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GeneXpert Infinity Fast Start Training

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GeneXpert

®

Infinity

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1. Kiosk Barcode Scanner - Scans the patient ID (optional) the specimen’s sample ID barcode, and the cartridge barcode, which enters the cartridge

type (e.g., Xpert® MRSA NxG) and settings into the

system.

At a glance

2. Keyboard (not shown, located in kiosk drawr) - The keyboard is used for data entry, and to make selections in the software.

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3. Conveyor - Place a sample-prepared cartridge on the conveyor belt and it is moved into the

GeneXpert® Infinity System.

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4. Lobby - This is the transition location between the Conveyor and the Gantry.

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5. Accumulator - This is a waiting area in which: • A cartridge waits to be loaded into a module

when no module is available to run the cartridge.

• A cartridge to be retained is placed after the test is completed (e.g., Re-test for Xpert C. Diff/Epi).

• A cartridge is temporarily held because it cannot be processed due to an unreadable barcode or unrecognized cartridge S/N when there is no room in the Shuttle.

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6. GeneXpert® Modules Area - Each panel contains eight modules. A cartridge is inserted into a mod-ule where the sample is processed for detection of of a specific genetic sequence or organism. Each module is part of an 8-module array labeled A1-A8, B2-B8, etc.

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7. Shuttle - This is the area where the system can place a used or rejected cartridge for access by the operator. A sensor is present in this Shuttle to detect and indicate if any cartridges are present. Capacity is 4 cartridges.

• Processing STAT samples

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10. Robotic Gantry System - Provides cartridge load and unload handling. The robotic Gantry picks up sample prepared cartridges from the lobby and places the cartridges into the appropriate modules for processing.

After test completion, the robotic arm moves tested cartridges from the GeneXert Module to be off-loaded to the Shuttle, the Waste Disposal Shelf, or the Accumulator. If instructed, the Gantry will move cartridge(s) in the Accumulator to the Shuttle for retrieval.

8. Waste Disposal Shelf - A cartridge is moved into this area after the test is completed. When this shelf is full, the next used cartridge pushes the old-est used cartridge into the Waste Container.

9. Waste Container (not shown) - A cartridge is dropped into this area when the Waste Disposal Shelf is full. A sensor detects the presence or ab-sence of the Waste Container. The waste container door is locked when the system is ON.

11. Gripper - Grips, holds and releases the cartridge. It is located on the Gantry.

12. Gantry Barcode Scanner - Scans the cartridge barcode when the cartridge is inside the GeneXpert Infinity System.

13. Emergency STOP Button - When a hardware emergency stop button is pressed, the transport system is stopped immediately.

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Desktop Icons

Xpertise software shortcut icon

GeneXpert folder icon

Shutdown Infinity shortcut icon

Cepheid Remote Service Access shortcut icon

Norton AntiVirus shortcut icon

GeneXpert Support Data-base Backup icon

Adobe Reader Software shortcut icon

ELO Touchscreen Calibra-tion Software shortcut icon

Infinity Operator Manual shortcut icon

Xpertise Icons

user name Current user name Login Change password Logout Exit software Message log Information message Error present

Touch Screen

TIP: For best results, use the pads of your finger on the touchscreen.

Go to Home screen

Host Status

Host

Lost Host communication

No outstanding orders

Outstanding order present

Outstanding order needs attention

View Another Test

Load or Retrieve Cartridges

Glass door is unlatched

Glass door is open

Common Xpertise

TM

and

Desktop Icons

See the Operator Manual for the complete list

Windows Key M Key

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Shuttle is open

Database Status

Non-STAT Module Status

Utilization

Reserved STAT Module Status

STAT Module utilization

Replace Waste Container/ Close Waste Door

Waste Container is missing

Waste Container is full

Silence Alarm button

Pause button

Analysis mode operation

Manual mode operation

About

Archive test

Assay Statistics Report

Change operation mode

Control trend report

GX Maintenance Find Order Installation Qualification Maintenance Manage Assay Module Report Order Test Orders Patient Report Perform Self-test Plunger Maintenance Results Retrieved Test Setup Specimen Report Stop Test System Configuration System Log User Administration

User Type Configuration

View Outstanding Orders

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Basic operations

Starting the system

1. Turn the power switch to the ON position (|). 2. Wait 2 minutes for the system to boot. 3. Close the shuttle door.

4. Enter your Windows password: cphd 5. Double click the Xpertise shortcut

on the desktop.

6. Log in with your user name and password, if required. 7. (Optional) Perform database management activities. The Infinity is now ready to process samples.

Shutting down the system

Important: Make sure the system is not running a

sample.

Important: Do not shut down from the Windows

start > shutdown menu.

1. Select Exit.

2. Select OK to confirm exiting the software.

3. (Optional) Perform database management activities. 4. Wait for the software to completely exit.

5. Double-click the System Shutdown shortcut on the

desktop.

6. Select OK to confirm system shutdown.

7. Turn the power switch to the OFF position (O). 8. Wait a minimum of 2 minutes before restarting the system.

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Automation Mode workflow

1. Follow the package insert to prepare the cartridge. Note: Refer to Xpert Cartridge Labeling Guide for proper patient label placement (if applicable). 2. Select Orders

or select Manage Host Orders.

3. Select Order Test.

4. (Optional feature) Scan or enter the Patient ID and select Continue.

5. Scan or enter the Sample ID, select the STAT check box if applicable, and then select Continue.

6. Scan or enter the cartridge barcode. 7. Enter notes.

Note: You cannot enter notes if auto submit is

enabled.

8. Select Submit.

9. If required, enter your password.

10. Put the cartridge in the conveyor loading zone.

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Checking a test in progress

To check test progress: • View Another Test • Module Status

• Home screen showing the tests since launch table

Viewing the System Log

To view the system log: 1. Select Maintenance.

2. Select System Log.

3. Enter the report criteria:

• Date range: All or select a range.

Note: Entries older than 1 year do not appear.

• Modules:

» Currently Connected Modules (default) » All Logged Modules

» Select the module(s) to include in the log • Show: Errors Only or All Entries

4. Select Preview PDF.

Basic operations

Removing cartridges

Note: These steps apply only to

Automation Mode.

1. Select Load or Retrieve Cartridges.

2. Select the check box next to the cartridge(s) that you want to remove. 3. Select Move to Shuttle or Fill Shuttle.

4. Select Open Shuttle.

5. The shuttle door opens slightly.

6. Pull the shuttle door open and remove the cartridge(s).

7. Close the shuttle door and select OK.

Viewing test results and

printing reports

Select View Results or View Another Test.

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Pausing the system

You can safely open the glass doors to adjust or remove a cartridge or to clean a spill inside the cabinet.

Caution: Pausing the system for a long

time can cause tests to expire. Plan to resume from a “pause” within a short time.

To pause the system: 1. Select Pause.

2. Select Confirm Pause.

3. Open the glass door.

4. Adjust or remove the cartridge. 5. If you remove a cartridge, select

Remove Cartridge.

6. Scan the cartridge barcode. 7. Close the glass doors. 8. Select Resume.

Emergency Stop

Push the Emergency Stop button at anytime to prevent user injury or instrument damage.

Caution: Stopping the system for a long

time can cause tests to expire.

To stop all automation:

1. Press the Emergency Stop button.

2. Select Unlatch Glass Doors.

3. Open the glass doors.

4. Remove all cartridges from the conveyor.

Note: Retain these cartridges to be

reordered and run upon Resume.

5. If any cartridges fell, remove them and clean up any spills.

6. Close the glass doors.

7. Twist the emergency stop button clockwise until it resets.

8. Select Latch Glass Doors.

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Automation to Manual Mode

1. Select Setup.

2. Select Change Operation Mode.

3. Select Edit.

4. Select Manual Mode.

5. Select Save and then OK.

6. Open the glass doors.

7. Remove all cartridges from the conveyor, accumulator shelves and shuttle.

8. Check each idle module for a cartridge and leave each door open.

9. Select Cartridge(s) Removed and then OK.

10. Select Close and confirm that the Manual

mode icon is present on the dashboard.

Basic operations

Manual Mode Workflow

1. Follow the package insert to prepare the cartridge.

2. Select Orders.

3. Select Order Test.

4. Scan the Patient ID (optional), Sample ID, and cartridge barcode.

5. (Optional) Enter information, such as priority, sample type, and notes. 6. Select Submit.

7. If required, enter your password. 8. Select Continue and follow screen

prompts.

9. Put the cartridge into the module with the flashing green light.

10. Close the module door.

11. When the test finishes, open the module door and leave it open.

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Excluding (disabling) modules

1. Select Maintenance.

2. Select GX Maintenance.

3. Select Exclude Modules From Test.

4. Select Edit.

5. Select the check box(es) next to the modules you do not want to use. 6. Select Save.

7. Select Close.

Manual to Automation Mode

1. Remove all cartridges from the

conveyor, accumulator shelves, shuttle, and modules before changing to

automation mode. 2. Select Setup.

3. Select Change Operation Mode.

4. Select Edit.

5. Select Automation Mode.

6. Select Save and then OK.

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Good practices

• Select the Home icon to return to the home screen.

• When the instrument is in Pause Mode, always scan the cartridge barcode after you remove it from the instrument. • Keep manually removed cartridges until the instrument returns to normal activity and you clear all warnings, reminders, and errors.

• Do not exit the software while a test is in progress. •

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K1 K2 K3 K4 E1 E2 E3 E4 F1 F2 F3 F4 G1 G2 G3 G4 H1 H2 H3 H4 M1 M2 M3 M4 N1 N2 N3 N4 S1 S2 S3 S4 T1 T2 T3 T4 L1 L2 L3 L4 Q1 Q2 Q3 Q4 R1 R2 R3 R4 I1 I2 I3 I4 J1 J2 J3 J4 O1 O2 O3 O4 P1 P2 P3 P4 A1 A2 A3 A4 B1 B2 B3 B4 C1 C2 C3 C4 D1 D2 D3 D4

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The molecular revolution is here.

www.Cepheid.com SYSTEM

Infinity-48s

Automated, multi-module molecular diagnostics analyzer for on-demand access processing of real-time PCR-based clinical diagnostics

Number of Modules 16, 24, 32, 40, and 48 Reagents

Cepheid test-specific, ready-to-use, barcoded cartridge

SAMPLE

Walk-Away Cartridge Capacity 119 samples per Infinity-48s

(48 loaded in modules, 48 queued, 19 on conveyor, and 4 in shuttle) QC Method

GeneXpert® test includes internal controls to monitor sample, processing, and performance.

Sample Barcode Types

Code 128, Code 39, Codabar, Interleaved 2 of 5

ELECTRICAL REQUIREMENTS

Power Line Requirements Line voltage: 200-240 VAC Frequency: 50 Hz to 60 Hz +/- 0.5 % Line Circuit Breaker: 20A

Power Consumption

Maximum current 16 Amps @ 200 VAC

ENVIRONMENTAL REQUIREMENTS Operating temperature 15 to 30°C (60 to 85 °F) Ambient humidity 20% to 80%, non-condensing Noise output <85 dB PHYSICAL Dimensions

217 cm (85 in) l , 89 cm (35 in) w, 200 cm (78.5 in) h Weight

~725 kg (~1600 lb)

CORPORATE HEADQUARTERS

904 Caribbean Drive Sunnyvale, CA 94089 USA

TECHNICAL SERVICES 1-888-838-3222 Option 2 TECH SERVICES FAX 1-408-542-8575 EMAIL [email protected]

EUROPEAN HEADQUARTERS

Vira Solelh

81470 Maurens-Scopont France

TECHNICAL SERVICES PHONE 33.563.82.53.19 TECH SERVICES FAX 33.563.82.53.01 EMAIL [email protected]

GeneXpert

®

Infinity-48s

GeneXpert

®

Infinity-80

SYSTEM

Infinity-80

Automated, multi-module molecular diagnostics analyzer for on-demand access processing of real-time PCR-based clinical diagnostics

Number of Modules

16, 24, 32, 40, 48, 56, 64, 72, and 80 Reagents

Cepheid test-specific, ready-to-use, barcoded cartridge

SAMPLE

Walk-Away Cartridge Capacity 183 samples per Infinity-80

(80 loaded in modules, 80 queued, 19 on conveyor, and 4 in shuttle) QC Method

GeneXpert® test includes internal controls to monitor sample, processing, and performance.

Sample Barcode Types

Code 128, Code 39, Codabar, Interleaved 2 of 5

ELECTRICAL REQUIREMENTS

Power Line Requirements Line voltage: 200-240 VAC Frequency: 50 Hz to 60 Hz +/- 0.5 % Line Circuit Breaker: 20A Power Consumption

Maximum current 16 Amps @ 200 VAC

ENVIRONMENTAL REQUIREMENTS Operating temperature 15 to 30°C (60 to 85 °F) Ambient humidity 20% to 80%, non-condensing Noise output <85 dB PHYSICAL Dimensions

274 cm (108 in) l , 89 cm (35 in) w, 200 cm (78.5 in) h Weight

References

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