Idexx SediVue Dx Operator's Manual
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Idexx SediVue Dx Operator's Manual

Urine sediment analyzer
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SediVue Dx*
Urine Sediment Analyzer
Operator's Guide
1

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  • Page 1 SediVue Dx* Urine Sediment Analyzer Operator’s Guide...
  • Page 2 © 2018 IDEXX Laboratories, Inc. All rights reserved. • 06-0005080-06 *SediVue Dx, SediVue, IDEXX VetLab, SmartService, and VetConnect are trademarks or registered trademarks of IDEXX Laboratories, Inc. in the United States and/or other countries. All other product and company names and logos are trademarks of their respective holders.

  • Page 3: Table Of Contents

    Contents Getting started ............................5 Welcome! ..............................5 Introduction ..............................5 SediVue Dx results ............................6 SediVue Dx images .............................7 Compatible species .............................8 SediVue Dx components ..........................8 SediVue Dx supplies ............................9 Pay per Run ..............................9 Analyzer status ............................9 Including physical/chemical urinalysis results with your SediVue Dx results ..........................10...
  • Page 4 Miscellaneous troubleshooting FAQs ......................28 QC FAQs ..............................29 Pay per Run and auto replenishment FAQs ....................29 Appendices ............................30 Preparing the installation site ........................30 Installing the SediVue Dx analyzer ......................30 Technical specifications ..........................31 Safety precautions .............................31 International symbol descriptions ......................33 Other symbols ............................34...

  • Page 5: Getting Started

    70 high resolution digital images (equivalent to 45 High Power Fields (HPF) of View) for every sample run. The SediVue Dx then leverages proprietary cutting-edge convolutional neural network technology and machine learning to identify, classify, and prioritize clinically significant formed elements within the sediment to increase the reliability, speed, and accuracy of detecting renal and urinary tract abnormalities.

  • Page 6: Sedivue Dx Results

    Since the SediVue Dx is analyzing 45 HPF, which is up to four times more material than the typical 10 HPF reviewed during manual microscopy, there is a potential for finding a single (or very few) element(s) that would have normally been reported as “none seen”...

  • Page 7: Sedivue Dx Images

    Getting Started SediVue Dx images The SediVue Dx Urine Sediment Analyzer takes 70 high-resolution digital images for every patient run. These images are equivalent to 45 high-power fields of view using a 40x objective. Using a proprietary neural network algorithm, each of the 70 images is scanned to identify, classify, and count the formed elements.

  • Page 8: Compatible Species

    Getting Started Compatible species The SediVue Dx analyzer has been validated on canine and feline urine samples. Note: Urine from other species or other fluid types may be run on the analyzer; however, only images will be included in the report.

  • Page 9: Sedivue Dx Supplies

    Pay per Run works in conjunction with your SmartService* Solutions connection to monitor patient runs on your SediVue Dx analyzer and bill for those runs on a monthly basis: Runs are invoiced on a monthly basis according to your localized standard payment terms.

  • Page 10: Including Physical/Chemical Urinalysis Results With Your Sedivue Dx Results

    SediVue Dx results for a comprehensive urinalysis. By default, this icon displays in the patient’s job status area when the SediVue Dx icon is selected. If you would like to modify the setting, follow these steps: Tap the SediVue Dx icon on the IDEXX VetLab Station Home screen.

  • Page 11: Running A Sample On The Analyzer

    Running a sample on the analyzer Installing/replacing the cartridge sleeve You’ll receive a message on the IDEXX VetLab* Station when the cartridge sleeve is almost empty. You can choose to be reminded again after the next run or when the cartridge sleeve is empty.

  • Page 12: Preparing Samples

    Running a Sample on the Analyzer Preparing samples Urine samples that are run on the SediVue Dx* analyzer can be obtained via cystocentesis, catheterization, or free catch method. For best results, analyze urine samples within 30 minutes of collection. Otherwise, store the sample in the refrigerator for up to 2 hours.

  • Page 13: Diluting Samples

    4. Press the Start button on the front of the analyzer. A progress bar displays next to the icon in the patient’s job status area on the IDEXX VetLab Station Home screen, indicating the percentage of the run that has completed.

  • Page 14: Understanding Your Results

    Dilutions When a urine sample is crowded and the edges of the elements overlap, the SediVue Dx convolutional neural network may have difficulty discerning the elements from one another. Diluting the urine sample will help spread the elements apart for easier identification and classification.

  • Page 15: Out Of Focus

    Bacteria can be a challenge to distinguish from amorphous debris and crystalline material. When the presence of bacteria is “suspect presence,” the SediVue Dx Urine Sediment Analyzer’s convolutional neural network will suggest that you review the patient’s images for deeper clinical insights.
  • Page 16 Understanding Your Results Bacteria (suspect presence) When the Confirm with one of the following: image review, air-dried, stained cytological preparation (“dry prep”), or urine culture message appears, bacteria may be present in the sample. The images should be reviewed to determine if there is sufficient evidence of bacteriuria by identifying uniformly sized structures or if the small structures are in the form of chains or doublets.
  • Page 17 Understanding Your Results 9. Move the spreader slide toward the end of the specimen slide, keeping the two in contact with each other. 10. In the middle of the slide, abruptly stop spreading the urine sample and lift the spreader slide straight up to form a line of material.

  • Page 18: Crystals

    Understanding Your Results Crystals Crystals can come in a variety of different shapes, sizes, and presentations. Urine pH, specific gravity, sample preparation and handling, and drugs can all play a part in crystal formation. Crystals in small numbers (e.g., struvites) may be normal for some dogs but others (e.g., cystine) may signify disease processes.

  • Page 19: Accessing Results

    Patient test results can be printed automatically each time a set of results is returned, or you can manually print the results when needed. For more information about how to view and print test results, see the IDEXX VetLab Station Operator’s Guide.

  • Page 20: Adding Comments To Results

    Adding comments to results On the SediVue Dx tab of the Records: Test Results screen, tap Add Comments. 2. In the Comments area, enter the comments that you want to display in the Notes section on the Records: Test Results screen and on the patient report (e.g., presence of bacteria confirmed by image review).
  • Page 21 Tap the SediVue Dx icon on the IDEXX VetLab Station Home screen. 2. Tap Settings. 3. If you want to include the highest priority SediVue Dx image on the printed report, in the Printing Image on Report group box, select the Automatically include SediVue Dx image on report check box.

  • Page 22: Quality Control

    5. Gently invert the vial 10 times to ensure the cells at the bottom of the vial are completely suspended. 6. Using the SediVue pipette, aspirate 165 μL of IDEXX SediVue* QC fluid and then inject it into a cartridge in the pipetting window.

  • Page 23: Maintenance

    Maintenance Upgrading the software As new features and functionality are added to the SediVue Dx* analyzer, you will receive software upgrades from IDEXX. These upgrades will be sent automatically to your IDEXX VetLab* Station via your SmartService* Solutions connection. You’ll receive a message in the IDEXX VetLab Station Message Center when an upgrade is available.

  • Page 24: Cleaning The Analyzer (Monthly Or As Needed)

    Maintenance Cleaning the analyzer (monthly or as needed) To ensure the optimal performance of your SediVue Dx* Urine Sediment Analyzer, it’s recommended that you clean the internal components of the analyzer on a monthly basis. If a cartridge is overfilled or filled incorrectly, cleaning is also needed to prevent the excess sample from contaminating the analyzer’s moving parts.
  • Page 25 IMPORTANT: Do not use any of the following near the analyzer: organic solvents, ammonia-based cleaning products, ink markers, sprays containing volatile liquids, insecticides, disinfectants, polish, or room fresheners. 1. Tap the SediVue Dx 2. Open the analyzer 3. Remove the cartridge...
  • Page 26 8. Using a new alcohol 9. Return the waste bin, 10. Close the analyzer prep pad, clean the drip tray, centrifuge door. On the IDEXX move arm and then shield, and cartridge VetLab Station Home dry it with an optical...

  • Page 27: Frequently Asked Questions

    My cartridge counter is wrong—how do I fix it? If the cartridge counter on the SediVue Dx Instruments screen is incorrect, you can: • Keep using the system until it runs out of cartridges or until the counter reaches zero.

  • Page 28: Image Faqs

    How do I cancel a run that is already in process? To cancel a run that is already in process, tap the SediVue Dx icon on the IDEXX VetLab Station Home screen and then tap Cancel Run.

  • Page 29: Qc Faqs

    The SediVue QC material is good for 30 days at room temperature. If the material looks clear, place it back in the refrigerator. If contaminated, discard the QC material and call IDEXX to order more. Pay per Run and Auto Replenishment FAQs...

  • Page 30: Appendices

    Note: For more information about connecting your analyzer to the router, see the installation instructions that accompanied your router. 3. Power on the SediVue Dx analyzer. Once the SediVue Dx icon displays on the IDEXX VetLab Station Home screen, your connections are complete.

  • Page 31: Technical Specifications

    The analyzer does not contain any user-serviceable components. DO NOT disassemble. Line voltage for the SediVue Dx AC power cable is 100–240 V AC, 50–60 Hz. Be sure to plug all equipment into properly grounded electrical outlets.
  • Page 32 Installation, service, and repair must be performed by personnel authorized and trained by IDEXX Laboratories only. Line voltage for the SediVue Dx AC power cable is 100–240 V AC, 50–60 Hz. Be sure to plug all equipment into properly grounded electrical outlets.

  • Page 33: International Symbol Descriptions

    (such as expiration date, temperature limitations, batch code, etc.). IDEXX Laboratories has adopted the use of international symbols on our analyzers, product boxes, labels, inserts, and manuals in an effort to provide our users with easy-to-read information.

  • Page 34: Other Symbols

    Appendices Symbol Description Symbol Description Keep dry Fragile Conserver dans un endroit sec Fragile Mantener seco Frágil Vor Nässe schützen Zerbrechlich Tenere al riparo dall’umidità Fragile 濡らさないこと。 取扱注意 This side up Date of manufacture Haut Date de production Este lado hacia arriba Fecha de producción Diese Seite nach oben Herstelldatum...

  • Page 35: Idexx Technical Support Contact Information

    Appendices IDEXX technical support contact information IDEXX Sales Representative: Telephone/Voice Mail: United States: 1-800-248-2483 Latin America: CAG-LAO2012@idexx.com Australia: 1300 44 33 99 Luxembourg: 352 (0)34 20 80 87 22 Austria: 43 (0)1 206 092 729 Netherlands: 31 (0)70 700 7033...

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