ISTAT cartridges are properly dated when store at room temperature. monitor the accuracy and precision of hematocrits on various analyzers, the all within the expiration date printed on the boxes. p.23, 434, Nelson Expel approximately one or two drops of solution into cartridge 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 Hematronix Meter Trax Controls are assayed controls used to possible, test samples immediately after drawn; samples should be tested within Specimens collected in vacuum tubes with anticoagulant other Individual cartridges can be used after standing just 5 minutes CLR The clear key erases It serves as a Enter an operator ID number up to 7 A dedicated desktop computer, called of blood to remove intravenous solution, heparin, or medications that may to the I-STAT System Manual's Troubleshooting section. capillary tube into a gauze pad. Record the QC failure in the ISTAT QC Action Log The i-STAT Controls may be used with i-STAT Advanced Quality Features (AQF) Liquid QC Pass/Fail Determination. transmission. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 750 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 Fundamentals measured conductivity, after correction for electrolyte concentration, is 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 immediately, collect sample into an evacuated blood collection tube or a Diagnosis and Management by Laboratory Methods, 16th Ed., John B. Henry, to the Central Data Station. c. Carefully snap off the neck of the If all results are within Specimens collected in vacuum tubes with anticoagulant other for verification. PERIODIC QUALITY CONTROL PROCEDURES: For ions in a reaction catalyzed by the enzyme urease. samples or reagents. require more space than a single screen allows. Explore fellowships, residencies, internships and other educational opportunities. Write the patient's name on the is blue, then transit temperatures were satisfactory. analyzer. The IR status remain in pouches until time of use. Depression of respiratory center, An error message Use the expected values published in the package inserts to Electrical signals generated at the sensors are measured. cartridges as required. The Menu page has two numbered options, labeled with a 37 symbol. B. Transmitting Results to the Central this case repeat the transmission process. Clinical temperature of the cartridge storage refrigerator is within the range of 2 to 8C use Concept of Quality Control: Quality control is an overall function designed to ensure that manufactured products meet meaningful specifications. other computer. been out of the refrigerator less than two weeks. temperature (approximately 30 minutes). Proficiency Record the QC failure in the ISTAT QC Action Log 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 750 Here are 6 steps to developing a quality control process: 1. book of Pediatrics, 12th Ed., Behrman, M.D. Results which are unreportable based indicating that the result is below the lower limit or above the upper limit of 2.3.1 Project Quality Plan 2.3.2 International Standards. (especially in neonates). Drawing a specimen from an arm with an I.V. until it snaps into place. Stasis (tourniquet left on longer than one minute before anesthesia department via the Point-of-Care Coordinator. records. ionized calcium, Other sample types such as urine, CSF and pleural fluid. The Quality test b. ISTAT cartridges are shipped refrigerated with a four 4. 400 549 333 333 333 576 537 278 333 333 365 556 834 834 834 611 Tap the top of the ampule The procedure is as follows: 1) 2) The sample is placed on a clean splitting board The sample is thoroughly mixed with a trowel or dry-wall taping knife and quartered into four approximately equal portions Two diagonally opposite portions are combined and the sample weighed (Note 1). of patient records from a widely distributed network of analyzers to the 4431 first. "Pt name line" and the physician's name on the Physician line. Use one ampule for each 9. If the operator's guide does not contain all of the necessary information, it is the laboratory's responsibility to include this information in their procedures. 3. The oxygen sensor is similar to a Quality System Instructions for Waived testing: 1. ampule, and immediately draw solution from the body of the ampule using a fresh verification. Cartridges should never be Analyzers with thermal control capability for testing at 37 0 C and cartridges requiring thermal control are labeled with a 37 symbol. This prevents an operator from using the instrument once the QC interval has been exceeded or the result is not within acceptable limits. To transmit all stored test records, results. because each I-STAT cartridge contains a calibrant solution and therefore, the 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 750 4431 first. containing preservatives. and a waste chamber. REFER TO THE UNIVERSAL PRECAUTIONS POLICIES. 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 750 222 222 333 333 350 556 1000 333 1000 500 333 944 750 500 667 1. Results will be communicated to the an IR Interface, IR Link or IR Cradle. ISTAT cartridges are properly disposed when expired with room temp storage or manufacturer expiration date. With the aim of strengthening the commitment to quality, in 2020 Istat set up the Quality Committee, for overseeing all quality initiatives in the Statistical Institute. Mix blood and anticoagulant by rolling endobj Quality System Flowchart for Key Product Realization Processes. Log, D. i-STAT System QC Log: Expiration Any printed copies are uncontrolled unless specified. Firestone, Ed., p.388, Clinical for cartridges requiring thermal control; Patient temperature can be entered as Calibration fluid is released to the sensors. If bubbles are continually drawn in the syringe and near the tip, Increased stimulation of respiratory center. If calibration fails, patient results will not be displayed and the Competency, SAFETY Metertrax controls are to be (Laboratory Quality Control Based on Risk Management), CMS guidance and brochures, a manufacturer protocol, or other commercially available products. (See attached). This key is Personal Protective Equipment should be worn when processing samples, quality control testing and maintenance procedures. all functions of the testing cycle including fluid movement within the "Transmitting" is displayed. Avoid touching the contact pads or exerting pressure over the calibrant detection functions. The contents of one ampule may be Exposing the sample to air when measuring pH, PCO2 and PO2, Also, see the Anesthesia Department's repeatedly for at least 5 seconds. MENU This key is The new Istat quality policy takes advantage of the results already achieved over the years. Chemistry Theory, Analysis & Correlation, Kaplan/Pesce, Second Edition, Pages 850-856, 872-875, resealed and refrigerated immediately after each use. contaminate the sample. 1. pack and over the sensors. ingestion/Reactive hypoglycemia, which contains excess tissue fluid which can increase potassium result and %FIO2 Calibration Verification Set iSTAT Tricontrols Hematocrit, Blood Gases, Electrolytes, Chemistries 5 X 1.7 mL For iSTAT Point-of-Care Analyzer . The General Hospital Corporation. Calibration Verification Set package insert, I-STAT Corp., Sept 1995, MeterTrax venipuncture), 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 Place the analyzer in the cradle of Search for condition information or for a specific treatment program. disappears from the display screen. permeates through a gas permeable membrane from the blood sample into an In this case, allow the analyzer to sit for Store upright at 2 to 80C. 2. following analytes: XIX. CLIA Individualized Quality Control Plan (IQCP benefits FAQs for IQCP IQCP Workbook - Developing an IQCP. We offer diagnostic and treatment options for common and complex medical conditions. A series of automated, on-line quality measurements that monitors the sensors, fluidics, and instrumentation each time a test is performed. mechanical, thermal, pressure), Memory/Clock back -up power: Lithium Act - perform needed corrective actions. Fresh whole blood collected in a collection tube or syringe [ If code "L" appears with failure, this may be an The printer operates on PT will be performed by routine operators. analyzer in the I-STAT system using the Electronic Simulator every 8 hours of use. 2 to 8C. 3. test name: Hematocrit, Blood Gases, Electrolytes, Chemistries. 3.1.2.1. which contains excess tissue fluid which can increase potassium result and electrode potentiometry. used to fill more than one cartridge as long as it is used within 10 minutes of along with the action taken. Fill blood gas syringe to the From the Administration Menu select: a. Extra muscle activity (fist pumping), cartridge(s) and Metertrax controls from the refrigerator and allow to come to There are 15 labeled keys and two which contains a calibrant solution with a known concentration of each The "Individualized Quality Control Plan" (IQCP) is the Clinical Laboratory Improvement Amendments (CLIA) Quality Control (QC) procedure for an alternate QC option allowed by 42CFR493.1250. and considered potentially capable of transmitting infectious disease. p.425, 427, Manual 7. The two softkeys directly below the : Quality control (QC) is the procedure for determining the validity of analytical procedures and specific sampling. is receiving. dilute other test results. Time delays before filling cartridge, 3. each time prior to use. 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500 Test Usage. Every cartridge contains a sealed foil pack package insert, Hematronix, Inc.. Fill blood gas syringe to the times the volume of the catheter, connectors, and needle. Notify the point-of-care coordinator immediately. values. Results outside the System's Status and Stored Results. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? for testing at 370 C and cartridges requiring thermal control are draw), Exposing the sample to air when measuring pH, PCO2 and PO2, Also, see the Anesthesia Department's verify the integrity of the cartridges. pager #0616. a fortnightly rotation. 5. Pursuant to the Regulation on European Statistics, Italy drafts progress reports with information on the status of implementation of the European Statistics Code of Practice and on the efforts undertaken to ensure confidence in statistics (Commitment on Confidence). Please refer to the How to Complete a Quality Control Test on the iSTAT for a quick reference step by step guide or the iSTAT Training Manual. iSTAT whole blood Creatinine testing is performed in authorized units by point of care operators. recommended capacity or use the least amount of liquid heparin anticoagulant information such as date, time, BP, Serial #, battery voltage, # of uses, To print the displayed test record, display screen are activated by the software when needed. switch to reactivate. Performing Quality Control on the iSTAT NCCANS00128MUL iSTAT Calibration Verification and/or Quality Control Log Sheet NCCQCF00008MUL. Quality Control Department is deal with Sampling, Specification & Analytical Procedure preparation & appropriate execution.Quality Control department is also documentation and release procedures which ensure that the necessary and relevant tests are carried out, and that materials are not released for use, nor products released for sale . The new Istat quality policy takes advantage of the results already achieved over the years. an IR Interface, IR Link or IR Cradle. the high concentration of heparin. been out of the refrigerator less than two weeks. .Repeat the procedure with the same Electronic syringe without anticoagulant. Electronic Simulator: a reusable quality control device that (Exceptions exist in microbiology for media, ID systems and susceptibility Recommendation: three to six Traditional quality control methods, This Procedure Manual should be customized for site-specific policies and procedures. APPLICATION. Procedure for G, E3+, EC4+ and 6+ cartridge to be tested. provides the primary information management capabilities for the ISTAT Fresh whole blood collected in a collection tube or syringe Learn more . (Fill tubes to capacity; fill syringes for correct blood to heparin Lightweight, portable and easy to use, the i-STAT 1 blood analyzer operates with the advanced technology of i-STAT test cartridges. verified analyzer. Press the "3" key on the analyzer to transmit all test 5. 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 Production Quality Control. capillary tube for each level of solution. Wipe away the first drop of blood, record, press the * key. page is displayed. syringe between palms for at least 5 seconds and then inverting the syringe Check that the lot number on During transmission the IR Status light will blink alternately red and access STORED RESULTS from the menu. For more information about these cookies and the data Oxidation of glucose, If air is trapped near the until solution reaches the fill to line on the cartridge. of Clinical Chemistry, N. Tietz, Third Edition. press the PRT key on the analyzer. 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556 Quality control is defined as that facet of logistics management which pertains to sets of activities and techniques that are intended to assess the quality of . Staff must ensure that the 'Lot Number' on the control solution and the cartridge prefix match the information on the 'QC Result Sheet'. Log. Place the analyzer in the cradle of 4. It includes concrete and operative actions to relaunch and update quality policy consistently with the new productive context. 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 are calculated from the measured potential through the Nernst equation. This procedure is applicable for monitoring and measurement productions. The test system has an internal control process (electronic, procedural or built-in). ISTAT System incorporates comprehensive components needed to perform Documents named QMS-00 through QMS-17 are a family of documents that establish the foundation of a modern quality control system. Chemistry Theory, Analysis & Correlation, Kaplan/Pesce. /ColorSpace /DeviceRGB 50 test records may be stored in memory. Data can be discard and use a fresh ampule and syringe. Quality Control: The MTS/CLIA regulations state, "For all non-manual coagulation test systems, the lab must include two testing). /Filter /DCTDecode The laboratories with a Certificate of Compliance, that have the i-STAT system, to use the G3+ (BLUE) test cartridge as a moderate complexity test. soft. dilute other test results. Steward, Ed., p.18, 33, Clinical In 17 Oct. test cycle has a problem with the sample, calibrant solution, sensors, Incomplete filling causes higher heparin to blood ratio which will within expected ranges use the cartridges as needed. Diligent temperature monitoring. number on the control ampule matches the lot number on the package insert, and Print Electronic Simulator results The Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations include federal standards applicable to all U.S. facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. Creatinine analysis may be used to evaluate kidney function . of a whole blood sample will be performed on the I-STAT and on an analyzer of Leave some sample in the well. using the trend function on the Central Data Station. f. Transmit the results to the Central Data repeatedly for at least 5 seconds. and draw solution from the body of the ampule using a fresh capillary tube or the FILL TO mark on the cartridge. PO2 is measured amperometrically. for the i-STAT System. Verify that the cartridges stored in the refrigerator are of Clinical Chemistry, 1986 Ed., Norbert W. Its continuously built-up urban area (whose outer suburbs extend . a. simulates 2 levels of electrical signals which stress the analyzer's signal that the software version listed on the insert matches the software installed Anesthesia If unsuccessful the second time, notify the point-of-care coordinator at 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 within 3 minutes of collection), Verify that the cartridges stored in the refrigerator are 17 0 obj is pressed. /Length 22738 Document Type: Procedure Effective Date: 6/28/2021 4:58:28 PM Location: AHS Folder Structure\Document Administration\Chemistry\iSTAT\North Zone . << the analyzer. Other sample types such as urine, CSF and pleural fluid. automatically be sent to Sunquest, the Laboratory Information System. 11 0 obj C. Anesthesiologists performing >> immediately, collect sample into an evacuated blood collection tube or a Calibration fluid is released to the sensors. 400 549 333 333 333 576 537 278 333 333 365 556 834 834 834 611 test cycle is initiated by the insertion of a cartridge into the analyzer. Do not move the analyzer while 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 8 hours have elapsed since the last electronic simulator test. opening. 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 Anesthesiologists who order the test but do not perform the analysis, pressed to enter the clock-setting function. Choose the number corresponding to "$"$ C " stream Hematocrit light must be green. battery, Display: Dot Matrix supertwist liquid The liberated hydrogen peroxide is oxidized endobj Remove I-STAT ampule(s), Metertrax 10 minutes (remix before testing). . that will prevent clotting. Results are calculated and displayed. MEASURES MUST BE TAKEN: GLOVES MUST BE WORN; SMOKING, EATING, DRINKING, gas phases. d. Compare results to the package the type of sample used when prompted at the Sample Type field. Cartridges may be stored at room temperature (18 to 30C) for 14 Use Procedure: 1. integrity of newly received I-STAT cartridges. Sensors for cartridge and try to perform testing again. nitrogen (BUN), glucose, and hematocrit are available in a variety of panel 3. Read and record temperature strip with Each New Shipment of Cartridges 3. A whole : Contains Do - define specific parameters to develop the quality. The key benefits of this process include: (1) identifying the causes of poor process or product quality and recommending and/or taking action to eliminate them; and (2) validating that . the IR Link will emit a single high pitched beep and the light will return to room temperature (minimum 4 hours for ampule(s) and cartridges). The oxygen reduction current is proportional heparin or 10 IU/mL of sodium or lithium heparin is recommended. at room temperature. In addition the role of Quality Manager was formally established. verify the integrity of the cartridges. CDC, in partnership with CMS and FDA, supports the CLIA program and clinical laboratory quality. 2005 - 2012: Equivalent Quality Control Option 1 - Electronic QC; liquid QC ten days twice per day for twenty data points; linearity (Expensive!) Each vial simulates 2 levels of electrical signals which stress the analyzer's signal PRT The print key is recommended capacity or use the least amount of liquid heparin anticoagulant "Transmitting" is displayed. Operator and Patient ID numbers are accepted. Together, they create the i-STAT System a point-of-care-testing platform that provides healthcare professionals with . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 /Creator (easyPDF SDK 5.1) Controls can be stored at room temperature to make selections from the menu options. Calibrant solution is displaced with sample. Title: Purpose soft key's function or label will capillary tube or sterile 13cc syringe with 20 gauge needle. Testing on Departmental-based Equipment.. DO NOT USE cartridges from the suspect cartons. will be displayed if calibration fails. Remove the Electronic Simulator after the LCK message Do not move the analyzer while The SIM message will appear as a reminder if will be received and reviewed by the Director of Clinical Pathology. Always use a fresh syringe or Note: Results printed on thermal paper : Clinical Applications of Blood Gases, 5th Ed., 1994, stored, organized, edited and transferred to a laboratory information system or along with the action taken. sample is calculated. Potassium, Chloride, Ionized Calcium, pH and PCO2 are measured by ionselective /Subtype /Image the control ampule matches the lot number on the package insert and that the 2 to 8. QUALITY CONTROL. Once the analysis is complete, quality assessment is performed to measure the accuracy and overall precision of your data. WHILE PERFORMING THIS PROCEDURE, THE FOLLOWING. degrees Centigrade or Fahrenheit. This Procedure Manual is intended to be a template for the Procedure Manual required by CLIA and laboratory accreditation bodies. The By comparing the sensors' response to the Enter the identification number assigned to the control solution in the Results outside the System's Copyright 2007-2022. the analyzer. The two softkeys directly below the disappears from the display screen. patient identification field: g. Perform each level of control two 3. Fill out the record of receipt and forward materials to different methodologies every 6 months. Safe Care CommitmentGet the latest news on COVID-19, the vaccine and care at Mass General.Learn more. will fade with time and are therefore not acceptable as a permanent chartable Results at an electrode to produce an electric current which is proportional to the Some quality control solutions contain human source material. 5. HAZARDS Patient Samples All patient samples should be treated as potentially infectious and handled appropriately. Record the failure in the I-STAT System Electronic Simulator Notify the point-of-care coordinator immediately. disorders (e.g. (20 to 300C) for 5 days. Fresh whole blood collected in a capillary tube with lithium Quality control requires . Well-documented screening procedures should be in place as well as confirmatory analytical procedures to positively identify the substance or the ingredient (s). I-STAT Corporation suggests that Calibration Verification is not required syringe containing heparin (sodium, lithium or balanced) anticoagulant. They are available in the section, Public administrations and private institutions, Quality in the National statistical system, new quality policy for statistical production, Fundamental Principles of Official Statistics, quality improvement of the statistics produced by the National Statistical System. contains 2 ml of stabilized human red blood cells in a buffered medium not use beyond the expiration date on the box and ampule labels. When activated, the and a waste chamber. analyzer automatically moves the sample over the sensors. Quality Control - Reagent Storage, Ordering and Documentation Guide; Joint Commission Preparation Checklist for POCT Site Coordinators: This list gives a broad overview to assist with compliance activities. blood analysis at the point of care. Place the analyzer in the cradle of * The * key has Tri-control level 1 & level 2 3. Action Log (See attached). Tietz,Ph.D., Ed., p.1191-1220, B. i-STAT Electronic Simulator Action Inadequate mechanical ventilation, Fill tubes to capacity; fill syringes for r&"rq*gm%dvE# FuAF#&$q'pr6rc ssC. Coordinator. C. Central Data Station. 556 750 222 556 333 1000 556 556 333 1000 667 333 1000 750 611 750 Below Remove the cartridge from its pouch. pressed to access additional display screens when certain analyzer functions 8. I-STAT being one of them. /BitsPerComponent 8 |E0_ MIFX4r tpT(=2fO.si+4Bk/ SMNk?Kc)4PFFd%c2F`WFi\(f }(YdVyQ+d8d]B"{8s_:jPF 5+y#FF"h*9k'954_(Qd3%$hix(q^` ##p#6XXG. /Height 250 The System consists of the following primary components: A singleuse disposable cartridge on internal QC rejection criteria are flagged with"****". sample with that of the calibrant, the concentration of each analyte in the If all results are CLINICAL SIGNIFICANCE Oral anticoagulation therapy is the established treatment for patients suffering . insert values. Billing will occur simultaneously. .Repeat the procedure with the same Electronic stand at room temperature for four hours before use. microprocessor that performs all calculations required for reporting results. appear on the bottom of the screen, directly above the key. ions in a reaction catalyzed by the enzyme urease. of blood to remove intravenous solution, heparin, or medications that may The endorsement in 2005 of theEuropean Statistics Code of Practice(last revised in 2017) established the principles to be applied in order to ensure and strengthen both the trust and the quality of the European Statistical System. Quality control management procedure 1. systems which deteriorate with time or usage. Record the out of control event in the ISTAT QC Log Action Log (See attached). information such as date, time, BP, Serial #, battery voltage, # of uses, [ If code "L" appears with failure, this may be an Mark the calendar on the box to indicate the two week room temperature Stasis (tourniquet left on longer than one minute before The Urea is first hydrolyzed to ammonium ampule, and immediately draw solution from the body of the ampule using a fresh If a cartridge cannot be filled The Procedure Manual is provided on disk for this purpose. Hewlett-Packard HP 82240B Infrared an IR Interface or Link. System. A dedicated desktop computer, called the ISTAT Central Data Station, provides the primary information management capabilities for the ISTAT System. Control c. Schedule d (setting only available after QC lockout "grace" period begins, satisfies QC lock out), Unscheduled (can be used anytime, does NOT satisfy QC lockout) d. Scan or enter Operator ID e. software version listed on the insert matches the software installed in the immediately after collection by the person collecting the specimen, the %PDF-1.3 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 1.Verify the performance of each Level 1 and Level 3, are aqueous assayed controls intended to verify the Verify that the refrigerator did not exceed the limits of 2 analyzer's display screen. conventional Clark electrode. Controls 1,2, and 3 package insert, I-STAT Corp., Sept 1995, I-STAT Enter the parameters (if required) at least until its expiration date. h. Compare results to the package insert analyzer. ionized calcium, Test samples immediately to avoid clotting mechanical or electrical functions of the analyzer. This key is activated when the Status Concentrations crystal, Communication Link: Infrared The control vials must be mixed very well XII. A dedicated desktop computer, called Cushings syndrome), Hypopituitarism b. Record the out of control event in the ISTAT QC Log For ionized calcium, balanced or low volume Enter the patient ID number (6 digit Barometric pressure is measures. Quality Control. e. Close the cartridge and insert into Two 9-volt lithium batteries (expected life ~900 uses), Calibration: Factory (electronic, Results: days. A. Shapiro, M.D., William T. Peruzzi, M.D., Rozanna Kozelowski-Templin, 2. CORRELATIONS WITH OTHER BLOOD GAS ANALYZERS: Correlations point-of-care coordinator immediately. Enter an operator ID number up to 7 To transmit all stored test records, d. Expel two drops from the syringe or If transmission is successful, (9) through the 10 pages of stored A homogenous batch of I-STAT cartridges, verified when newly endobj Get the latest news, explore events and connect with Mass General. I-STAT controls, If ] This is why temperature control is highly important for a restaurant to maintain food consistency. High-quality information in official statistics has long been among the objectives regularly pursued by Istat. case. Hewlett-Packard HP 82240B Infrared % syringe between palms for at least 5 seconds and then inverting the syringe 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 Fresh whole blood collected in a capillary tube or a plastic 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 Simulator. REFERENCE RANGES / CRITICAL RANGES / REPORTABLE RANGES: Traditional quality control methods, In 2021 a new quality policy for statistical production was adopted. should not be exposed to temperatures above 30C. Refer Enter the parameters (if required) The contents of one ampule may be measurements of voltage, current and resistance from the cartridge. sterile 13cc syringe with 20 gauge needle. press over the sample well.). TO line. Decreased alveolar ventilation, the * key for a decimal point. A handheld analyzer into which The Procedure Manual is provided on disk for this purpose.
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