       veiru vu    BEER  EVA CWA Dv                                           Figure 6 7  Backup Management S
215. ting Bottles Using the Select Bottle to Edit Graph Button on    page 5 4        2 12 1    JOHN    BacT ALERT 3D Select 10 42 89  09713785     D sFBBPsxz EEE  313309       OTE                            SMITH    mij 1A01 108 26705 15 14 18    p  8 14     1  40   Hi  0 00    cm o   7         09 13 05 18 36 26    BACT ALERT FA    F  j 08 26 05 19 58 00  Sn   0 19     EU C                  Figure 5 3  Edit Bottle Detail Screen    The screen ID is determined by the method in which the Edit Bottle Detail  Screen was accessed  The screen behaves in the same way regardless of    how it is accessed       The screen ID is 2 11 1 if you access it from the Select Bottle to Edit Graph    screen       The screen ID is 2 12 1 if you access it from the Edit Cell Contents screen     BacT ALERT   3D 60 User Manual 5 5    95269    Editing Test Data Viewing Editing Bottle Data    Edit Bottle ID pg Lee         1 A blank Bottle ID field indicates the bottle is currently anonymous  To assign    2 a bottle ID to an anonymous bottle or edit the bottle ID of an identified bottle     1  Click the Bottle ID field  the field turns white      2  Manually enter the bottle ID using the keyboard or scan the barcode  see  Text Data Entry in Chapter 4      3  Click the Check button     View Accession Number Field co EEE    Disabled field that displays the accession number associated with the  displayed bottle record     View Hospital ID Field E    Disabled field that displays the hospital ID associated with th
216. ting Manual Backup in  Chapter 6      2  If this backup fails  insert a new Zip disk and attempt a  manual backup     3  If this backup fails  call bioM  rieux     Solution 2  Perform the following procedure if the backup  media is a USB flash drive     1  Verify that there is a USB flash drive in the USB port and  attempt a manual backup  see Initiating Manual Backup in  Chapter 6      2  If this backup fails  remove the USB flash drive and verify  that it is an approved bioM  rieux USB flash drive  If it is an  approved bioM  rieux USB flash drive  re insert and  attempt a manual backup     or    If the USB flash drive is not an approved bioM  rieux USB  flash drive  then insert a USB Flash drive approved by  bioM  rieux and attempt a manual backup     3  If this backup fails  call bioM  rieux     BACKUP MEDIA MISSING OR BACKUP DRIVE FAULT  Cause  Backup media is not fully inserted into the drive     Solution  Remove backup media and re insert into the drive        Cause  Backup media is corrupted     Solution  Remove backup media and replace with a different  backup media        Cause  Backup drive failure     Solution  Call bioM  rieux        Cause  Backup media is not an approved bioM  rieux device     Solution  Insert an approved bioM  rieux device     BacT ALERT   3D 60 User Manual 8 17    95269    System Troubleshooting Fault Codes    Operator Error Codes    Operator Error Codes appear in a separate window on the Main screen and  are identified by a 99 in the top left
217. ting the Maximum Test  Time in Chapter 6      3  Ensure that the lab supervisor is able to log onto the system with the  password 1234   Note  To change the password  see Changing the System Password in Chapter 6   4  Setthe displayed date time to reflect the current date and time in the lab   see Setting and Formatting the System Date and Time in Chapter 7      5  Verify that each component is enabled by viewing the Main screen  Any  disabled component will be displayed by gray  hash marks  denoting the  disabled rack or individual cells within the rack  Use the Enable Disable  Rack  and Cell screen to enable each  accordingly  see Enabling and  Disabling Racks and Cells in Chapter 7      6  Indicate that instrument configuration is completed on the  BacT ALERT 3D 60 Installation Checklist in Appendix C   Setting the Temperature    1  Setthe instrument operating temperature  Once the temperature has  stabilized  4 hours   calibrate the actual instrument temperature  see  Adjusting an Instrument s Temperature in Chapter 7      2  Indicate that the temperature is set on the BacT ALERT 3D 60  Installation Checklist in Appendix C   Checking for Errors  1  Ensure that no error codes are displayed on the Main screen     2  Indicate that there are no errors on the BacT ALERT   3D 60 Installation  Checklist in Appendix C     Functional Testing       Modem Functional Test  1  Setthe modem s DIP switches  see Figure 3 6      2  When modem and telephone connections are available  conne
218. tle when a bottle is  loaded  If necessary  however  these values can later be changed by editing  the data relationships  This is initiated by clicking the Edit Data  Relationships button on the Setup screen     The following sections will cover       Initiating the Edit Data Relationships function  see Initiating the Edit  Data Relationships Function on page 5 12        Editing Bottle ID to Accession Number relationships  see Editing Bottle  ID to Accession Number Relationships on page 5 13      BacT ALERT   3D 60 User Manual 5 11  95269    Editing Test Data Editing Data Relationships      Editing Accession Number to Hospital ID relationships  see Editing  Accession Number to Hospital ID Relationships on page 5 15        Editing Hospital ID to Patient Name relationships  see Editing Hospital  ID to Patient Name Relationships on page 5 17      Initiating the Edit Data Relationships Function    1 1  Access the Setup screen and enter a valid password  see Accessing the  a  Setup Screen Function Buttons in Chapter 4      3  2  Click the Edit Data Relationships button EN       The Edit Data Relationships screen appears              kala BacT   ALERT 3D SelectLink    08 12 09 04 8581             1 Li    2 HE  3                Figure 5 5  Edit Data Relationships Screen    1     Edit Bottle ID to Accession Number Relationships Button  2     Edit Accession Number to Hospital ID Relationships Button  3     Edit Hospital ID to Patient Name Relationships Button    Note  The availabilit
219. tor lights will light for  cells out of calibration  This function only works while the Main  screen is displayed     Activates a special unload mode  This identifies bottles which have  an Instrument Fault Code 80  When the door is opened  the cell  indicator lights will light for those bottles with the 80 instrument  fault  In this mode  the instrument automatically activates the  Unload Bottles function  This function only works while the Main  screen is displayed     Activates a special bottle relocation mode  This identifies all  currently loaded bottles regardless of their test status  When the  door is opened  the cell indicator lights will light for the loaded cells   Cells available for reloading are unlit  This function only works while  the Main screen is displayed     UPS On Off Button Location    The UPS for the Instrument is external  The On Off button is located at the  front of the UPS     Instrument Reboot Shutdown    1  2  3    Note     BacT ALERT   3D 60 User Manual 7 7    95269    The following situations require the Instrument to be turned off or rebooted       Anticipated power outage     Moving a system to a new location       Fixing an unresponsive mouse  monitor  or keyboard     Before rebooting the Instrument  always perform a system backup  see  Initiating Manual Backup in Chapter 6   Do not proceed with the reboot until  the Backup in Progress icon no longer displays     System Maintenance    Hardware Maintenance    Note  Call your local bioM  rieu
220. unction can also be performed by pressing the  T or   key on the keyboard       Page scroll up or down buttons     Move the display area one page  up  or down   This function can also be performed by pressing the Page  Up or Page Down key on the keyboard       Home End scroll buttons     Position the display area to the first or last  line of the diagnostic output  This function can also be performed by  pressing the Home or End key on the keyboard     BacT ALERT   3D 60 User Manual 2 15  95269    System Overview BacT ALERT   3D 60 Software       1 3 ji 7         D  2 EFE co TT    j   DE     d       2 4 6 8  Figure 2 7  Anchor Display Scroll Buttons    1     Anchor Display Top Button   2     Anchor Display Bottom Button  3     Line Scroll Up Button   4     Line Scroll Down Button   5     Page Scroll Up Button   6     Page Scroll Down Button   7     Home Scroll Button   8     End Scroll Button    Text Entry Field    A text entry field appears as a rectangular box that allows the user to enter  text either manually via the keyboard or by scanning a barcode  see Text   Data Entry in Chapter 4   The Bottle ID field on the Main screen is an  example of a text field     2 16 BacT ALERT   3D 60 User Manual    95269    SYSTEM INSTALLATION 3    About This Chapter       This chapter provides you with detailed instructions on how to install the  instrument and perform functional testing     Chapter Contents       Preparation   3 2  Verifying Site Requirements Are Met   3 2  Verifying Co
221. ure 4 10  Report Selection Screen us 4 22  Figure 4 11  Sample Report Screen uses 4 24  Figure 4 12  Find Text Screen in re e e ra laya dindan day     dira yaya y naa d  ayan 4 27  Figure 4 13  Save to File Screen usines 4 28  Figure 4 14  Select Bottle to Edit Graph Screen                 seen 4 29  Figure 4 15  Graph Bottle Readings Screen                 sse 4 30  BacT ALERT   3D 60 User Manual ix    95269       Figure 4 16  Bottle Readings Screen                sss eene ak ka KA AK HARA 4 32    Figure 4 17  Find Text Screen   ert une et ie LR Res 4 34  Figure 4 18  Save to File Screen esse 4 35  Figure 5 1  Edit Cell Contents Screen                i EU  C       EEE esent 5 3  Figure 5 2  Select Bottle to Edit Graph Screen                  sse 5 4  Figure 5 3  Edit Bottle Detail Screen                  sese 5 5  Figure 5 4  Edit Test Result Screen       ue rient eie trend 5 9  Figure 5 5  Edit Data Relationships Screen                  sse nnns 5 12  Figure 5 6  Edit Bottle ID to Accession Number Relationships Screen                            5 13  Figure 5 7  Edit Accession Number to Hospital ID Relationships Screen                           5 15  Figure 5 8  Edit Hospital ID to Patient Name Relationships Screen                                   5 17  Figure 6 1  Set Maximum Test Time Screen                                                                      6 2  Figure 6 2  Set Audible Alarm Options Screen                 E  LCULC     Elaske kak kaka kaka    kk 6 4  Fi
222. uring Report Screens Software Configuration    Table 6 1  Report Field Descriptions  Continued        Field Description       Displays the bottle ID        Displays the accession number or other kind of data entered by  LE  the user        sE oo the hospital ID or other kind of data entered by the    Displays the patient s first name or other kind of data entered  by the user           Displays the patient s last name or other kind of data entered  by the user              Configuring Report Contents    1  2  3         Perform the following procedure to configure the Report screens to show the  desired information  see Figure 4 11  Sample Report Screen      1  Access the Setup screen and enter a valid password  see Accessing the  Setup Screen Function Buttons in Chapter 4      eg  2  From the Setup screen  click the Report button         BacT ALERT   3D 60 User Manual    95269    6 13    Software Configuration Configuring Report Screens    The Report Selection screen appears              BacT ALERT 3D Select 191324145 07 00705             Y   ey   wa                     Ww     wa               Figure 6 11  Report Selection Screen    1     Report Configuration Button  2     Cancel Button  3     Check Button    3  Click the Report Configuration button         The Report Configuration screen appears     See Figure 6 12  Figure 6 13  and Figure 6 14 for examples of the Load   Status  and Unload Report Configuration screens  respectively     4  Click the Edit Report button that co
223. user  21 CFR Part 11 Mode  9 13  9 15  description 2 14  display report 1  load report screen  4 22  display report 2  status report screen  4 22  display report 3  unload report screen  4 22  edit  accession number to hospital ID  relationships 5 12  bottle ID to accession number relationships 5 12  bottle type scroll 5 7  cell contents 4 20  data relationships 4 20  hospital ID to patient name relationships 5 12  maximum test time scroll 5 7  report configuration 6 16  6 17  test result 5 9  enable disable hardware 4 19  enabled vs disabled 2 14  end scroll 2 15  exit software 7 8  graph bottle readings 5 10  home scroll 2 15  line scroll up or down 2 15  login  21 CFR Part 11 mode  9 2  manual backup 6 8  manual request test orders 4 36  manual send test results 4 36  next screen 2 14  page scroll up or down 2 15  preview report 6 16  6 17  previous screen 2 14  primary sort scroll 6 16  6 17  6 18    print graph 4 30   report 4 20   report configuration 6 14   report label entry button 6 10   restart incubation chamber 7 11   scroll 2 15   secondary sort scroll 6 16  6 17  6 18  select bottle to edit graph 4 20   set audible alarm options 4 20   set date time 4 19   set maximum test time 4 20   unload buttons 4 3  4 5   view incubation chamber information 4 20    calibrate cell screen  diagram 7 19  calibrate module temperature screen  diagram  7 16  calibration  instrument cell 7 18  instrument temperature 7 17  locating cells which need 7 18  calibration data  viewing a
224. ut 9 12  login button 9 2 operator error codes 8 18  login errors 9 7 optimal temperature setting 7 17  main screen while logged in 9 5  main screen while logged out 9 2 P  new password field 9 4  user login screen 9 3 part checklist B 1  password  M changing 6 5    entry 4 18  main screen      diagram 4 3 preventative maintenance 7 2  diagram  load mode  4 10 previous screen button 2 14  diagram  unload mode  4 15 principle of detection 2 3  maintenance printing  hardware 7 2 bottle graphs 4 29  preventative 7 2 calibration data 6 19  software 7 9 calibration history 6 22  system 7 1 test data  report 4 22  maximum test time using the print screen function 4 21  changing for an individual bottle 4 13  setting defaults 6 2 Q  mode  21 CFR Part 11 9 1      quality control of growth performance E 4  monitor blood culture bottles E 4  background color 4 3 mycobacteria culture bottles E 5  blank 8 31  BacT ALERT   3D 60 User Manual Index 5    95269    Index    R    rack  enable disable 7 13    rebooting the instrument 7 7  recycling   electrical and electronic 2 7  reference thermometer 7 15  relocating bottles 7 14    report configuration screen  diagram  load report 6 16  status report 6 17  unload report 6 18    report label entry screen  diagram 6 10  report selection screen  diagram 6 10  6 14    reports  configuring content 6 13  entering labels 6 9  reportable fields 6 12    requesting bottle demographics from LIS 4 36    requirements  21 CFR Part 11 2 3  HIPAA 2 3    rest
225. wer  4th Floor  Rama IV Road  Klongton  Klongtoey  Bangkok 10110   tel   66  2 661 56 44   fax  66  2 661 56 45    Turkey   bioM  rieux Diagnostik A S   De  irmen Sok  Nida Plaza Kat 6  34742 Kozyatagi Istanbul   tel   90  216 444 00 83   fax  90  216 373 16 63    United Kingdom  bioM  rieux UK Ltd  Grafton Way  Basingstoke  Hampshire RG22 6HY  tel   44  1256 461881   fax  44  1256 816863    USA   bioM  rieux  Inc   100 Rodolphe Street  Durham NC 27712  tel   1  919 620 2000    Vietnam   Representation Office   bioM  rieux Vietnam   Room 4A  4th Floor   Green House Building   62A Pham Ngoc Thach Street  Ward 6  District 3   Ho Chi Minh City   tel   84  88 209 906   fax  84  88 209 905          This product and its documentation complies with the In Vitro Diagnostic  C     Medical Device Directive 98 79 EC     Liability Disclaimer    bioM  rieux  Inc  makes no express or implied warranty regarding this  manual  its quality  performance  or appropriate use regarding any type of  specific procedure     Furthermore  this manual may be modified by bioM  rieux without notice and  without implying any obligation or liability on the part of the company     Intellectual Property    bioM  rieux  the blue logo  BacT ALERT  and MB BacT are used  pending   and or registered trademarks of bioM  rieux in the USA and other countries     CLS is a registered trademark of Clinical and Laboratory Standards Institute   Inc     PSC and Quickscan are a registered trademarks of PSC  Inc   Zip is a r
226. x Customer Service Representative prior to  rebooting to clear an error condition     Perform in sequence as many of Methods 1     4 as are required to power  down or reboot the system        CAUTION  Contact your local bioM  rieux Customer Service prior  to using Method 4     Shutdown Method 1    1   2     On the keyboard  press each key in the order listed  Esc Y E S   Wait for the software to exit to a black screen with a C  gt  prompt     To reboot the BacT ALERT   3D 60  click each keyboard key in the order  listed  keeping each key depressed  Then simultaneously release all  three keys  Ctrl   Alt   Delete     or    Alternately  to turn Off the power for the Instrument and the UPS  see  Method 4     Shutdown Method 2    1     Click the Right Arrow button to advance to the Setup screen     Note  If the system is unresponsive  proceed to Method 4     2   3     4     9   6     Enter the Software Exit Password 24313124     The password entered is accepted by clicking the Key Symbol button at  the right end of the row of Password Entry buttons     After the Software Exit Password is correctly entered  the Padlock icon  changes to the full open position  The Exit Software button will become  visible and will be the only active button on the Setup screen     Click the Exit Software button    E        Wait for the C   gt  prompt to appear on a black screen     To reboot the BacT ALERT   3D 60  click each keyboard key in the order  listed  keeping each key depressed  Then simult
227. y  bottle readings 4 31    E    edit  load status 5 6   edit bottle detail screen  diagram 5 5  fields 5 5    Index    edit cell contents screen  diagram 5 3  edit data relationships screen  diagram 5 12    edit test result  procedure 5 9  screen 5 9  editing  accession number to hospital ID relationship  procedure 5 15  screen 5 15  bottle ID to accession number relationship  procedure 5 13  screen 5 13  hospital ID to patient name relationship  procedure 5 17  screen 5 17  maximum test time 4 13  report content 6 13  report labels 6 9    electrical and electronic recycling 2 7  electrical warnings 2 4   enable disable rack  or cell screen    diagram 7 13   enabling disabling hardware 7 13   entering international characters D 3  entering report labels 6 9   entering text into a data entry field 4 9  environmental requirements  instrument 2 12  error codes  901 961  8 18    errors  bottle problems 8 29  user output device problems 8 29    errors  nonsoftware 8 29    F    false positives  See unconfirmed positives  fault codes  1 99  8 3   faults  viewing 4 5   field  text entry 2 16   finding topics 1 6   full instrument shutdown 7 7   full instrument startup 7 9    function buttons  setup screen 4 18    BacT ALERT   3D 60 User Manual    95269    Index 3    Index    G    gap detection indicator 4 24  graph bottle readings screen  diagram 4 30  graphs  bottle 4 29    growth performance  quality control of blood culture bottles E 4  quality control of mycobacteria culture bott
228. y of the buttons also depends on the availability of the fields   Example  If the Patient First Name and Patient Last Name fields are  unavailable on the system  then the Edit Hospital ID to Name  Relationships button is not available    3  To edit a Bottle ID to accession number relationship  click the  corresponding button and see Editing Bottle ID to Accession Number    Relationships on page 5 13     5 12 BacT ALERT   3D 60 User Manual    95269    Editing Data Relationships Editing Test Data    4  To edit an Accession Number to Hospital ID relationship  click the  corresponding button and see Editing Accession Number to Hospital ID  Relationships on page 5 15     5  To edit a Hospital ID to patient name relationship  click the  corresponding button and see Editing Hospital ID to Patient Name  Relationships on page 5 17     Editing Bottle ID to Accession Number Relationships       12 47 84 65 38 81                            1P540726                               Figure 5 6  Edit Bottle ID to Accession Number Relationships Screen    1     Accession Number Field   2     Hospital ID Field   3     Patient Last Name Field   4     Bottle ID Scroll Box   5     Data Transfer Buttons   6     Accession Number Selection Buttons    Note  The Accession Number Selection button will only appear if the system is  set to allow reuse of accession numbers  By default  the  BacT ALERT   3D 60 is set to regard accession numbers as always unique  If  you desire to re use accession numbers  cont
229. y plugged in   Solution  Perform the following procedure     1  Power down the Instrument  see Instrument Reboot   Shutdown in Chapter 7      2  Make sure the barcode scanner is firmly connected at the  back of the Instrument  see Figure 2 3  Instrument Rear  View  on page 2 10      3  Restart the Instrument  see Instrument Reboot   Shutdown in Chapter 7      4  Call bioM  rieux if the problem is not resolved     Note   The keyboard may also be used to enter the barcode  manually        Cause  Scanner s Operational Parameters are no longer set     Solution  Scan the applicable Reset Barcode  see Figure 8 4  or Figure 8 5  to reset the Operational Parameters     ba to Eee    h      Figure 8 4  QuickScan 6000 Reset Barcode    Figure 8 5  Honeywell Reset Barcode       KEYBOARD NOT RESPONDING  Cause  Various     Solution  Reboot the system  see Instrument Reboot   Shutdown in Chapter 7         8 30 BacT ALERT   3D 60 User Manual  95269    Fault Codes System Troubleshooting       MONITOR BLANK  Cause  Instrument not receiving power     Solution  Check the power switch and the power cord  connection        SYSTEM UNRESPONSIVE  Cause  Various     Solution  Reboot the system  see Instrument Reboot   Shutdown in Chapter 7   Call bioM  rieux if the problem is not  resolved     Note   The keyboard may be used instead of the mouse to  operate the instrument and to activate the load and unload  functions  see Using the Keyboard in Place ofthe Mouse in  Chapter 7         RED INFORMATIONAL 
    
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