teg_6s_user_manual_rev_ad_oct_2016.pdf
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Hemostasis System
User manual
115191-IE(AD)
October 2016
Page 2
2
Publication Information
Publication Information
Publication date
October 2016
Part number
115191-IE(AD)
Copyright
notice
© 2015, 2016 Haemonetics Corporation
The contents of this manual are the property of the Haemonetics Corporation.
Any information or descriptions contained in this manual may not be
reproduced and released to any of the general public, or used in conjunction
with any professional instructions without written consent of Haemonetics
Corporation, USA.
Confidential/
proprietary
notices
Use of any portion(s) of this document to copy, translate, disassemble or
decompile, or create or attempt to create by reverse engineering (or otherwise)
the source code from the object code of Haemonetics products is expressly
prohibited.
Disclaimer
This manual is intended as a guide to provide the user with necessary
instructions on the proper use and maintenance of certain Haemonetics
Corporation products. This manual should be used in conjunction with
instruction and training supplied by qualified Haemonetics personnel.
Any failure to follow the instructions as described could result in impaired
product function, injury to the user or others, or void applicable product
warranties. Haemonetics accepts no responsibility for liability resulting from
improper use or maintenance of its products.
Utilization of Haemonetics products may require the user to handle and
dispose of blood-contaminated material. Users must fully understand and
implement all regulations governing the safe handling of blood products and
waste, including the policies and procedures of their facility.
Handling and use of any blood products collected or stored using Haemonetics
equipment are subject to the decisions of the attending physician or other
qualified medical personnel. Haemonetics makes no warranty with respect to
such blood products.
Patient diagnosis is the sole responsibility of the attending physician or other
qualified medical personnel.
The screenshots appearing in this manual are provided for illustrative purposes
only, and may differ from the actual software screens. All organization, donor/
P/N 115191-IE, Manual revision: AD
Haemonetics® TEG® 6s User Manual
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Publication Information
3
patient, and user names in this manual are fictitious. Any similarity to the name
of an organization or person is unintentional.
The TEG 6s analyzer is licensed for sale or use only in in-patient hospitals and
any laboratories that are primary providers of such hospitals.
Document
updates
The document is furnished for information use only, is subject to change
without notice and should not be construed as a commitment by Haemonetics
Corporation. Haemonetics Corporation assumes no responsibility or liability for
any errors or inaccuracies that may appear in the informational content
contained in this material. For the purpose of clarity, Haemonetics Corporation
considers only the most recent version of this document to be valid.
Trademarks and
patents
Haemonetics, TEG, RapidTEG, and Thrombelastograph are trademarks or
registered trademarks of Haemonetics Corporation in the US, other countries,
or both. PlateletMapping is a registered trademark of Cora Healthcare, Inc.
Vacutainer is a registered trademark of Becton, Dickinson and Company.
US patent numbers 7,261,861, 7,879,615, 8,236,568, 6,787,363, 7,179,652,
and 9,068,966.
Reader
comments
Any comments or suggestions regarding this publication are welcomed and
should be forwarded to the attention of:
Corporate headquarters
Haemonetics Corporation
400 Wood Road
Braintree, MA 02184
U.S.A.
Tel.: +1 781 848 7100
Fax: +1 781 848 5106
Rx Only
International headquarters
Haemonetics S.A.
Signy Centre
Rue des Fléchères 6
P.O. Box 262
1274 Signy-Centre, Switzerland
Tel.: +41 22 363 9011
Fax: +41 22 363 9054
Caution: USA Federal Law restricts the sale, distribution, or use of this device
to, by, or on the order of a licensed healthcare practitioner.
Note: Availability of devices may vary from one country or region to another as
a result of specific local regulatory approval or clearance requirements.
Applicable laws may restrict the sale, distribution, or use of this device to, by,
or on the order of a licensed healthcare practitioner.
Haemonetics
worldwide
Please direct any written inquiries to the appropriate address. For a list of
worldwide office locations and contact information, visit
www.haemonetics.com/officelocations
Haemonetics® TEG® 6s User Manual
P/N 115191-IE, Manual revision: AD
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Table of
Contents
Chapter 1, Introduction
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Purpose of the manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
What is the TEG 6s system?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Customer Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Clinical training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Repair service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Product return guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Symbols found in this document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Symbols found on the analyzer and packaging . . . . . . . . . . . . . . . . . . . 13
Chapter 2, TEG® Analyzer Description
TEG Analyzer Description Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Exterior Front Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
LCD touch screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Cartridge slot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Exterior Back Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Carrying handle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Cooling fan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
USB ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Ethernet port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Fuse holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Power jack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
On/Off Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Disposable Assay Cartridges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Sample port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Barcode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Chapter 3, Safety and Precautions
Storage and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Storing and handling the analyzer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Storing and handling the cartridges . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Transporting the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Warnings for the Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Electrical shock hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
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Table of Contents
Power outlet connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Bloodborne pathogens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Handling of glass objects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Chapter 4, Getting Started
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
TEG Analyzer Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Principles of design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
TEG Analyzer Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
TEG Analyzer Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Setting Up and Logging into the Analyzer . . . . . . . . . . . . . . . . . . . . . . . . . .34
Set up the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Start the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Log into the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Update your password. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Log out of the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Turn off the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Exploring the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Home screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Viewing Test Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Test results screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Tracing screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Configuring Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Configure date and time settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Change the time zone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Configure LAN settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Calibrate the touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
View information about the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Chapter 5, Operating the TEG® Analyzer
Operation Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Disposable assay cartridges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Blood samples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Running a Patient Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Quick guide for running a patient test . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Detailed guide for running a patient test . . . . . . . . . . . . . . . . . . . . . . . . .54
Stopping a Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Viewing Stored Patient Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Quick guide for viewing stored patient data. . . . . . . . . . . . . . . . . . . . . . .64
Detailed guide for viewing stored patient data. . . . . . . . . . . . . . . . . . . . .64
Chapter 6, Quality Control
Performing Quality Control Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Quick guide for running a QC test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Detailed guide for running a QC test . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
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Viewing Stored QC Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Quick guide for viewing stored QC data . . . . . . . . . . . . . . . . . . . . . . . . .75
Detailed guide for viewing stored QC data . . . . . . . . . . . . . . . . . . . . . . .75
Chapter 7, Troubleshooting and Maintenance
Errors and Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Warning messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Critical alert messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Error message table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Cleaning and Disinfecting the Analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
Materials needed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
Clean the analyzer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
Clean the filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90
Chapter 8, Specifications and Performance Characteristics
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Physical specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Electrical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Printer specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93
Performance Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94
FCC Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94
Haemonetics® TEG® 6s User Manual
P/N 115191-IE, Manual revision: AD
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Chapter 1
Introduction
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Purpose of the manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
What is the TEG 6s system? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Customer Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Clinical training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Repair service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Product return guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Symbols found in this document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Symbols found on the analyzer and packaging. . . . . . . . . . . . . . . . . . . .13
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10
Chapter 1, Introduction
Overview
Purpose of the
manual
The TEG® 6s User Manual provides users with the information needed to
effectively operate the TEG® Thrombelastograph® hemostasis analyzer using
the 6s series analyzer. This manual includes:
A detailed description of the analyzer.
Instructions for operating the analyzer and troubleshooting any difficulties.
Information on how to properly handle and maintain the analyzer.
Specifications and performance capabilities.
Use this manual in combination with training supplied by qualified Haemonetics
personnel.
What is the TEG
6s system?
The TEG Thrombelastograph hemostasis analyzer TEG 6s Series system
consists of the following components:
TEG 6s analyzer
Disposable cartridges with preloaded dried reagents
Service-Maintenance-Settings (SMS) software interface
The TEG analyzer monitors the harmonic motion of a pendant drop of blood in
response to external vibration. As the sample transitions from a liquid state to
a gel-like state during clotting, the modulus of elasticity and resonant frequency
increase. The analyzer measures these variations in resonant frequency
during clotting and lysis and displays the results on a touchscreen display.
Disposable cartridges are used for processing whole blood samples. Blood is
delivered by transfer pipette to a small port in the cartridge. Once a sample has
been added to the cartridge and testing has begun, the sample is inaccessible
to the user. The cartridges contain all necessary reagents for performing an
assay.
The TEG analyzer has two modes of operation: (1) Stand-alone, and (2)
computer-controlled through the network interface. Service-MaintenanceSettings (SMS) software provides the interface for an administrator or qualified
service technician to change configuration settings, update, backup, and
restore firmware and data files, and manage analyzer calibration parameters.
For more information about the SMS software, consult the TEG 6s Site
Administrator Guide.
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Page 11
Chapter 1, Introduction
Intended use
11
The TEG® 6s Hemostasis Analyzer is a non-invasive diagnostic instrument
designed to be used in a laboratory or point of care environment to monitor and
analyze the coagulation state of a blood sample in order to assist in the
assessment of patient clinical hemostasis conditions. The TEG 6s analyzer is
indicated for use with adult patients where an evaluation of blood coagulation
properties is desired.
Results from the TEG 6s analyzer should not be the sole basis for a patient
diagnosis, but should be evaluated together with the patient’s medical history,
the clinical picture and, if necessary, other coagulation tests.
Precautions
The operator should be aware of the following precautions:
Read and understand the entire contents of this manual before operating
the TEG analyzer - especially precautionary information and
specifications.
The TEG analyzer is to be operated by qualified personnel only.
If this equipment is used in a manner inconsistent with this manual,
protections provided by the device may be impaired.
Use only Haemonetics parts and accessories with the TEG analyzer.
Third-party accessories may cause improper performance.
DO NOT use malfunctioning equipment. Have the unit repaired by an
authorized Haemonetics service representative.
DO NOT place anything other than human blood, plasma or Quality
Control (QC) material into a cartridge.
Upon removal from the TEG analyzer, used cartridges must be
immediately disposed of according to local standard operating
procedures for the removal of biohazardous material and should not be
mixed with non-biohazardous waste.
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Chapter 1, Introduction
Customer Service
Clinical training
The local Haemonetics representative will provide staff training upon delivery
of the TEG system equipment and should be contacted to organize further
instruction, if needed.
Repair service
Haemonetics maintains a worldwide network of company-trained service
representatives responsible for responding to technical needs concerning
equipment. If service beyond the routine maintenance and cleaning described
in this manual is required, the local Haemonetics representative should be
contacted to provide specific instruction.
Preventive
maintenance
General maintenance procedures should be performed as required. For
instructions, refer to “Cleaning and Disinfecting the Analyzer” on page 7-89.
Preventive maintenance procedures should be conducted annually to ensure
optimal mechanical functioning of the analyzer and are performed by a trained
Haemonetics representative.
Product return
guidelines
If, for any reason, merchandise must be returned to the company, the customer
should contact the local Haemonetics representative to arrange for repairs or
returns using procedures to ensure proper handling and subsequent analysis.
No returns will be accepted without advanced authorization.
Units returned to Haemonetics for repair are subject to biohazard charges if
any component is contaminated with blood or blood products.
Warning: Haemonetics products must be properly cleaned and packaged
prior to their return. It remains an important responsibility of the
customer to reduce potential health hazards by being aware of the risks
involved in the shipping, handling and testing of this material.
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Haemonetics® TEG® 6s User Manual
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Chapter 1, Introduction
13
Symbols
Symbols found
in this
document
The terms Note, Tip, Caution and Warning are used in this manual with the
following symbols to emphasize certain details for the operator.
Note: provides useful information regarding a procedure or operating technique
when using Haemonetics material.
Tip: provides additional information or an alternate method to perform a task
when using Haemonetics material.
Caution: advises the operator against initiating an action or creating a situation
which could result in damage to equipment or impair the quality of the test
results; personal injury is unlikely.
Warning: advises the operator against initiating an action or creating a
situation which could result in serious personal injury to the patient or
operator.
Symbols found
on the analyzer
and packaging
The following symbols may appear on the analyzer, consumables, or
packaging:
Electrical and electronic equipment waste (applies to EU
only)
Dispose of the device using a separate collection method
(according to EU and local regulation for waste electrical and
electronic equipment).
Manufacturer (address for)
Batch code
Authorized representative in the European Community
(address for)
Catalog number
In vitro diagnostic device <ISO>
Contains sufficient for <n> tests
<n>
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Chapter 1, Introduction
Do not reuse
Temperature limitation
Control
Use by <date>
Type of venous blood collection tube to be used for the test.
Color-coded top conforms to ISO 6710:1995.
CE mark
General warning, caution, risk of danger
Biological risks
Consult instructions for use
(Applies to USA only)
USA Federal Law restricts the sale, distribution or use of this
device to, by or on the order of a physician.
USB (Universal Serial Bus) port
Ethernet port
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Chapter 1, Introduction
15
UL listed to Canadian and US standards
Fuse
Direct Current
Power ON/OFF
Indicates a push-push switch, where one position (marked with
a line) is on and the other position (marked with a circle) is off.
Serial number
Do not use if package is damaged
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Page 17
Chapter 2
TEG® Analyzer Description
TEG Analyzer Description Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Exterior Front Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
LCD touch screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Cartridge slot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Exterior Back Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Carrying handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Cooling fan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
USB ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Ethernet port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Fuse holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Fuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Power jack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
On/Off Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Disposable Assay Cartridges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Sample port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Barcode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
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Chapter 2, TEG® Analyzer Description
18
TEG Analyzer Description Overview
This chapter identifies the following main components of the TEG® 6s analyzer
system and explains their intended functions.
Exterior front components
Exterior back components
Disposable assay cartridges
Note: Any references made to “front” or “back” are from the perspective of an
operator facing the TEG analyzer.
The TEG 6s system consists of an analyzer and disposable assay cartridges.
The analyzer contains a user-friendly interface in the form of a color touchenabled display. Through this interface, the operator can control all operations
of the analyzer except turning it on and off, which is accomplished by accessing
a switch at the rear of the analyzer. The system is designed to accept a
disposable plastic cartridge, into which a blood sample can be placed. Once a
test is started, the analyzer processes the sample and reports the results on
the touchscreen display.
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Chapter 2, TEG® Analyzer Description
19
Exterior Front Components
1. LCD touch screen
2. Cartridge slot
1
2
Figure 1, TEG analyzer, exterior front components
LCD touch
screen
The 6.5" color LCD touchscreen displays instructions that guide the user
through TEG analyzer operations. All prompts, directions, selections, and
results are displayed on this screen.
Cartridge slot
The cartridge slot at the front of the analyzer accepts TEG analyzer assay
cartridges. During a test, the cartridge is locked in place. When the test is
complete, a lighted strip flashes around the perimeter of the cartridge slot.
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Page 20
Chapter 2, TEG® Analyzer Description
20
Exterior Back Components
1.
2.
3.
4.
5.
6.
7.
Carrying handle
Cooling fan with filter
USB ports
Ethernet port
Fuse
Power jack
On/off switch
1
2
7
3
6
4
5
Figure 2, TEG analyzer, exterior back view
Carrying handle
The integrated carrying handle is located near the top of the analyzer and
allows the unit to be lifted and moved securely.
Cooling fan
The fan on the back of the analyzer ensures that the internal temperature of the
analyzer remains close to the ambient temperature. This allows the widest
possible range of sample temperatures to be selected without requiring active
cooling in the analyzer.
USB ports
Three Standard Type A USB ports are located to the left of the cooling fan and
can be used to attach a peripheral device, such as a printer or barcode
scanner, to the analyzer.
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Chapter 2, TEG® Analyzer Description
Ethernet port
21
The analyzer may be connected via Ethernet cable to a stand-alone computer
or Ethernet switch or router for service, maintenance and setup. LED lights on
either side of the port have the following functions:
Left LED - Link Speed
Right LED - Link Activity
Amber: operating in 1000 BT mode
Blinking green: activity
Green: operating in 100 BT mode
Off: no link established
Off: operating in 10 BT mode
Fuse holder
The fuse holder is a cylindrical housing that protects and holds the fuse.
Fuse
The 250 Volt 5 Amp fuse is located inside the fuse holder on the back of the
analyzer.
Power jack
The power jack is located at the back of the analyzer and is the screw-on
connection point for the power cord that is supplied by Haemonetics. Do not
replace the cord with a substitute. If necessary, contact the local Haemonetics
representative for a replacement. Always ensure that the power cord is
connected to an appropriately grounded power source (100 - 240 volt 50/60
Hz) per your institution’s policy. Use an Uninterruptible Power Supply (UPS)
unit between the analyzer and the power source.
Grounding reliability can be achieved only when the analyzer is connected to a
properly grounded outlet.
On/Off Switch
The power switch is located at the back of the analyzer. "I" indicates "on" and
"O" indicates "off".
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Page 22
Chapter 2, TEG® Analyzer Description
22
Disposable Assay Cartridges
TEG analyzer disposable assay cartridges contain the components needed to
perform up to four simultaneous tests from the same blood sample.
Cartridges should be kept in their sealed pouches and in the specified storage
conditions (2-8 deg C) until just before use. Cartridges can be used directly
from the refrigerator; they do not need to reach room temperature before use.
1. Barcode
2. Sample port
1
2
Figure 3, TEG analyzer disposable assay cartridge
Sample port
A sample port at one end of the cartridge accepts an unmetered amount of
blood, delivered by transfer pipette.
Under instrument control, the cartridge pulls the blood sample into up to four
staging areas, mixes the sample with reagents that have been dried in place,
and then transfers a small amount into the test cells. Excess blood is moved to
a sealed waste area within the disposable.
Barcode
The barcode on the cartridge allows the analyzer to identify the cartridge type,
test type, expiration date, and lot number.
Cartridge Library
In addition to the barcode on the cartridge, the analyzer system also uses a
Cartridge Library file to determine the type of test the cartridge is intended to
perform. The Cartridge Library holds information that the analyzer needs to run
the appropriate scripts and display the correct parameters for each test.
Haemonetics periodically provides updates to the Cartridge Library which can
be downloaded to your system.
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Chapter 3
Safety and Precautions
Storage and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Storing and handling the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Storing and handling the cartridges. . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Transporting the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Warnings for the Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Electrical shock hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Power outlet connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Bloodborne pathogens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Handling of glass objects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
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Chapter 3, Safety and Precautions
Storage and Handling
Safe and successful operation depends in part on the proper routine handling
of the TEG® 6s analyzer, disposables, and blood samples. The operator should
be aware of the problems that could result if these items are stored, installed,
or used incorrectly.
Storing and
handling the
analyzer
Unpacking the TEG analyzer
The TEG analyzer is packaged to reduce the risk of damage during shipment.
Remove all polystyrene inserts and carefully remove the TEG analyzer from
the box. The power adapter and cables are packaged separately.
Note: Save the shipping box and molded polystyrene inserts. If the TEG
analyzer needs to be returned for repair or preventive maintenance, it must be
shipped in its original packaging in order to avoid damage. Haemonetics will
charge for any repairs necessary due to improper packaging.
Placement of the TEG analyzer
Use the following guidelines to correctly place the TEG analyzer:
Place the TEG analyzer on a flat surface such as a table or lab bench.
Proper operation of the analyzer requires adequate airflow through the
cooling fan at the rear of the device. Ensure that the fan is not obstructed
by proximity to a wall or other equipment.
Isolate the analyzer from all sources of heat (for example, laptops,
heaters, or other heat-emitting equipment).
Make sure that the device is positioned so that it is easy to access the
power button and to disconnect the power cord.
Storage and handling of the TEG analyzer
The TEG analyzer must be operated at room temperature (10°- 32°C).
Although the device can be stored at a temperature between -20°C and +50°C,
it must be brought to operating temperature before use. The TEG analyzer is
designed for indoor use only.
The operator should wear protective gloves when handling the TEG analyzer.
Caution: If the TEG analyzer has been stored at a temperature outside the
operating temperature range, allow sufficient time for the analyzer to
equilibrate to room temperature before use.
Note: See “Specifications” on page 92 for a complete list of environmental
conditions in which to store and operate the TEG analyzer.
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Chapter 3, Safety and Precautions
25
Storing and
handling the
cartridges
The storage and handling of the TEG analyzer assay cartridges and quality
controls may differ depending on the type of reagent or control contained within
them. Refer to each product insert for storage and handling instructions.
Transporting
the analyzer
Before transporting the TEG analyzer from one location to another, ensure that
all plugs, cords, and cartridges are removed from the device. The analyzer
must also be cleaned and disinfected prior to moving the analyzer to a new
location, or for return shipment if servicing is necessary.
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Chapter 3, Safety and Precautions
Warnings for the Operator
Electrical shock
hazards
The TEG analyzer operates at a low-rated voltage. The risk of electrical shock
is, therefore, minimal. However, the operator should never remove the
analyzer’s covers. Maintenance that requires the removal of these covers
remains the responsibility of a Haemonetics-trained technician.
Power outlet
connection
Do not power the device using a power supply other than the one originally
supplied by Haemonetics for the TEG analyzer. Always ensure that the power
cord is connected to an appropriately grounded power source per your
institution’s policy.
Caution: Grounding reliability can only be achieved when the equipment is
connected to a properly grounded outlet.
Caution: Do not unplug the male single-pin connector end of the power cord
from the analyzer while leaving the power cord connected to a live power
source. Electrical shorting and power supply damage may occur.
Bloodborne
pathogens
Users should adhere to Standard Precautions when handling or using this
device. All parts of the TEG analyzer system should be considered potentially
infectious and are capable of transmitting blood-borne pathogens between
patients and healthcare professionals. Although the TEG analyzer does not
present a significant biohazard risk in itself, the unit is used to analyze human
blood, so care must be taken to properly handle, clean, and disinfect the
equipment as appropriate.
Warning: Special cleaning needs, such as a blood spill, should be dealt
with promptly. Follow local standard operating procedure for blood
precautions when cleaning up a blood spill or dealing with blood
contaminated components. Dispose of all cleaning materials as
biohazardous waste.
At a minimum, use the following precautions when handling blood and
disposing of blood-contaminated material:
While operating the TEG analyzer, wear powder-free protective gloves
and wash hands immediately after removing the gloves.
Switch gloves between patients and after completion of testing.
Wear fluid-resistant clothing.
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Chapter 3, Safety and Precautions
27
Proper handling of blood contaminated material
Even though the only working surfaces that routinely come into contact with
blood are the internal surfaces of the disposable assay cartridge, any TEG
analyzer surface that could be contaminated by a blood spill should be properly
cleaned and decontaminated with an appropriate disinfectant (see “Cleaning
and Disinfecting the Analyzer” on page 89). This should only need to be done
as required by laboratory protocol and immediately after any blood spill.
Precautions must be taken to eliminate or reduce the hazards involved with
removing the TEG analyzer from its point of use, transporting it from one place
to another, or disposing of the analyzer. If any blood-contaminated material
must be returned to Haemonetics for further inspection, see “Product return
guidelines” on page 12 for instructions.
Warning: Haemonetics products must be properly cleaned and packaged
prior to their return. It remains an important responsibility of the
customer to reduce potential health hazards by being aware of the risks
involved in the shipping, handling and testing of this material. Units
returned to Haemonetics for repair are subject to biohazard charges if
any component is contaminated with blood or blood products.
Proper disposal of biologically contaminated materials
Any disposable material used during a procedure is considered to be
biologically contaminated and biohazardous. It must be disposed of according
to local standard operating procedures for the removal of such material and
should not be mixed with non-biohazardous waste.
Handling of
glass objects
Glass objects such as blood collection tubes and Quality Control (QC) vials
should be handled with care.
Warning: In case of glass breakage, watch for sharp edges.
Haemonetics® TEG® 6s User Manual
P/N 115191-IE, Manual revision: AD
Page 29
Chapter 4
Getting Started
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
TEG Analyzer Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Principles of design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
TEG Analyzer Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
TEG Analyzer Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Setting Up and Logging into the Analyzer. . . . . . . . . . . . . . . . . . . . . . . . . . .34
Set up the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Update your password. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Log out of the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Turn off the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Exploring the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Home screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Viewing Test Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Test results screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Tracing screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Configuring Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Configure date and time settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Change the time zone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Configure LAN settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Calibrate the touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
View information about the analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Haemonetics® TEG® 6s User Manual
P/N 115191-IE, Manual revision: AD