Cautions and Notes Serious Incidents Reporting - Any serious incident that has occurred in relation to the Aperio GT 450 DX shall be reported to the manufacturer and the competent authority of the member state in which the user and/or the patient is established.
Intended Purpose The Aperio GT 450 DX is a device for creation of digital images of scanned surgical pathology glass slides prepared from formalin-fixed paraffin embedded (FFPE) tissue that would otherwise be appropriate for manual visualization by conventional light microscopy. Aperio GT 450 DX is intended for in vitro diagnostic use with compatible viewing software and display that has been validated for use with this scanner as an aid to the pathologist in the qualitative review and interpretation of digital images.
15 mm x 15 mm area. The Aperio GT 450 DX is intended for use by trained clinical pathology histotechnicians, while the Aperio GT 450 SAM DX software is intended for use by IT professionals and laboratory administrators.
Component and Part Replacement Warnings There are no user-replaceable parts or components in the Aperio GT 450 DX. Replacement of parts or components within the Aperio GT 450 DX must be performed by qualified Leica Biosystems Technical Services personnel using Leica Biosystems specified parts.
WARNING: Two people are required for lifting the scanner. Installation and setup of the scanner should only be performed by a trained Leica Biosystems Service representative. After installation, the Leica Biosystems Service representative will check the scanner for proper operation.
Chapter 1: Introduction When you first receive the Aperio GT 450 DX and accessories, inspect the pallet and attached boxes for any damage. If the package has visible damage from shipment, contact Leica Biosystems Customer Service for assistance. Disposal of the Aperio GT 450 DX The Aperio GT 450 DX is regulated as Electrical and Electronic Equipment Waste (WEEE) under 2012/19/EU and must be discarded under special conditions.
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Moving – Use care if you must slide the scanner around the workbench. If you need to pick up the scanner to move it off the workbench, contact Leica Biosystems Technical Services. Moving the scanner may void the applicable product warranty—contact Leica Biosystems for advice.
This chapter provides an overview of the Aperio GT 450 DX Scanner. Theory of Operation The Aperio GT 450 DX scanner contains an automated slide loader subsystem which is designed to process standard 1” X 3” (2.54 cm x 7.62 cm) microscope slides.
Chapter 2: Aperio GT 450 DX Overview Help Videos and Guides You can access training videos and the Aperio GT 450 DX Quick Reference Guide directly from the touchscreen interface. We recommend that you watch the training videos before operating the scanner for the first time.
Image Types Supported The Aperio GT 450 DX creates SVS files and DICOM compatible images. If you want your scanned images to be in DICOM format, this must be enabled on SAM DX and your IT environment must meet the requirements detailed in the Aperio DICOM Conformance Statement.
It is the responsibility of the lab to verify the quality of the tissue preparation, the physical characteristics of the slide, and the staining quality. CAUTION: Ensure that the slides and racks you use meet the Aperio GT 450 DX specifications. Refer to Aperio GT 450 DX Specifications, MAN-0479.
Leica Biosystems HistoCore SPECTRA Coverslipper. The Aperio GT 450 DX supports common industry glass or plastic coverslips used for 1-inch x 3-inch (2.54 cm x 7.62 cm) slides. See the Aperio GT 450 DX Scanner Specifications for coverslip specifications. (Glass coverslips are recommended.) The quality of the scan is affected by the condition of the coverslip.
Wipe the coverslip clean of dust and fingerprints before loading the slide in the scanner. Labels The Aperio GT 450 DX supports common industry labels used for 1 x 3 inch (2.54 cm x 7.62 cm) slides. Improperly applied slide labels can cause slides to jam.
This section provides basic concepts on the scanning workflow and the carousel rotation features. We recommend reviewing this section before using the scanner. Scan Workflow The Aperio GT 450 DX is a continuous load scanner. You can continually load new racks and unload completed racks, as shown below: Slides loaded...
Scan Statistics The Aperio GT 450 DX provides scan statistics, such as the number of slides or racks scanned per day, per week, etc. Tap Stats to view statistics for the Last 7 Days, Last 12 Months, or Lifetime by Year.
Maintenance This chapter contains a maintenance schedule and procedures for maintaining your Aperio GT 450 DX scanner. Call Leica Biosystems Technical Services if you cannot perform a maintenance routine or if you discover a problem with your scanner. Before performing maintenance, we recommend you watch the maintenance videos available on the touchscreen. See “Help Videos and Guides”...
Chapter 5: Maintenance Serial Number and Firmware Version You need the serial number and current software version if you call Leica Biosystems Technical Support. Tap Maintenance on the touchscreen interface to view the serial number, firmware version, and other system information. Shut Down the Scanner Use this procedure when you need to turn off the scanner.
Slide the scanner cover back into position so that it is aligned with the rear latches and clicks closed. Turn on the scanner. Transporting or Moving the Aperio GT 450 DX If you need to relocate the scanner, contact Leica Biosystems Technical Services. Be aware that moving the scanner yourself may void the hardware warranty. Long Term Storage If you are not going to use the scanner for a considerable amount of time, shut it down and unplug it.
This chapter contains information and instructions to help you resolve troubleshooting issues with your scanner. For issues with the Scanner Administration Manager, see the Aperio GT 450 DX Scanner IT Manager and Lab Administrator Guide. WARNING: Do not attempt to perform troubleshooting procedures not shown in this chapter. For additional troubleshooting assistance, contact Leica Biosystems Technical Services.
Pivot out VPU For detailed steps, see “Open the Scanner Cover and Access the Interior Components” on page 42. Take photos of any obstructions. Leica Biosystems Technical Services may request the photos if you need additional assistance after completing the steps below.
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Pivot out VPU For detailed steps, see “Open the Scanner Cover and Access the Interior Components” on page 42. Take photos of the obstruction. Leica Biosystems Technical Services may request the photos if you need additional assistance after completing the steps below.
“Image Quality” on page 78 “Image Transfer Error – Pending Retry” on page 79 “Aborted” on page 79 If the issue persists after following the relevant procedure, keep the slide available for inspection and contact Leica Biosystems Technical Services. Slide Errors and Solutions If there is an issue scanning a slide, one of the following error messages appears in Slide View.
Labels are not overhanging or on wrong side. There is only one label applied to the slide. Slide is clean. If every slide has the same error, or if the issue persists after following the previous steps, call Leica Biosystems Technical Services. Image Quality Cause: The scanner’s Auto-Image QC feature detected an image quality issue.
Internet Connection Lost The Aperio GT 450 DX must be connected to the Scanner Administration Manager (SAM DX) through your Local Area Network to function. If that connection is lost, you see: You can attempt to re-establish network connection by typing the IP address of the SAM DX server. (Contact your IT staff for this information.) If this does not establish network connection, contact your IT staff for assistance.
Performance Information Analytical Performance This section gives a summary of the Aperio GT 450 DX analytical performance studies. Trueness Test Acceptance Criteria Test Purpose Tissue Finder System encompasses all stained portions of Demonstrates that all tissue specimen on the tissue block at defined success rates for the glass slide is included in the digital FFPE H&E-Stained slides –...
The clinical performance, measured in terms of concordance of pathology findings between the Aperio GT 450 DX and traditional light microscopy has been demonstrated by Hanna et al. 2020, who demonstrated that the Aperio GT 450 DX had a major diagnostic concordance of 100% and a minor diagnostic concordance of 98.8%.
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