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Zoetis vetscan SA User Manual

Sediment analyzer
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SA
Sediment Analyzer
USER'S
MANUAL
v1.2 Software
For Veterinary Use Only

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  • Page 1 Sediment Analyzer USER’S MANUAL v1.2 Software For Veterinary Use Only...
  • Page 2 Zoetis Belgium S.A., Rue Laid Burniat 1, 1348 Louvain-La-Neuve, Belgium FOR VETERINARY USE ONLY All trademarks are the property of Zoetis Services LLC or a related company or a licensor unless otherwise noted. ©2020 Zoetis Services LLC. All rights reserved. 1550-7013 Rev. C VE TS CA N SA US ER ’...
  • Page 3 Zoetis. Zoetis reserves the right to modify its products and services at any time. This user’s manual is subject to change without notice. Although prepared to ensure accuracy, Zoetis assumes no liability for errors, or for any damages resulting from application or use of this information.
  • Page 4 EU Machinery Directive 2006/42/EC EU RoHS2 Directive 2011/65/EU The Products Covered by this Declaration VETSCAN SA sediment analyzer The Basis on which Conformity is being declared The manufacturer hereby declares under his sole responsibility that the products identified above comply with the essential health and safety requirements of the Machinery directive 2006/42/EC.

  • Page 5: Table Of Contents

    Appendix H: Part Numbers..................................52 Appendix I: Troubleshooting................................53 Appendix J: Gross Examination, Specific Gravity, and Dilution Fields................59 Appendix K: Understanding Urine Dilutions on the VETSCAN SA................60 Appendix L: VETSCAN SA Suggested Normal Ranges......................63 Appendix M: VETSCAN UA Results Bins............................64 VE TS CA N SA US ER ’...

  • Page 6: Introduction

    Introduction The VETSCAN SA enables practitioners to perform urine microscopy by evaluating the native urine sediment with consistent and efficient high quality images at the point of care. Combined with the VETSCAN UA for urine chemistry testing, it’s the complete solution for your in-clinic urinalysis needs.

  • Page 7: Intended Use

    Intended Use The VETSCAN SA is intended for veterinary use only for testing of urine sediment in mammalian urine samples, particularly dogs and cats. Urine samples collected from other species may be run on the analyzer, but have not been validated. The VETSCAN SA will provide quantitative and...

  • Page 8: Result Classifications

    Result Classifications The VETSCAN SA reports both quantitative and semi-quantitative results. Quantitative Results Parameter SA Display ≤ 5.0 Range Above Range Units Red Blood Cells 5-500 >500 /µL White Blood Cells 5-500 >500 /µL Parameter SA Display ≤ 1.0 Range...

  • Page 9: Result Warnings

    Result Warnings The VETSCAN SA also displays warnings above the test results in a section titled SA Test Results. It is best practice to review the images provided with every sample run. The SA Test Results section will turn orange if “Review Images—Unclassified Elements Present,”...

  • Page 10: System Overview

    • VETSCAN SA Display Monitor (PN 1550-1007) • VETSCAN SA International Power Cords (see Appendix G for listings) The VETSCAN SA analyzer works with the following reagent, cleaner and control: • VETSCAN SA Reagent Kit (PN 1550-9000) • VETSCAN SA Cleaner Kit (PN 1550-9001) •...
  • Page 11 RINSE A RINSE B SENSOR WASTE Front Panel Rear Panel 1. Sample probe 1. Input/output panel 2. Blue start paddle 2. Power connection 3. Reagent connection panel Side Panels 1. Door latch 2. Power switch 3. Fan filter door VE TS CA N SA US ER ’ S M A N UA L 1 .
  • Page 12 RINSE A RINSE B SENSOR WASTE Input/output panel Reagent connection panel Ports (1) Ethernet ports (2) USB ports (3) VGA monitor port (4) Mouse port (5) Keyboard port Note: The HDMI and DVI ports are not supported and should not be used to connect a display monitor.

  • Page 13: Safety

    The safety metal cover surrounds the system to protect the user from exposure to electrical current. Before use, inspect the VETSCAN SA system for cracks and chips, which may allow the test sample to leak from the tubes and cause a potential electrical hazard. Additionally, inspect all electrical cables and plugs for loose connections, cracks, breaks or corrosion.

  • Page 14: Vetscan Sa Menu

    VETSCAN SA Menu When the VETSCAN SA powers on, the top menu has three selections: Measure is for running samples. Database is for reviewing previous tests run. Tools is for changing settings and maintenance of the analyzer. VE TS CA N SA US ER ’ S M A N UA L...
  • Page 15 The Measure menu screen is divided into five different panels. Measure Menu Screen 1. Left Side Panel: guides the user through running a test using images and text. 2. SA Images Panel: images captured at end of sample analysis. 3. Sample Entry Panel: where a user enters in all the inputs related to the sample. 4.

  • Page 16: Running A Sample

    UA strip, if also running a UA test. Sample Handling Do not centrifuge or stain urine samples before use on the VETSCAN SA and VETSCAN UA. Use fresh, well mixed urine. Urine samples may be tested immediately after collection up to one-hour post collection, if stored at room temperature.

  • Page 17: Running A Test

    There are three test workflows that can be initiated on the VETSCAN SA, two of which require a VETSCAN UA connected to the SA. Since there are two strip types (UA10 and UA14) on the VETSCAN UA, five unique Test Types can be selected.

  • Page 18: Sa+Ua Test

    Perform the next three steps before the timer reaches 35. 1. Zoetis Internal VETSCAN SA Dilution Study – TI-04858 VE TS CA N SA US ER ’ S M A N UA L 1 . 2 S OF T WA RE...
  • Page 19 UA.Test (continued) 12. Re-mix urine sample by gently inverting. Ensure a thoroughly mixed sample. 13. Immediately apply urine sample to strip. Use a dropper pipette to drop urine over entire strip, completely wetting each pad. Do not leave excess urine on strip for more than 2 seconds.

  • Page 20: Sa Only Test

    While measuring, the SA screen is locked and navigation to other screens is prohibited. Also, the SA status indicator light (top right of the SA Results Panel) will display yellow during measurement process. 1. Zoetis Internal VETSCAN SA Dilution Study – TI-04858 VE TS CA N SA US ER ’ S M A N UA L...

  • Page 21: Ua Only Test

    UA Only Test 1. Enter Patient Information: Enter Patient ID and select Species (Cat, Dog, Other, Control). Enter Patient Name and Doctor Name if desired. 2. Enter physical characteristics of the sample (recommended): Use the drop-down option lists to select gross examination fields for the sample (Collection Method, Color, and Clarity) for the medical record.
  • Page 22 WARNING! Ensure the strip has been placed in the tray before the Strip Tray begins to move into the analyzer. If a strip is not present in the Strip Tray at the conclusion of the measurement, an error will be reported on the UA and sent to the SA.

  • Page 23: Urinalysis Results

    Urinalysis Results Results will appear onscreen in approximately five minutes after the start of the test. Select images to print and input any comments into the comments section and select Save or Retest. Once the results are Saved, the SA analyzer will automatically print all results if Auto-Print is selected in the settings and the printer is connected and powered on.

  • Page 24: Sa Images Panel

    SA Images Panel Up to 96 images from the urine sediment test will be displayed on the SA Images Panel. It is best practice to review images provided with every sample run. • Select x4 for group of 4 images at a time, or x16 to see 16 images at a time •...

  • Page 25: Sa Results Panel

    SA Results Panel The SA result classifications from the urine sediment test are shown on the SA Results Panel by Parameter, Value, and Unit. SA Warning Area SA Sediment Classifications SA Warning Area SA Sediment Classifications SA Warning Area SA Sediment Classifications SA Results Panel Examples (1) Results with No Warnings, (2) No SA test measured where N/A represents Not Applicable, (3) Review images - Unclassified Elements Preset, (4) Review Images - Bacteria Suspected, (5) Review Images - Multiple Elements...

  • Page 26: Ua Results Panel

    UA Results Panel The UA results from the urine chemistry test are shown on the UA Results Panel by Parameter, Value, and Unit. The test results are classified into semi-quantitative bins. See Appendix J for all the bins grouped by test analyte. UA Warning Area UA Chemistry Result UA Results Panel Examples (1) Results from UA10 strip test, (2) Results from UA14 strip test, (3) UA error during a...

  • Page 27: Urinalysis Printout

    Doctor: Physical characteristics of Test Type: Collection Method: Clarity: Color: Specific Gravity: sample and specific gravity VETSCAN SA and UA serial VETSCAN SA VETSCAN UA number and software version Urine sediment results Urine chemistry results SA SN: UA SN: Reagent Kit Lot:...

  • Page 28: Retest Sa

    . The SA will automatically calculate results based on the dilution selected. 1. Zoetis Internal VETSCAN SA Dilution Study – TI-04858 VE TS CA N SA US ER ’ S M A N UA L 1 . 2 S OF T WA RE...
  • Page 29 3. Click Run. 4. Mix urine sample by gently inverting. Ensure a thoroughly mixed sample. 5. Immediately place tube below sample probe and press blue start paddle. 1. Hold the sample below the sample probe leaving a gap to the probe tip to allow the sample probe to aspirate air prior to moving down for sampling.

  • Page 30: Database - Reviewing Previous Results

    Database – Reviewing Previous Results The VETSCAN SA analyzer stores, at minimum, 500 test records. Results are stored chronologically by date and time with newest on top. Select Database on top menu to review past results. If free space on the analyzer is less than 2GB, an error will be displayed on the Tools screen.

  • Page 31: Maintenance

    Maintenance Under the Tools selection from the top menu, all the maintenance buttons are provided. Important information is presented along the top left panel indicating login information, reagent lot and expiration, last use of Rinse B, last use of Cleaner, Auto Focus last use, and connection information. On the right, a Warning and Error Handling Table is displayed with Solve and Ignore functions listed on the bottom.

  • Page 32: Maintenance Schedule

    Acetone Do not use abrasive or highly alkaline cleaners (example: undiluted bleach) on VETSCAN SA parts. Do not expose VETSCAN SA parts to temperature > 140 °F (60 °C). Do not sterilize VETSCAN SA parts by autoclaving or dry heat.

  • Page 33: Cleaner Reagent Cycle

    Cleaner Reagent Cycle A Cleaner Reagent Cycle is required once per week. The SA software automatically alerts the user when this is required with an alert in the Warning and Error Handling Table: Type Error No. Description Warning Cleaner use is due To run a Cleaner: 1.

  • Page 34: Kit Change

    This error appears when the float on the cap of the waste container is lifted. Empty the waste container and click “Retry” on the software on the error warning popup. Before disposing of waste from the VETSCAN SA, consult your local waste disposal regulations and the VETSCAN SA Reagent Kit SDS/MSDS for recommendations.

  • Page 35: Clean Fan Filter

    3. Dry the Fan Filter to remove excess water and place it back into the analyzer. For replacement Fan Filter contact your local Zoetis representative. VE TS CA N SA US ER ’ S M A N UA L...

  • Page 36: Software Updates

    Software Updates The SA Analyzer supports software updates via USB flash drive. Zoetis or a local distributor will contact VETSCAN SA customers when a software update is required. The software update will be completed by Zoetis or a local distributor representative.

  • Page 37: Settings

    See Appendices B and C for instructions. 2. About: details on VETSCAN SA software versions and serial number. 3. UA Connect: designed to reconnect the VETSCAN UA to the VETSCAN SA VE TS CA N SA US ER ’ S M A N UA L...

  • Page 38: Network Configuration Settings

    The VETSCAN SA has two completely functional network ports located on the back of the SA analyzer. Either port can be used to connect the VETSCAN SA to a network. In the SA Network Device configuration Adapter dropdown, the network ports are referred to as Upper NW Port and Lower NW Port to correspond with their physical location on the back of the analyzer.

  • Page 39: Host Configuration Settings

    VETSCAN SA Host Configuration Settings The VETSCAN SA can connect to a SA compatible Host system, such as the VETSCAN FUSE, using a standard class C network. Once connected to the Host system, enabling bidirectional communication between the Host system and the SA allows the transmission of work orders to the SA from a software application such as a VETSCAN FUSE enabled PIMS.
  • Page 40 With bidirectional communication enabled, the VETSCAN SA will display a Work List on the Measure Screen for running tests ordered from the Host. The VETSCAN SA Work List will display the Patient ID, Patient Name, and the Test Type for each ordered test.
  • Page 41 SA and UA results are transmitted to the Host in two ways: • If the Auto Send option is enabled in the Host configurations, the VETSCAN SA will transmit the result to the Host when the result is saved to the SA’s database at the end of a sample run.
  • Page 42 On the SA Measure and Database Screens, connectivity is displayed in the bottom right-hand corner. On the SA Tools Screen Network connectivity status is displayed on the Left-Hand side under the Printer Status. Any Network/Connectivity Errors will be reported on the Tools Screen along with an explanation of the Error.
  • Page 43 United States and Canada, call 1-800-822-2947 (toll-free phone), and select option 2. For Rest of World, dial +49 6155 780 210 or contact local Zoetis distributor. VE TS CA N SA US ER ’ S M A N UA L...

  • Page 44: Appendix A: Installation Overview

    Reagent Kit change, and that there is no sign of reagent leakage. • If any damage or leakage occurs in the reagent container, contact your local Zoetis representative.

  • Page 45: Appendix B: Date And Time Settings

    Appendix B: Date.and.time.Settings Date and time and date and time format may be updated on the VETSCAN SA. Click the Options button under Tools menu. Ensure Date and time is selected. 1. Time Zone: Select time zone 2. Format: Select preferred date format.

  • Page 46: Appendix C: Printer Installation

    Appendix C: Printer.Installation An external printer may be connected to the VETSCAN SA to print test results. Connect the printer and SA Analyzer using a USB cable only. The driver for the HP OfficeJet Pro 6230 is already installed. No other printer drivers are available at this time.

  • Page 47: Appendix D: Ua Installation

    Appendix D: UA.Installation A VETSCAN UA analyzer may be connected to the VETSCAN SA to produce a full urinalysis report. The SA analyzer becomes the urinalysis workstation where all data entry will take place and sample runs initiated. To connect the UA to the SA, use the UA Y Cable provided with the UA analyzer: 1.

  • Page 48: Appendix E: Vetscan Sa Analyzer Specifications

    Appendix E: VETSCAN.SA.Analyzer.Specifications Dimensions • Width: 15.1 in. (383 mm) • Depth: 19.1 in. (485 mm) • Height: 16.8 in. (427 mm) • Weight: 67 lbs. (30 kg) Power Supply • AC 100 V – 240 V • Frequency: 50/60 Hz •...

  • Page 49: Appendix F: Symbols

    Appendix F: Symbols Symbol Definition/Use Consult User’s Manual for detailed use instructions. Keep away from sunlight. Keep away from radiation, heat and direct sunlight. Protect from moisture. Do not allow to be wet. Keep package right side up. Fragile, handle with care. Storage and transit temperatures;...
  • Page 50 Symbol Definition/Use Do not stack more than 5 units vertically on top of another unit. Team lift. Required 2 people to lift package of estimated 60-80 lbs (27-36 kg). 60-80 lbs 27-36 kg FOR VETERINARY USE ONLY For Veterinary Diagnostic Use only. Not for use for humans. Serial number.

  • Page 51: Appendix G: Safety And Regulatory Compliance

    Regulations made by the Department of Communications of Canada. Waste Disposal • A re-usable waste bottle is provided with your new VETSCAN SA. Before disposing of waste from the VETSCAN SA, consult your local waste disposal regulations and the VETSCAN SA Reagent Kit SDS/MSDS for recommendations.

  • Page 52: Appendix H: Part Numbers

    Appendix H: Part.Numbers Zoetis Part Number Zoetis Part Name 1550-1001 VETSCAN SA Tubing Kit 1550-1002 VETSCAN SA Waste Bottle 1550-1003 VETSCAN SA Keyboard 1550-1004 VETSCAN SA Mouse VETSCAN SA USA Power 1550-1005 Cord 1550-1007 VETSCAN SA Display Monitor 1550-9000 VETSCAN SA Reagent Kit...

  • Page 53: Appendix I: Troubleshooting

    3. Drain: used in preparation for shipping or moving a VETSCAN SA. The VETSCAN SA analyzer hardware is not intended to be serviced by operators. Contact a Zoetis authorized representative if you suspect a problem inside the analyzer. Familiar problems and corrective actions are listed below.
  • Page 54 Error/Failure Potential Causes Possible Solutions No Display and 1- Display not powered on. 1- Turn on Display power Display LED light is button. 2-Display not plugged in. 2- Check Display power cord 3-No power from power outlet. is firmly connected to 4-Display plug damaged.
  • Page 55 1- Thermal conditions have changed - 1- Run Auto Focus; Contact Images need to refocus. Zoetis representative. 2- Bubbles in reagents (black lines in 2- Run Flush; Contact Zoetis representative. Images). 3- Run Cleaner; Contact Zoetis 3-Chamber needs cleaning. representative.
  • Page 56 6- UA settings not correct on UA 5- Verify settings by selecting analyzer. VETSCAN UA after clicking Options button under Tools menu and contact Zoetis representative. 6- Verify UA Settings by selecting Settings on UA screen. USB Send is ON.
  • Page 57 The VETSCAN SA also displays some specific error and warning codes. Type Error No. Description Remedy Error Comms timeout Check external connections and restart. Contact Zoetis representative. Error Failed to open camera Contact Zoetis representative. connection Error Reagent Kit issue – Lot not Install a new Reagent Kit.
  • Page 58 (www.Zoetis.com) contains useful information for running the VETSCAN SA Sediment Analyzer and the VETSCAN SA Reagent Kits. It also contains links to technical notes, manuals, product information, and technical support information as well as technical resources on a variety of applications related to the VETSCAN SA analyzer.

  • Page 59: Appendix J: Gross Examination, Specific Gravity, And Dilution Fields

    Appendix J: Gross.Examination,.Specific.Gravity,.and.Dilution.Fields On the VETSCAN SA, users can use drop-down option lists to select the Collection Method, Color, and Clarity of each sample for the medical record. Pre-set options included in these lists are: Collection Method Color Clarity Cystocentesis...

  • Page 60: Appendix K: Understanding Urine Dilutions On The Vetscan Sa

    Understanding.Urine.Dilutions.on.the.VETSCAN.SA Why dilutions are sometimes needed The VETSCAN SA is able to evaluate cellular and non-cellular elements of the urine by identifying individual elements that are not grouped together or stacked. If large amounts of debris or cellularity are present, dilution may be necessary to enable the identification of individual elements.
  • Page 61 Dilution required Dilution required It is not recommended to perform a dilution prior to initial evaluation with the VETSCAN SA, as this could result in missing pathology that is present. 1. Zoetis Data on File. Study No. TI-04858 VE TS CA N SA US ER ’...
  • Page 62 How to perform a dilution If the provided images do not deliver clinically actionable information, a 1:2 dilution should be performed initially3. Increasing dilutions (1:4, 1:8) should be performed until images and/or quantitative or semi-quantitative values provide clinical direction. Dilution Ratio Urine Volume Sterile 0.9% NaCl (saline) Volume 0.4 mL...

  • Page 63: Appendix L: Vetscan Sa Suggested Normal Ranges

    SA directly measures cells in cells/μL of urine. Due to no prior published veterinary ranges in urinary cells/μL, suggested ranges are converted from reference 1a using conversion formula with VETSCAN SA specific variables on file at Zoetis. Formula cited in Conrad dos Santos, Juliana et al. “Evaluation of Urinalysis Parameters to Predict Urinary Tract Infection,” Brazilian Journal of Infectious Disease, 2007;11 (5);...

  • Page 64: Appendix M: Vetscan Ua Results Bins

    Appendix M: VETSCAN UA.Results.Bins On the VETSCAN UA, the test results are classified into semi-quantitative bins. Analyte Result Type Species Semi-Quantitative Symbol and Concentration Semi-Quantitative Cell/μL (CON) Cell/μL (SI) Semi-Quantitative ≥80 mg/dL (CON) ≥8.0 mmol/L (SI) Semi-Quantitative (CON) Semi-Quantitative (SI) Semi-Quantitative ≥8.0 mg/dL (CON)
  • Page 65 In general, urine dipsticks including those for the VETSCAN UA contain a number of different parameters, some of which are not reliable or have not been well linked to disease processes in veterinary medicine. Parameters which should be ignored include nitrites, leukocytes, ascorbic acid, calcium and urobilinogen.
  • Page 66 Zoetis.Services.LLC Zoetis.Belgium.S.A. 333.Portage.Street. Rue.Laid.Burniat.1,. Kalamazoo,.MI.49007,.USA 1348.Louvain-La-Neuve,.Belgium www.zoetis.com 1550-7013.Rev..C...

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