Home Start Menus Parameters Questions Back End Ed. 2012/02 www.vedalab.com [email protected] Next page Home Start Menus Parameters Questions Back The VEDALAB EASY READER is an innovative meter for reading immunochromatographic rapid test cards using a high-resolution CCD-camera and integrated software created for analysing pictures. The EASY READER has a removable chip containing all the necessary software for rendering quantitative or semiquantitative results from the test lines absorbance values. Depending on the tested parameter, results can be obtained from whole blood, plasma, serum or urine samples. The meter also has an built-in printer for keeping archives of all the information related to each patient (name, date of birth and results) and to the user having performed the analysis. Key Features of the VEDALAB EASY READER Key Features of the tests End Principle of the reaction Principle of the reader Key Features of the VEDALAB EASY READER Home - Compact, light (1Kg) and convenient Start Menus - Fast, simple, easy and cost effective assays - No need of a batch or product specific code chip (common blank and calibration cards) - Built-in printer Parameters Questions - Possibility to perform assays on the reader without any computer connection - Possibility to connect the reader to computer for increased memory storage capacity. - Possibility to connect the reader a barcode reader Back End - No need additionnal controls - No service contract required - Wide range of available parameters - High output: 60 samples per hour ( up to 120 without printing mode) Next page Key Features Home of the tests - Reagents stable at room temperature Start - No need of a batch specific code chips - No dilution of samples needed in most of the cases Menus - High self life (18 months at least) - Quantitative positive control available on request Parameters - Wide range of parameters of curently 22 items (continously increasing) - Tests supplied with all components needed to perform assays Questions Back - Fast results (5 – 20 minutes) - Most of the tests could be run with very reduced amount of sample ( 50µL of whole blood or 25µL of serum/plasma) End Next page Principle of the reaction Home Start If present in the sample, the analyte reacts with the colored conjugate and flows to be caught by the reagents coated on the membrane. The intensity of the colored band appearing in the test zone on the stick is directly proportionnal to the concentration of the analyte. Positive result Menus Parameters 2 line parameter sample conjugate Nitrocellulose membrane 3 line parameter Questions 1st test line 2nd test line Control line Back Negative result End sample conjugate Nitrocellulose membrane Next page Principle of the reader Home Start Menus The VEDALAB EASY READER is based on quantitative immunochromatographic technology by measuring the intensity of the reaction on a test cassette. The CCD camera of Easy reader can measure the colour intensity and determine the concentration of analytes in a sample. CCD camera Parameters Questions Back End Quantitative or qualitative result Home Start Menus Simplified procedure Detailed presentation Kit composition Connection Parameters Changing E-prom Changing paper Questions Check Assay procedure Back Immediate or countdown mode Inserting the test card End Results and printing Simplified procedure Home Start 1) Place the instrument under non-corrosive environmental conditions, on a flat, even surface that is free of dust, water (or any liquid) and strong vibrations. 2) Install the required E-prom 3) First connect the keyboard to the reader Menus 4) Connect the reader to a power source 5) Press the switch on the back of the reader to start using it. Parameters 6) Press the "Start" button 7) Select the parameter (only for multi-parameter E-prom) Questions 8) Input the patient’s data needed to identify the sample via the keyboard 9) Perform the assay procedure as indicated in the leaflet of the measured parameter. Back 10) Select “immediate” or “countdown” mode 11) Insert the test card into the meter End 12) Read the result Detailed presentation Home Start Menus Parameters Kit composition - Easy reader - Electrical cords (adapter and adapter cord) - Keyboard - E-prom - Thermal paper roll - Calibration device - Blank device - Instructions for use Questions Back End Not in box but required to perform a test: - Timer - Gloves, alcohol wipes and bandages - Lab pipettes and tips Connection Connection Detailed presentation Before connecting the reader to a power source, check that the local power source is compatible with the supplied adapter (input: 100 to 240 volts AC, 50 to 60 Hz). Home Start IF NOT, DO NOT CONNECT THE INSTRUMENT! 1 Menus Parameters Questions First connect the keyboard to the reader by inserting the keyboard cord into the connector labelled “KEYBOARD” at the back of the reader. 4 2 Connect the supplied adapter cord to the connector labelled “7.5 V . 3A” at the back of the reader. 3 Connect the other end of the adapter cord into the output connector of the adapter. Back 4 Plug the male end of the adapter cord into a grounded outlet with the appropriate voltage. End 5 Press the switch on the back of the reader to start using it. 5 2 3 1 Keyboard Changing the E-prom Detailed presentation Home Start Menus Changing the E-prom For the proper functioning of the EASY READER®, an E-prom (chip) must be installed in the meter. Each E-prom (chip) contains the calibration data specific to each parameter or a range of several parameters. The following instructions describe how to replace a chip. Before changing the E-prom, switch the reader off Parameters Questions Back End 1. Open the protective cover. 3. Remove the E-prom. 4. Replace with the required E-prom. 2. Lift up the paper roll Changing paper Detailed presentation Home Start Changing paper Please open the blue lid of the printer. A little section on the right hand side makes it easier to grip the lid. Cut the beginning of the roll of thermo printer paper in such a way as to create a triangular point on the right hand side. Insert the triangular point underneath the paper feed until the paper appears and you can pull it out by hand. If you can not manage this properly, it is possible to activate the linefeed using display menu. Paper input Menus Paper output Parameters Questions Back End Please take care that the paper is never pulled out backwards against the mechanical linefeed. If a paper jam or a similar printer problem happens, please always cut the paper before printer paper input and then always cut the paper first and then pull it out by hand. Never turn the paper roll backwards. Check Check Detailed presentation Home Start Menus Parameters Questions This step allows the control of the meter with a calibration device (check-card). Please read carefully the insert sheet for the calibration step, to be properly informed. On the check-card package are indicated the appropriate limits of tolerance for meter results. After selecting Check on the main menu, you will be asked to insert the blank device to set the baseline. Please follow the instructions. It is recommended to check the meter before starting the measurements. This process should be performed once a week to verify that the optical system of the reader is well calibrated. Back This step is necessary to allow exact measurements. End Assay procedure Detailed presentation Home Start Menus Parameters Questions Back Assay procedure CAUTION! Please perform the assay procedure as indicated in the leaflet of the measured parameter. Useful recommendations Selecting Start means activating the real measuring menu. By pressing the button below Start, a control is automatically made in order to check whether there is a current zero line setting or if such a setting should be done. In the case that a new zero line setting is necessary, please follow the reader instructions. After successful zero line setting (or if such a process was done on the last 24 hours and the meter was not switched off), you will be asked to input the patient’s data needed to identify the sample via the keyboard . End Assay procedure p.2 Detailed presentation Assay procedure Useful recommendations Page 1 P.2 P.3 P.4 Home Start Useful recommendations for more accurate results during test processing 1) Switch on the reader and wait for 5 minutes to let it warm up. Menus Parameters Questions 2) Place the cassette horizontally (sample well on the left-hand side) and add the sample (whole blood, plasma or serum) in the exact position as indicated in the picture by the arrow. Back End Assay procedure p.2 Detailed presentation Assay procedure Useful recommendations P.1 Page 2 P.3 P.4 Home Start Menus Useful recommendations for more accurate results during test processing 3) When using whole blood sample, wait for the complete absorption of the sample (less than a minute). This is very important to get a clear background. Parameters Questions 4) Add four (4) drops of diluent without the bottle tip touching the cassette. Back End Assay procedure p.2 Detailed presentation Assay procedure Useful recommendations P.1 P.2 Page 3 P.4 Home Start Menus Useful recommendations for more accurate results during test processing 5) Keep the bottle vertical in order to always obtain the right volume of drops while adding the diluent into the sample well. Parameters Questions 6) Push the cassette firmly into the reader. Back End 7) Read exactly the result at the appropriate time indicated in the instruction leaflet corresponding to the tested parameter. Assay procedure p.2 Detailed presentation Assay procedure Useful recommendations P.1 P.2 P.3 Page 4 Home Useful recommendations for more accurate results during test processing Start 8) Please make sure that test cards will always be well placed in the correct position into the card holder. Menus Parameters Questions Back End Assay procedure p.2 Detailed presentation Home Assay procedure p.2 Please input the family name and first name of the patient via the keyboard. End the input by pressing the ENTER-button. Start Menus Parameters Questions Back End Assay procedure p.3 Detailed presentation Home Start Assay procedure p.3 Please input the date of birth in the requested format. End the input by pressing the ENTER-button. Slashes will be generated automatically . Menus Parameters Questions Back End Immediate or countdown Detailed presentation Immediate or countdown mode Immediate Home Start The immediate reading mode can be used only if the test has already been performed by the end-user and after waiting for the required migration time indicated in the specific test leaflet. Menus Parameters Questions Back End Countdown The Countdown mode can be used in case the test has not been already performed by the end-user. The test card is put directly into the meter after adding the sample and other reagents, if required, as indicated in the specific test leaflet. The reader will automatically calculate the reaction time before the result measurement. After pressing the countdown button, the sample selection screen will appear. Depending on the parameter, select the corresponding matrix sample (whole blood, serum, plasma, urine). Inserting the test card Detailed presentation Inserting the test card Home Start Menus Parameters Questions Back Insert the test card into the card holder with the sample well () in the opposite direction of the meter. Checking of chemical reaction time and result measurement will be performed automatically. Information will appear on the display. Please make sure that the test cards are always well placed and pushed into the card holder until they are locked. The correct positioning of the card will avoid wrong measurements and error messages. When inserting the test card, you will feel a slight resistance before the exact final position is reached.Continue to gently push the test card into the slot until it becomes locked in the correct position. End Results and printing Detailed presentation Results and printing The test result will be shown automatically and will be printed simultaneously, if the printer is “ON”. Home Start Menus Result is expressed in the unit system compatible with the measured parameter. Parameters Questions Back End By selecting “Measure”, the next test starts. By selecting Readout, the result can be shown line by line on the display, if the printer is “OFF”. After having processed the test, the cassette should be considered potentially infectious and should be discarded accordingly. Home Start Menus Parameters Questions Back End After switching on, this screen appears a few seconds. Then the main menu appears automatically on the display (click on the slide to see the next one). Home Start Menus Parameters Questions Back End Click on the black buttons on the front of the reader to see information for « Start » « Check » or « Settings ». Start parameter Home Start Menus Parameters Questions Back End Available only with the multi parameter E-prom Start parameter Home Start Menus Parameters Questions Back End Available only with the multi parameter E-prom Start parameter Home Start Menus Parameters Questions Back End Available only with the multi parameter E-prom Start parameter Blankcard Home Start Menus Parameters Questions Back End A control is automatically done in order to check whether there is a current zero line setting or if such a setting should be done. (Click on the slide to see the next one) Start parameter Blankcard Home Start Menus Parameters Questions Back End A control is automatically done in order to check whether there is a current zero line setting or if such a setting should be done. (Click on the slide to see the next one) Start parameter Blankcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Start parameter Blankcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Start parameter Blankcard Patient Name Home Start Menus Parameters Questions Back End Input the patient’s data (family name and first name ) needed to identify the sample via the keyboard. End the input by pressing the ENTER-button. Start parameter Blankcard Patient Name Birthday Home Start Menus Parameters Questions Back End Input the day of birth in the requested format. End the input by pressing the ENTERbutton. Slashes will be generated automatically. Start parameter Blankcard Patient Home Name Birthday Reading selection Start Menus Parameters Questions Back End -By pressing Immediate, the test result will be read immediately without any countdown. -By pressing Countdown (the test has not been already performed by the end-user), the reader will automatically calculate the reaction time before the result measurement. Start parameter Blankcard Home Patient Name Reading selection Countdown Birthday Start Menus Parameters Questions Back End Select the sample type either serum/plasma/urine or whole blood by pressing the corresponding button. Start parameter Blankcard Home Patient Name Reading selection Countdown New test Start Menus Parameters Questions Back End (click on the slide to see the next one) Birthday Start parameter Blankcard Home Patient Name Reading selection Countdown New test Start Menus Parameters Questions Back End Remove the blank card before inserting a new test in the slot. (click on the slide to see the next one) Birthday Start parameter Blankcard Home Patient Name Reading selection Countdown Birthday New test Start Menus Parameters Questions Back End The test card is inserted directly into the meter after adding the sample and other reagents, if required, as indicated in the specific test leaflet. (click on the slide to see the next one) Start parameter Blankcard Home Patient Name Reading selection Countdown Birthday New test Start Menus Parameters Questions Back End The reader will automatically calculate the reaction time before the result measurement. (click on the slide to see the next one) Start parameter Blankcard Home Patient Name Reading selection Countdown Birthday New test Result Start Menus Parameters Questions Back End The test result will be shown automatically and will be printed silmutaneously, if the printer is “ON”. Result is expressed in the unit system compatible with the measured parameter. Start parameter Blankcard Home Patient Name Reading selection Countdown Birthday New test Result Start Readout Menus Parameters Questions Back End By selecting Readout, the result can be shown line by line at display, if the printer is “OFF”. Start parameter Blankcard Home Patient Name Reading selection Immediate New test Start Menus Parameters Questions Back End (click on the slide to see the next one) Birthday Start parameter Blankcard Home Patient Name Reading selection Immediate New test Start Menus Parameters Questions Back End Remove the blank card before inserting a new test. (click on the slide to see the next one) Birthday Start parameter Blankcard Home Patient Name Reading selection Immediate Birthday New test Start Menus Parameters Questions Back End The immediate reading mode can be used only if the test has already been performed by the end-user and after waiting for the required migration time indicated in the specific test leaflet. Reaction time is measured by the end-user with an external timer. (click on the slide to see the next one) Start parameter Blankcard Home Patient Name Reading selection Immediate New test Start Menus Parameters Questions Back End (click on the slide to see the next one) Birthday Start parameter Blankcard Home Patient Name Reading selection Immediate Birthday New test Result Start Menus Parameters Questions Back End The test result will be shown automatically and will be printed silmutaneously, if the printer is “ON”. Result is expressed in the unit system compatible with the measured parameter. Start parameter Blankcard Home Patient Name Reading selection Immediate Birthday New test Result Start Readout Menus Parameters Questions Back End By selecting Readout, the result can be shown line by line in the display, if the printer is “OFF”. Check Blankcard Home Start Menus Parameters Questions Back End Insert the blank device to set the baseline. Please follow the reader instructions. It is recommended to check the meter before starting the measurements. (click on the slide to see the next one) Check Blankcard Home Start Menus Parameters Questions Back End Insert the blank device to set the baseline. Please follow the reader instructions. It is recommended to check the meter before starting the measurements. (click on the slide to see the next one) Check Blankcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Check Blankcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Check Blankcard Checkcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Check Blankcard Checkcard Home Start Menus Parameters Questions Back End Remove the blank card before inserting the check card in the slot. (click on the slide to see the next one) Check Blankcard Checkcard Home Start Menus Parameters Questions Back End This process should be performed once a week to verify that the optical system of the reader is well calibrated. This step is necessary to allow exact measurements. (click on the slide to see the next one) Check Blankcard Checkcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Check Blankcard Checkcard Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Check Blankcard Checkcard Home Start Menus Parameters Questions Back End Compare the obtained results with the expected values (limits of tolerance) of the calibration device. These values are printed on the calibration device pouch label. Settings Home Start Menus Parameters Questions Back End Settings User address Home Start Menus Parameters Questions Back End 5 lines of information concerning the user (name, adress, tel,…) can be saved in the reader using the keyboard. (click on the slide to see the next one) Settings User address Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Settings User address Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Settings User address Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Settings User address Home Start Menus Parameters Questions Back End (click on the slide to see the next one) Settings Output Home Start Menus Parameters Questions Back End Settings Output Display Home Start Menus Parameters Questions Back End Settings Output Display Date/Time Home Start Menus Parameters Questions Back End Adjust the date and the time using the three buttons on the front of the reader. Click “next” to go back to the main menu. Settings Output Display Language Home Start Menus Parameters Questions Back End Selecte the appropriate language. Click “next” to go back to the main menu. Settings Output Display Language Home Start Menus Parameters Questions Back End Settings Output Print/Send Home Start Menus Parameters Questions Back End Settings Output Print/Send Printer Home Start Menus Parameters Questions Back End There is a possibility of switching the printer reader ON or OFF. Home Start Menus Parameters Questions Back End Using the button below OFF or ON will bring the printer into the requested mode and then will lead to the appearance of the main menu. Settings Output Print/Send Printer Home Linefeed Start Menus Parameters Questions Back End Here you can start the linefeed (Start) and stop it (Stop). Please use this position, to switch on or switch off the linefeed while putting paper into the printer. Settings Output Print/Send Memory Home Start Menus Parameters Questions Back End The memory contains a maximum of 28 results. Entering more than 28 results (new measurements) will always lead to the deletion of the other results. The results of check card measurements will not be stored. Settings Output Print/Send Memory Home Start Menus Parameters Questions Back End Please give a two-digit input of a number between 01 and 28 on the display using the keyboard. When entering 01 the last result will be shown. Settings Output Print/Send Memory Home OK Start Menus Parameters Questions Back End By choosing No or Quit, you will return to the main menu. By choosing Yes, the printing process will start. Settings Output Print/Send Memory Home OK Yes Start Menus Parameters Questions Back End Home Start Menus Parameters Questions Back End Simplified list Detailed list AFP FOB LH CA125 FRT M-ALB CEA FSH MGL CK-MB HCG PRL CRP IgE PSA D-Dimers Insulin TRP-I TSH Simplified list Parameters Home Start Menus Parameters Questions Back End Quantitative determination Reading time (min) EASY READER measuring range AFP Alpha feto protein (tumor marker) 10 10 - 300 ng/mL CA -125 Antigen 125 (Ovarian cancer) 15 15 - 750 IU/mL CEA CarcinoEmbryonic Antigen (tumor marker) 15 5 - 250 ng/mL CKMB Creatine Kinase MB (Acute myocardial infarction) 15 5 - 200 ng/mL CRP C-Reactive Protein (inflammatory process) D-DIMERS D-Dimers (deep vein thrombosis) 15 250 - 5000 ng/mL FEU FOB Blood in feces (colorectal cancer) 10 10 - 499 ng/mL FRT Iron deficiency (anemia) 15 10 - 630 ng/mL FSH Follicle stimulating hormone (menopause) 10 5 - 400 IU/L h-CG Human chorionic gonadotropin (pregnancy) 15 5 - 1000 IU/L IgE Immunoglobulines E (allergy) 10 10 - 800 IU/mL INSULIN Insulin hormone (diabetes, insulinoma) 15 5 - 200 μU/mL LH Luteinizing hormone 10 5 - 200 IUL M-ALB Albumin in urine (diabetes) 10 2.5 - 5000 μg/mL MGL Myoglobin (acute myocardial infarction) 15 50 - 500 ng/mL PRL Prolactin hormone (lactation) 10 20 - 350 ng/mL PSA Prostate Specific Antigen (prostate cancer) 10 1 - 100 ng/mL TRP I Troponin I (Acute myocardial infarction) 20 0 - 50 ng/mL TSH Thyro Stimulating Hormone (Hypothyroidism) 15 2 - 80 mIU/L 5 or 10 2.5 - 400 μg/mL (Faecal Occult Blood) Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters AFP LH M-ALB MGL PRL Normal values Abnormal values Alpha feto protein (tumor marker) Adult < 40 ng/mL > 40 ng/mL Child (<1 year) < 30 ng/mL > 30 ng/mL Menus Parameters Questions Back End FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Reading time And Interpretation Reading time: 10 min 10 - 300 ng/mL - Testicular teratocarcinomas (75%) - Pancreatic cancers (23%) - Gastric cancers (18%) - Cronchogenic cancers (7%) - Colon cancers (5%) Other diseases as: - Viral hepatitis (24%) - Postnecrotic cirrhosis (24%) - Laennec's cirrhosis (15%) - Primary biliary cirrhosis (5%). Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters CA -125 Adult Menus Parameters Questions Back End LH M-ALB MGL PRL Normal values Abnormal values Antigen 125 (Ovarian cancer) < 35 IU/mL > 35 IU/mL FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Reading time And Interpretation Reading time: 15 min 15 – 750 IU/mL - Use in monitoring of epithelial ovarian cancer treatment. - May be also elevated in patients with cervical, fallopian tubes and uterine cancer and endometriosis. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters CEA LH M-ALB MGL PRL Normal values Parameters Questions Back End > 5 ng/mL FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range CarcinoEmbryonic Antigen (tumor marker) < 5 ng/mL Menus Abnormal values FOB 5 - 250 ng/mL Reading time And Interpretation Reading time: 15 min Increase in : - Colon, stomach, pancreas, lung cancers (75 %) - Breast, head and neck, ovary cancers (50%) -in 90 % of all with solid-tissue tumors especially with metastases to liver or lung. Other diseases as: - Alcoholic cirrhosis, chronic active hepatitis, obstructive jaundice. - Renal failure -Fibrocystic disease of breast. Other factor of CEA increased levels: - 19 % of heavy smokers and 7 % of former smokers have CEA > 5 ng/mL. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters CKMB LH M-ALB MGL PRL Normal values Parameters Questions Back End > 10 ng/mL FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Creatine Kinase MB (Acute myocardial infarction) < 10 ng/mL Menus Abnormal values FOB 5 - 200 ng/mL Reading time And Interpretation Reading time: 15 min Myocardial tissue injury (AMI : Acute Myocardial Infarction) Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters CRP LH M-ALB MGL PRL Normal values Abnormal values FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range C-Reactive Protein (inflammatory process) Reading time And Interpretation Reading time: 10 min Laboratories Menus CRP Reading time: 5 min Doctors office < 8 µg/mL Parameters Questions Back End > 8 µg/mL 2.5 - 400 μg/mL Increase in : - acute bacterial infection (300 - 350 µg/mL 80 85 % cases). - acute viral infection (> 8 µg/mL and < 200 µg/mL). - Inflammatory disorders (RA, rheumatic fever, inflammatory bowel disease...). -Tissue injury or necrosis (Myocardial infarction, ischemia, rejection of kidney, marrow transplant, malignant tumors, after surgery : peaks at 48 -72 hrs and falls to normal within 5 -7 days if no complications). Not increased in : - Autoimmune diseases (SLE, scleroderma...) - Pregnancy - Strenuous exercise - Angina - Cerebrovascular accident - Seizures - Asthma - Common cold - Rejection of heart transplant. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters Questions Back End Parameters D-DIMERS Depends on age, sex and physiological profile LH M-ALB MGL PRL Normal values Abnormal values > 400 ng/mL FEU FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range D-Dimers (deep vein thrombosis) < 400 ng/mL FEU FOB Reading time And Interpretation Reading time: 15 min 250 - 5000 ng/mL FEU Increased levels in : - Fibrinolysis - During thrombolytic or defibrination therapy with tissue plasminogen activator. - Deep-vein thrombosis. - Pulmonary embolism. - Arterial thromboembolism. - Disseminated intravascular coagulation. - Vaso-occlusive crisis of sickle cell anemia. - Pregnancy. - Maligancy. - Surgery. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters FOB LH M-ALB MGL PRL Normal values Abnormal values Blood in feces (colorectal cancer) FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Reading time And Interpretation Reading time: 10 min (Faecal Occult Blood) Menus Parameters Questions Back End < 100 ng/mL > 100 ng/mL 10 - 499 ng/mL Increase in : - Colorectal cancer, - Haemorrhoids, - Stomach irritations, - Ulcers. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters Questions Back End Parameters FRT LH M-ALB MGL PRL Normal values Abnormal values Iron deficiency (anemia) Male 12 - 300 ng/mL Female 10 - 150 ng/mL Children (newborn) 25 -200 ng/mL Children (1 month) 200 - 600 ng/mL Children (2-5 months) 50 - 200 ng/mL Children (6 months-15 years) 7 - 142 ng/mL Increased or decreased levels FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Reading time And Interpretation Reading time: 15 min 10 - 630 ng/mL Increased levels in: hemochromatosis, hemosiderosis, megablastic anemia, hemytic anemia, alcoholic/inflammatory hepatocellular disease, inflammatory disease, Hodgkin's disease and breast cancer. > 80 ng/mL essentially excludes iron deficiency. Decreased levels in: iron deficiency anemia, severe protein deficiency hemodialysis. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters Questions Back End Parameters FSH LH M-ALB MGL PRL Normal values Abnormal values < 2 IU/L > 2 IU/L Males (Adults) 1 -10 IU/L > 10 IU/L Females (Prepuberty) < 2 IU/L > 2 IU/L Females (Follicular phase) 1 - 10 IU/L > 10 IU/L Females (Midcycle) 6 - 30 IU/L > 30 IU/L Females (Luteal phase) 1 - 8 IU/L > 8 IU/L Females (Postmenopausal) 20 - 100 IU/L > 100 IU/L FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Follicle stimulating hormone (menopause) Males (Prepuberty) FOB 5 - 400 IU/L Reading time And Interpretation Reading time: 10 min Increase in : - Primary hypogonadism (anorchia, testicular failure, menopause) - Gonadotropin-secreting pituitary tumors - Complete testicular feminization syndrom - Luteal phase of menstrual cycle. Decrease in : - Secondary hypogonadism - Pituitary FSH deficiency - Gonadotropin deficiency. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters H-CG week 1 Menus Parameters Questions Back End LH M-ALB MGL PRL Normal values Abnormal values 25 – 100 I/UL week 2 50 – 1 000 I/UL week 3 100 – 5 000 I/UL week 4 600 – 9 000 IU/L week 6 1 600 – 100 000 week 8 6 000 – 200 000 month 2 to 3 20 000 - 300 000 2nd trim 9 500 – 92 000 3rd trim 6 000 – 50 000 FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Human chorionic gonadotropin (pregnancy) < 5 IU/L FOB 5 - 1000 IU/L Reading time And Interpretation Reading time: 15 min Increase in: - Pregnancy - Ectopic pregnancy (Beta-hCG) - Hydatidiform mole of the uterus (Beta-hCG) - Choriocarcinoma of the uterus, testes or ovaries (Beta-hCG). Decrease in: - Threatened abortion - Incomplete abortion - Dead fetus. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters IgE LH M-ALB MGL PRL Normal values Immunoglobulines E (allergy) < 150 IU/mL Menus Parameters Questions Back End Abnormal values > 150 IU/mL FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Reading time And Interpretation Reading time: 10 min 10 - 800 IU/mL - Diagnosis of E-myelomas -Indicates various parasitic or allergic diseases. A normal IgE level excludes the diagnosis of bronchopulmonary aspergillosis. Increased levels in: - Exogenous asthma (60%) - Hay fever (30%) - Atopic eczema. -Parasitic diseases (ascarisis etc...) Decreased levels in: - Hereditary deficiencies - Acquired immunodeficiency - Ataxia-telangiectasia - Non-IgE myeloma. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters INSULIN Adult Menus Parameters Questions Back End LH M-ALB MGL PRL Normal values Abnormal values > 20 µU/mL FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Insulin hormone (diabetes, insulinoma) < 20 µU/mL FOB Reading time And Interpretation Reading time: 15 min 5 - 200 μU/mL Not clinically useful for diagnosis of diabetes mellitus. Useful for diagnosis of insulinoma. Increase in : - Insulinoma - Factitious hypoglycemia - Insulin autoimmune syndrome - Untreated obese patients with mild diabetes - Patients with acromegaly - Reactive hypoglycemia after glucose ingestion. Absent in : - Severe diabetes mellitus with ketosis and weight loss. Normal in : - Hypoglycemia associated with nonpancreatic tumors - Idiopathic hypoglycemia of childhood except after administration of leucine. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters LH LH M-ALB MGL PRL Normal values Abnormal values FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Luteinizing hormone Reading time And Interpretation Reading time: 10 min (in serum) Menus Adult females 4 – 30 UI/L (menstruating) Adult females 14 – 18 UI/L (midcycle) Parameters Questions Back End Increased or 5 - 200 IUL decreased levels Increase in : - Primary hypogonadism - Luteal phase of menstrural cycle Decrease in : - Secondary hypogonadism - Pituitary LH deficiency - Gonadotropin deficiency Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters M-ALB LH M-ALB MGL PRL Normal values Abnormal values Menus Parameters Questions Back End FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Albumin in urine (diabetes) < 20 mg/L (urine) > 20 mg/L (urine) FOB Reading time And Interpretation Reading time: 10 min 2.5 - 5000 μg/mL Increase in : - Diabetes mellitus - Chronic and acute renal disease. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Parameters MGL LH M-ALB MGL PRL Normal values Parameters Questions Back End > 80 ng/mL FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Myoglobin (acute myocardial infarction) < 80 ng/mL Menus Abnormal values FOB Reading time And Interpretation Reading time: 15 min 50 - 500 ng/mL Increased levels in : - Myocardial infarction (earlier marker of AMI) - Skeletal muscle inflammatory (myositis) - Malignant hyperthermia. - Muscular dystrophy - Skeletal muscle ischemia - Rhabdomyolysis. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters Questions Back End Parameters PRL LH M-ALB MGL PRL Normal values Abnormal values Prolactin hormone (lactation) Adult male < 20 ng/mL Adult female 0 - 20 ng/mL Pregnant female 20 - 400 ng/mL > 20 ng/mL / FOB FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Reading time And Interpretation Reading time: 10 min 20 - 350 ng/mL - 40 - 85 ng/mL : seen in craniopharyngioma, hypothyroidism, effect of drugs. - 50 ng/mL : 25 % chance of a pituitary tumor. - 100 ng/mL : 50 % chance of a pituitary tumor. - 200 - 300 ng/mL : 100 % chance of a pituitary tumor. Other causes of increased levels: - Amenorrhea/galactorrhea - Hypothalamic lesions - Other endocrine diseases. - Pregnancy - Liver failure - Idiopathic causes. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters Questions Back End Parameters PSA LH M-ALB MGL PRL Normal values Abnormal values < 4 ng/mL > 4 ng/mL Male > 70 years < 6.5 ng/mL > 6.5 ng/mL FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Prostate Specific Antigen (prostate cancer) Male < 70 years FOB 1 - 100 ng/mL Reading time And Interpretation Reading time: 10 min Increase in : - Cancer, - Prostatitis, - Benign prostatic hypertrophy, - Acute urinary retention. Decrease in: - Ejaculation within 24 - 48 hours, - Castration, - Use of antiandrogen drugs, - Radiation therapy, - Prostactectomy, - PSA falls 17 % in 3 days for patient lying in hospital bed. Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters Questions Back End Parameters TRP I LH M-ALB MGL PRL Normal values Abnormal values < 0.8 ng/mL > 0.8 ng/mL (whole blood) < 1.0 ng/mL > 1.0 ng/mL FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Troponin I (Acute myocardial infarction) (plasma/ serum) FOB Reading time And Interpretation Reading time: 20 min 0 - 50 ng/mL The most specific marker of acute myocardial infarction (AMI). Detailed list AFP CA-125 CEA CKMB CRP D-DIMERS INSULIN Home Start Menus Parameters TSH LH M-ALB MGL PRL Normal values Abnormal values / > 5.0 mIU/L Possible / < 0.10 mIU/L 0.10 - 0.29 mIU/L / hyperthyroidism Parameters Borderline Questions Back End FRT FSH HCG IgE PSA TRP-I TSH EASY READER measuring range Thyro Stimulating Hormone (Hypothyroidism) Possible hypothyroidism FOB 2 - 80 mIU/L Reading time And Interpretation Reading time: 15 min Increase in: - Primary untreated hypothyroidism - Patients with Hashimoto's thyroiditis - Use of various drugs (Iodine containing drugs, dopamine antagonists). - Neonatal period - Thyrotoxicosis due to pituitary thyrotroph adenoma. Decrease in: - Hyperthyroidism - Acute psychiatric illness - Severe dehydration - Drug effect - First trimester of pregnancy. Home Start Menus Parameters Questions Back End Reader technical data Useful recommendations Questions Answers Maintenance Error messages Troubleshooting Reader technical data Home Start Menus Parameters Questions Back End Display range: Qualitative results (negative or positive) Sample material: Whole blood, plasma, serum or urine samples Display: LCD-Display 2 x 24 characters Printer: Thermal paper printer, roll width 54 mm Memory capacity: 28 results Dimension: 200 x 200 x 70 mm Weight: 822 g without power supply unit, 1104 g with power supply unit Power supply: 7.5 V DC with power supply unit (100-240 V ~) Consumption : 8W Optimal working temperature: +15 C to +30 C Relative humidity: < 95% Storage and transportation conditions (reader): -10 to +60 C, < 95% humidity EMC compatibility: This instrument is EMC-tested and fulfils requirements of guidelines EN 61326:1997, 55022, 61000-3-2/-3, 61000-4-2/-3/-4/-5/-6/-11. Useful recommendations Home Start Page 1 P.2 P.3 P.4 Useful recommendations for more accurate results during test processing 1) Switch on the reader and wait for 5 minutes to let it warm up. Menus Parameters Questions Back End 2) Place the cassette horizontally (sample well on the left-hand side) and add the sample (whole blood, plasma or serum) in the exact position as indicated in the picture by the arrow. Useful recommendations Home Start Menus P.1 Page 2 P.3 P.4 Useful recommendations for more accurate results during test processing 3) When using whole blood sample, wait for the complete absorption of the sample (less than a minute). This is very important to get a clear background. Parameters Questions Back End 4) Add four (4) drops of diluent without the bottle tip touching the cassette. Useful recommendations Home Start Menus P.1 P.2 Page 3 P.4 Useful recommendations for more accurate results during test processing 5) Keep the bottle vertical in order to always obtain the right volume of drops while adding the diluent into the sample well. Parameters Questions 6) Push the cassette firmly into the reader. Back End 7) Read exactly the result at the appropriate time indicated in the instruction leaflet corresponding to the tested parameter. Useful recommendations P.1 P.2 P.3 Page 4 Home Useful recommendations for more accurate results during test processing Start 8) Please make sure that test cards will always be well placed in the correct position into the card holder. Menus Parameters Questions Back End Questions Answers Maintenance Home Start Menus Parameters Questions Back End The reader does not require regular maintenance. With normal usage, the device will not become dirty. The surface of the meter can be cleaned with a slightly moistened, soft cloth. Please strictly avoid any liquid penetrating into the meter. If needed, the black test card holder can be completely pulled out of the meter and be cleaned with tap water. Disinfection using isopropanol is possible. Please make sure that the test card holder is completely dry before putting it back into the meter. To obtain good and consistent results, you should note the following: a) Do not expose the instrument to direct sunlight or severe temperature fluctuations. b) Set up the instrument in humidity-free conditions. c) Always keep the test card holder dust and dirt free. Questions Answers Home Start Menus Parameters Questions Back End Error messages E04 WRONG CODEKEY A wrong version of E-prom (chip) is inserted into the slot. Switch off the reader. Remove the chip and replace it with an E-prom of the right version. Switch on the reader. E05 NO CODEKEY Reader internal error. Not possible to repair by the user. Please contact your supplier immediately. E06 SAMPLE INVALID The reader has detected an abnormal reaction on the test card. Perhaps the sample was haemolytic or the test card was defective. Repeat the measurement with a new test card. E10 WRONG POSITION Position of test card in the meter is not correct. Check whether the test card was placed in the meter in the right position following the arrow (sample well () and not in the opposite direction. Also check that it is fully inserted into the slot (until locked). E14 User memory full The maximum memory capacity (28 results) is reached; every further examination will cause the deletion of the oldest result. E14 User memory empty No results stored. Therefore, no stored results can be shown. E20 WRONG DATE Wrong date programmed. Please make sure that the entered date is correct. E22 CALIBRATION ERROR The reader has detected a wrong internal calibration. Please switch off device and then switch on again. Please set a new zero line with the blank device. E23 PRINTER ERROR The reader has detected an internal printer error. Please check the correct paper position. Switch off meter and then on again. If the problem persists, please contact your supplier. E25 EXTERNAL LIGHT Optical compounds have recorded too much external light. Please avoid positioning the reader in too intensive external light (e.g. sunlight, halogen beamer) towards the card holder opening. E28 BLANK/OPTIC FAULT Zero line setting was not accepted. Please try again as per the instructions. If the problem persists, please contact your supplier. E30 WRONG FORMAT Wrong format. Please follow the advice shown on the display. Repeat this step. Questions Answers No output to screen. Troubleshooting a. Check that the Easy Reader® is plugged into the electrical supply. b. Check the position of on/off button. It should be positioned on “ON”. Home Start Message on screen : E25 : EXTERNAL LIGHT Interference due to external light. The reader should be repositioned to avoid direct light. Message on screen : E28 : BLANK/OPTIC FAULT The device used to perform “Blank strip” operation is not a true blank device. Message on screen : E06 : SAMPLE INVALID Test bands are not detected by the camera : a. Blank device has been read. b. The sample has not correctly migrated on the membrane (no Control line). The test is non valid. c. The test device has not been well positioned in the reading slot or has not been pushed in enough. No print a. Check the “Settings” menu to verify whether the printer has been deactivated. b. Check that the paper is correctly positioned in printer as described in MD-361018 Part IX (General instructions leaflet). The printing quality is not correct. Clean the printer (printing heads are probably dusty) using a soft brush. Expected results are not correct. a. Blank operation has not been performed using a true blank device. b. Test device has been reversed or has not been pushed completely into the reading slot. Date and Time are not correct. Check “Settings” menu and set the Date and Time parameters to the correct values. Commands are blocked and forbid the use of the reader. E-prom not designed for this version. Switch off the reader and try again. If still blocked, the reader must be returned to VEDALAB. Results for check card are rendered as 2 values not 3. The parameter to be assayed is a 2 line parameter. Only a few parameters (hCG, CRP, Micro -Albumin) will show 3 values for the check card. Message on screen : E 04 : WRONG CODEKEY Check the inserted E-prom. The E-prom version is not designed for C version reader. Menus Parameters Questions Back End
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