Restricted © Siemens Healthcare GmbH 2015 All rights reserved.Answers for life. Rapidlab 248 Technical Training Version English / September 2015 DRAFT

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 2Author / Siemens Healthcare Training Center Rapidlab 248 Objectives Define our history in Blood Gas Identify components of RL 248 Compare RL 348 to RL 248 List features Describe software Demonstrate operations Explain calibration Describe maintenance Discuss installation Explain electronics and flow diagrams

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 3Author / Siemens Healthcare Training Center The 60’s & 70’s pH Our Blood Gas History

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 4Author / Siemens Healthcare Training Center The 80’s 278/270178/2500HP85 Our Blood Gas History

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 5Author / Siemens Healthcare Training Center Our Blood Gas History The 90’s and to date Rapidlab 800 Rapidlab 238/248/348 Rapidlab 1200Rapidpoint 400RapidComm

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 6Author / Siemens Healthcare Training Center Rapidlab 248 Components Multiline vacuum fluorescence display 15 key keypad Thermal printer Sample probe port Sensor block 6.8/7.3 buffer pack Wash solution Waste bottle Cal gas (not shown) Slope gas (not shown)

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 7Author / Siemens Healthcare Training Center Rapidlab 348 Comparison to RL 248 Cal and Slope gas bottles onboard Factory preset regulators Only flows gas when needed Measures electrolytes - Na+, K+, Ca++ or Cl- Measures hematocrit (Hct) - biosensor measures the amount of cells and calculates the hemoglobin (Hgb) Sensor block assembly longer Extra circuitry to control solenoid valves for the onboard gases

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 8Author / Siemens Healthcare Training Center Status line Information area Instruction/advice line Clock/countdown line Rapidlab 248 Features

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 9Author / Siemens Healthcare Training Center 15 key keypad: Menu button # Back button * Paper feed 40 character alpha-numeric display with graphic capability Rapidlab 248 Features

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 10Author / Siemens Healthcare Training Center Rapidlab 248 Features pH Blood Gas Analyzer (pH, pO2, pCO2) Operator initiated automatic sample aspiration Low cost Built-in barometric pressure sensor

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 11Author / Siemens Healthcare Training Center Rapidlab 248 Features Small number of derived parameters Automatic calibration Operator initiated calibration Fixed time Flexible time (used OUS) Integral thermal printer

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 12Author / Siemens Healthcare Training Center Rapidlab 248 Features Sample size Syringe 90 ul Capillary 60ul Time to result - 60 seconds Typical calibration reagent consumption: 14 days at 25 samples/day No integral Data Management System (DMS) External ports - for printer, DMS

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 13Author / Siemens Healthcare Training Center 248 Operating Menu 1.Calibration 2.Maintenance 3.Troubleshooting 4.Data Recall 5.Operating Setup 6.System Setup 7.Standby 8.Service Setup Rapidlab 248 Software

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 14Author / Siemens Healthcare Training Center Operating Set-Up QC limits Reference ranges Units Calibration options Timing Gas Values Printer options Correlation Rapidlab 248 Software

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 15Author / Siemens Healthcare Training Center System Set-Up Date/Time Maintenance prompt Parameter selection Beeper Communications Security Print Set-up Service Set-Up System Information Language Rapidlab 248 Software

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 16Author / Siemens Healthcare Training Center Cold Start First time power up Power up with new CPU PCB Power up with reset button held in All default values Sample number resets to zero Initial 2 point Cal Warm Start Power interruption-unplug Nothing changed Rapidlab 248 Operations

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 17Author / Siemens Healthcare Training Center Syringe, capillary, or QC ampules 2 probe positions Enter patient data during measurement View calculated parameters Rapidlab 248 Operations

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 18Author / Siemens Healthcare Training Center Rapidlab 248 Operations Samples drawn in heparin coated syringe or capillary tube Mixing is very important to prevent clotting Not allowed to put on ice due to Na degradation Air and sample in syringe tip should be expelled from the syringe before sampling

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 19Author / Siemens Healthcare Training Center Rapidlab 248 Operations

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 20Author / Siemens Healthcare Training Center Rapidlab 248 Operations

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 21Author / Siemens Healthcare Training Center Rapidlab 248 Operations

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 22Author / Siemens Healthcare Training Center Rapidlab 248 Operations

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 23Author / Siemens Healthcare Training Center Complete Exercises in the workbook Turn on the printer Run a syringe sample Run a capillary sample Complete Exercise 6 Rapidlab 248 Component and Samples Exercise

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 24Author / Siemens Healthcare Training Center Fully selectable Full 1 pt or 2 pt pH only or gases (pO2, pCO2) only Fixed time 1 pt every 30 or 60 minutes 2 pt every fourth interval Flexible time (OUS) 1 pt between 10 min & 30 or 60 min 2 point every fourth interval Rapidlab 248 Calibration

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 25Author / Siemens Healthcare Training Center 1 pt calibration to adjust for cal drift 7.3 buffer for pH Cal gas for pO2 & pCO2 Rapidlab 248 Calibration

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 26Author / Siemens Healthcare Training Center 2 pt calibration to adjust for slope 1 pt cal with 7.3 buffer & Cal gas 6.8 buffer and Slope gas Rapidlab 248 Calibration

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 27Author / Siemens Healthcare Training Center Rapidlab 248 Calibration Exercise Run a 2pt calibration Complete Exercise 7 in the workbook

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 28Author / Siemens Healthcare Training Center Rapidlab 248 QC Exercise Enter QC ranges for Levels 1 – 3 Run 3 levels of QC Complete Exercises 8 in the workbook

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 29Author / Siemens Healthcare Training Center Daily (3 minutes) Check 7.3 and 6.8 buffers Check waste bottle Clean drip tray Weekly (20 minutes) All of the above Deproteinize and condition Check gas cylinder pressures Check pH sensor fill level Rapidlab 248 Maintenance

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 30Author / Siemens Healthcare Training Center Quarterly (35 minutes) All of the above Disinfect (not with alcohol) Replace drip tray Replace pump tubes/rotor moldings Bi-Annually (40 minutes) All of the above Replace reference cassette Annually – Certification (PM) Rapidlab 248 Maintenance

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 31Author / Siemens Healthcare Training Center Rapidlab 248 Maintenance Exercise Stop system Discard solution and refill sensors Deproteinize and condition sensors Prime Lubricate rollers

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 32Author / Siemens Healthcare Training Center Unpacking the System Included 7.3 / 6.8 buffer pack Wash / D&C pack Printer paper (5 roll pack) Operator’s Manual and Guide Gas tubing kit Electrodes Also Required Cal gas tank Slope gas tank Gas tank regulators Rapidlab 248 Installation

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 33Author / Siemens Healthcare Training Center Installing the System – Operations Manual – F1 Install gas cylinders Install sensors Connect pump tubing Install reagents Select operating voltage Power-up Condition system Configure the system – Operations Manual – Sec 5 Run check protocol Train if necessary Hand over Rapidlab 248 Installation

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 34Author / Siemens Healthcare Training Center Rapidlab 248 Installation Exercise Review procedure in Operations Manual F-1 Configure system using Operations Manual Sec 5

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 35Author / Siemens Healthcare Training Center Rapidlab 248 Electronics Diagram V1 & V5 V2 & V4 V3 & V6

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 36Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram V3 Waste 7.3 Cal 6.8 Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 37Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram pH Cal Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 38Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram pH Cal Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 39Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram Wash 6.8 Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 40Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram Cal Gas 6.8 Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 41Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram Slope Gas 6.8 Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 42Author / Siemens Healthcare Training Center Rapidlab 248 Flow Diagram Vent Gas 6.8 Slope

Restricted © Siemens Healthcare GmbH 2015 All rights reserved Page 43Author / Siemens Healthcare Training Center Rapidlab 248 Hardware Exercise Disassembly – Exercise 9 in Workbook Reassembly