1116554, 1116663

US User Manual

1116752 Rev. A 2018/09

Dear Customer,
Congratulations on the purchase of your Afinion™ 2 Analyzer.

Upon arrival of your Afinion 2 Analyzer we recommend that the serial number along with the software version be recorded in the table provided below. The
additional rows in the table are to be utilized if a software upgrade is performed on your Afinion 2 Analyzer. The recorded information will be of great value if and
when a question is reported, or the desire to add a new Afinion Test to your analyzer arises.

Serial number

(for serial number (SN), see label on the rear side of the analyzer or on the transport container)

Software records
Date Software version* Afinion™ Tests available
Upon receipt
1. SW upgrade
2. SW upgrade
3. SW upgrade
4. SW upgrade
5. SW upgrade

* See start-up menu when you power on the analyzer (see “How to power on the analyzer”, page 11).

Notes
_________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________

Technical Support
Call 1.866.216.9505

2 | US AFINION™ 2 User Manual

Intended use of the AFINION™ 2 System
Afinion 2 System, consisting of the Afinion 2 Analyzer and the Afinion Test Cartridges, is for in vitro diagnostic use only. Afinion 2 Analyzer is a compact multi-assay
analyzer for point-of-care testing and is designed to analyze the Afinion Test Cartridges.

CLIA Statements - Waived Afinion™ Tests

Afinion HbA1c is waived under the Clinical Laboratory Improvement Amendment of 1988 (CLIA`88). A CLIA Certificate of Waiver is needed to perform testing in a
waived setting.

If the laboratory does not have a Certificate of Waiver, the Application for Certification (Form CMS-116), can be obtained at
https://www.cms.gov/cmsforms/downloads/cms116.pdf.

The form should be mailed to the address of the local State Agency of the State in which the laboratory resides
(https://www.cms.gov/CLIA/12_State_Agency_&_Regional_Office_CLIA_Contacts.asp).

If the laboratory modifies the Afinion Test or Afinion 2 Analyzer system instructions, the test no longer meets the requirements for waived categorization. A modified
test is considered to be highly complex and is subject to all applicable CLIA requirements.

Conformity to directives and standards

European IVD directive and RoHS 2 directive (CE marking)
The Afinion 2 Analyzer meets all provisions in the Directive 98/79/EC on in vitro diagnostic (IVD) medical devices and in the Directive 2011/65/EU on the restriction
of the use of certain hazardous substances in electrical and electronic equipment (RoHS 2).

North American product safety standards (CNUS mark)

The Afinion 2 Analyzer has been tested and found to be in conformity with North American safety standards. See list of safety standards below.

Safety standards
The Afinion 2 Analyzer has been tested and found to be in conformity with standards for Safety requirements for electrical equipment for measurement, control, and
laboratory use (IEC 61010-1:2010 , UL 61010-1:2012, CAN/CSA-C22.2: 61010-1 -12) and standard for Particular requirements for in vitro diagnostic (IVD) medical
equipment (IEC 61010-2-101:2015).

EMC standards
The Afinion 2 Analyzer has been tested and found to be in conformity with standards for Electrical equipment for measurement, control, and laboratory use
– EMC requirements (EN 61326-1:2013, EN 61326-2-6:2006, EN 61326-2-6:2013 and CFR 47 Telecommunications, Chapter I- FCC Part 15 – Radio Frequency
Devices – Subpart B: unintentional radiators).

AFINION™ 2 User Manual US | 3

4 | US AFINION™ 2 User Manual
 Table of Contents
Table of contents
Introduction About this user manual 7
Examining the package contents 7

Analyzer System Description Description of the AFINION 2 Analyzer

™
8
Description of the Afinion™ Test Cartridge 8
How the AFINION™ 2 System works 9
Internal process control 9
The analyzer self-test 9
The fail-safe mechanisms 9
External process control 9
Patients ID 9
Operator ID 9
Quality Control lockout 9
Calibration 9

Getting Started Installing your analyzer 10

Connecting power supply 10
Connecting additional equipment 10
Connectivity 10
How to power ON the analyzer 11
How to power OFF the analyzer 11
How to operate the analyzer 11

Configuration The AFINION™ 2 menus 12

Setting the configuration 13
Patient ID configuration 13
Patient ID enable/disable 13
Operator configuration 14
Operator ID enable/disable 14
Operator login expiration 14
Operator list management 14
Choosing language 15
Adjusting screen/beeper settings 15
Setting date and time 15
QC lockout configuration 16
General settings 17
Erase all contents and configuration 17
Analyzer network settings 17
Connectivity settings 18

Quality Control Why quality control testing? 19

Choosing control material 19
Handling and testing controls 19
Frequency of control testing 19

Table of contents continues on next page

AFINION™ 2 User Manual US | 5

Table of Contents
Testing Procedures Operating precautions 20
When operating the analyzer 20
When handling the test cartridge 20
Preparing for an AFINION™ 2 Analysis 20
Collecting a sample 21
Analysing a patient/control sample 21
Using the operator ID function 22
Entering operator ID 22
Using the patient ID function 22
Entering patient ID 22
Using the control ID function 23
Entering control ID 23
Using the QC lockout function 23
QC lockout status 23
Running controls with enabled QC lockout function 24
Patient and control results records 25
View, print and export patient and control results 25

Information Codes and When an information code appears 26

Troubleshooting Information codes caused by test-specific limitations 26
Information codes caused by sample or test cartridge 27
Information codes and messages caused by analyzer failure 27
Other information codes 28
Service information 28

Maintenance Cleaning and maintenance 29

Cleaning the exterior 29
Cleaning the cartridge chamber 29
Disposal of the analyzer 29
Software upgrade 29
Warranty 30

Technical Specifications AFINION™ 2 Analyzer 31

Additional equipment 31
Gallery of Icons The touch buttons and their function 32
Other symbols and signs 34
Symbols and Abbrevations 35

6 | US AFINION™ 2 User Manual

 Introduction
About this user manual
This user manual will guide you through installation, operation and maintenance of your Afinion 2 Analyzer. The user manual also explains how the analyzer works,
describes the quality assurance system and assists you in troubleshooting.

For analysing patient samples or controls, please also read the test specific information given in the package inserts following the Afinion Test Kits. The quick
reference guides, available from your local Afinion supplier, highlight the main steps of the test procedures.

It is recommended that you become familiar with these user instructions before you start operating the Afinion 2 Analyzer.

Some of the information in this user manual is accompanied with a symbol that points you to the following particulars:

Warnings and precautions

References to the package inserts for the specific Afinion Tests and control kits

Examining the package contents

When unpacking, check the contents against the list below and examine the components for signs of shipping damage.

The Afinion 2 package unit includes:

• Afinion 2 Analyzer
• Power cable
• Power supply, 24 VDC
• User manual
• Quick guides for the available Afinion Tests

If the package unit is found incomplete, please report missing items or shipping damage to your supplier. It is recommended to keep the shipping box in case of
later transportation of the analyzer.

AFINION™ 2 User Manual US | 7

Analyzer System Description
Description of the AFINION™ 2 Analyzer
Figure 1 shows the main exterior parts of the Afinion 2 Analyzer.

1
2
3
4

Figure 1
1 ON/OFF button: Turns the power to the analyzer on and off.
2 Red and green LEDs: Light emitting diodes (LEDs) that indicates whether the analyzer is busy or not.
3 Touch screen: Allows you to communicate with the analyzer through touch buttons and messages.
4 The lid: Covers and protects the cartridge chamber.
5 Connectors: For connecting to mains power supply. Options for printer, barcode reader and/or LIS/HIS/EMR.

Do not open the lid manually.

Description of the Afinion™ Test Cartridge

The Afinion Test Cartridge is unique for each analyte to be measured, as the reagent composition, reagent volumes and the integrated devices are test specific.
The test cartridge label has a colour unique for the test. The test cartridges are separately packed in foil pouches to protect the reagents and plastic devices from
light, dirt and humidity. A single test cartridge contains all necessary reagents for one test and is ready to use. An integrated sampling device is used for collection
of the patient sample or control. The test cartridge cannot be reused. Figure 2 illustrates an Afinion Test Cartridge with its functional parts:

Left side Right side

Figure 2
1 Sampling device: For collection of patient sample or control (1a - closed position, 1b - lifted position).
2 Capillary: Capillary to be filled with sample material.
3 Reaction wells: Contain all necessary reagents for one test.
4 Handle: For correct finger grip.
5 Barcode label: Contains assay and lot-specific information for the analyzer.
6 Optical reading area: Area for transmission measurement.
7 ID area: Space for written or labelled sample identification.

8 | US AFINION™ 2 User Manual

 Analyzer System Description
How the AFINION™ 2 System works
The Afinion 2 System uses different chemical and mechanical assay methods combined with advanced, computerized processing and measuring technology.

A test cartridge with patient sample or control is placed in the cartridge chamber of the analyzer. By manually closing the lid, the test cartridge is transported
into the analysis compartment of the analyzer. Test and lot-specific information is obtained from the barcode label (Figure 2). When the test cartridge enters the
analyzer, the integrated camera reads the barcode which then initiates the processing of the test cartridge. The sample and reagents are automatically transferred
between the wells. An internal camera monitors the entire process. Light-emitting diodes (LEDs) illuminate the reaction area, which can be either a coloured
membrane or a reaction well. The camera detects the reflected or transmitted light, which is converted to a test result and displayed on the touch screen. When the
user accepts the result, the lid covering the cartridge chamber opens automatically and the used test cartridge can be removed and discarded. The analyzer is then
ready for the next run.

Internal process control

The analyzer self-test
A self-test is performed during start-up of the analyzer to ensure that the instrument is operating according to established specifications. The self-test validates:
• Hardware and software integrity
• Test cartridge transport system
• Liquid transport system
• Camera vision system

If the self-test fails at any point, the red LED will start flashing and an information code will be displayed on the touch screen
(see “Information codes and troubleshooting”, page 26-28).

When the analyzer is powered on for a longer period, it will automatically restart once a day to ensure that a self-test is done regularly. This procedure does not
interrupt any analysis of the test cartridge.

The fail-safe mechanisms

Fail-safe mechanisms are included to secure safe processing. The integrated camera inspects the test cartridges initially before the process starts and during the
assay. If defects are detected (e.g. broken capillary, the cartridge is used past its expiry date), the test cartridge is rejected and an information code is displayed.
During processing vital functions and components (e.g. pumps, heater) are supervised. When problems are detected by the built-in safety mechanism, the process
will be aborted and an information code will be displayed.

External process control

Patient ID
The Afinion 2 patient ID functionality will, if configured, allow up to four patient ID fields to be entered. The patient ID will be stored with each patient test result in
the result records.

Operator ID
The Afinion 2 operator functionality will, if configured, require the operators to login before testing. The functionality may also prevent unauthorized operators to
login, perform tests and configuration. The operator ID will be stored with each test result in the result records.

Quality Control lockout

The Afinion 2 QC lockout function allows you to configure the instrument to automatically enforce your local required frequency of control testing. If the required control
test has not been performed or the control result is outside the acceptable range, the instrument will disable patient testing for this assay. For manufacturer recommen-
dations (see “Frequency of control testing” page 19).

For more information regarding these functionalities, see “Configuration” page 12–18.

Calibration
The Afinion 2 Analyzer has been manufactured to deliver reliable and accurate results. During manufacturing, the analyzers are calibrated against a reference sys-
tem. This procedure has been established to ensure that all analyzers operate within identical tolerance limits.

Test specific calibration data are established for each lot of test cartridges and then stored in the barcode label (Figure 2). When the test cartridge enters the
analyzer, the integrated camera reads the barcode. The calibration data for the actual lot are transferred to the instrument and used for calculating the results.
Calibration by the operator is thus not required.

AFINION™ 2 User Manual US | 9

Getting Started
Installing your analyzer
Place your Afinion 2 Analyzer on a dry, clean, stable and horizontal surface. Make sure that the analyzer is located with sufficient surrounding airspace, at least 5
inches on each side. Placement of Afinion 2 Analyzer should allow easy disconnection from the wall outlet at any time. Acclimate the analyzer to ambient operating
temperature (15-32°C, 59-89°F) before use.

The analyzer might be impaired by:

• Condensing humidity and water • Vibrations (e.g. from centrifuges and dishwashers)
• Heat and large temperature variations • Electromagnetic radiation
• Direct sunlight • Movement of the analyzer during processing of a test cartridge

Connecting power supply

- Connect the power cable to the power supply.
- Insert the plug from the power supply into the power socket (Figure 3) in the back of the analyzer.
- Plug in the power supply to a wall outlet.

Only use the power supply and cable supplied with Afinion 2 Analyzer. Any other power supplies or cables can damage the analyzer and may cause possi-
ble hazards.

Figure 3
1
1 Ethernet port for connection to LIS/HIS/EMR systems. Use shielded cable.
2 2 USB-A connectors for printer, USB flash and barcode reader.
3 3 Power input for power supply connection

Connecting additional equipment

Optional equipment, not provided with your Afinion 2 Analyzer are:

• External barcode reader – for reading barcoded sample or operator identification.

• Printer – for optional print out of test results.

For additional information regarding barcode reader and printer specifications, please contact your local Afinion 2 supplier.

Connecting the equipment should be done while the analyzer is powered off.

All equipment connected to the USB and/or Ethernet ports must have double or reinforced insulation from mains to prevent the risk of electric shock.

Connectivity
Afinion 2 Analyzer can reliably transfer test information to an information system. Use the Ethernet cable to interface the Afinion 2 Analyzer to an information system.
Afinion 2 Analyzer automatically transfers patient and control results to a connected LIS/HIS/EMR system via TCP/IP networking using the protocols POCT1-A,
HL7, ASTM 1381-85 (low level) or ASTM 1394-97 (high level), selectable by configuration. ASTM and HL7 protocols support the transfer of patient and QC
results. POCT1-A protocol supports in addition functions such as device lockout and operator list management. Operator configuration allows for protection of
connectivity settings. When operator configuration is set to operator ID with verification, the configuration of connectivity will only be available for operators at
supervisor level. For relevant information, see chapter “Operator configuration”, page 14.

When you export data that contains patient information, it is your responsibility to comply with your local regulations on protection of personal health information.

Afinion 2 Analyzer POCT1-A, ASTM and HL7 communication protocols are available at www.alere.com or by contacting your local Afinion 2 supplier.

10 | US AFINION™ 2 User Manual

 GETTING STARTED
Getting Started
How to power ON the analyzer
1 Power on the analyzer by pressing the ON/OFF button (Figure1). An automatic start-up procedure will be initiated. Please wait.
Do not open the lid manually.

2 The automatic start-up procedure will be initiated shortly after the analyzer has been powered on. The red light on the top of the analyzer will
turn on, indicating that the analyzer is busy. The analyzer is ready for use when the start-up menu is displayed and the green indicator light
turns on.

3 Start-up menu

The analyzer’s software version (SW X.XX) will appear in the upper left corner of the Start-up menu screen. The temperature displayed in the
Start-up menu is the operating analyzer temperature. Make sure that the operating temperature is within the recommended range for your
Afinion Test (see the package insert for the Afinion Test).
If the analyzer fails during the start-up procedure, an information code will appear referring to a message given in the section “Information
codes and troubleshooting”, page 26-28.

How to power OFF the analyzer

Switch off the analyzer by pressing the ON/OFF button (Figure 1). The analyzer should be powered off after the end of a working day.

The analyzer can only be powered off when the cartridge chamber is empty and the lid is closed. If the ON/OFF button is pressed and the lid is open, the
message ”Close lid” will appear on the screen.

How to operate the analyzer

The Afinion 2 Analyzer has two main user interfaces, the touch screen and the cartridge chamber. The analyzer is easily operated using the touch buttons that appear
on the screen. When a button is touched, its function will be activated. Text messages that appear on the screen will help guide you through the testing procedure.
The functions of the touch buttons are explained in the section “Gallery of icons”, page 32–34.

The other main operative part of the Afinion 2 Analyzer is the cartridge chamber. The cartridge chamber is designed to receive the test cartridge in one orientation
only. The lid must be manually closed, but opens automatically. When a new test cartridge is placed in the chamber, manually closing the lid will initiate the analysis.
When the analysis is complete the lid will open automatically. The lid protects the cartridge chamber from dust, dirt, light and humidity during processing and when
the analyzer is not in use.

• The lid must be manually closed, but opens automatically. Do not open the lid manually.
• Use the fingertips only on the touch screen. Do not use pens or other sharp instruments.

Figure 4
1 Text message
1 2 Touch buttons
3
3 The cartridge chamber
2 with a test cartridge
4 4 The lid in open position

Screen saver
The screen saver will turn on after 3 minutes, if the touch screen is not in use. To reactivate, touch the screen.

Light signals (the red and green LEDs)

The red diode is illuminated when the analyzer is busy. A flashing red light is seen when an information code is displayed. The green diode is illuminated when the
analyzer is ready for use. A flashing green light indicates completion of an analysis.

Sound signals
A short beep indicates completion of an analysis. Two beeps mean that an information code or message is displayed.

AFINION™ 2 User Manual US | 11

Configuration
The AFINION™ 2 menus

Start-up menu Main menu

Patient ID configuration Operator configuration

menu menu

Screen/beeper
Language setting Configuration menu menu

Date/Time QC lockout configuration

menu menu

General settings
menu

12 | US AFINION™ 2 User Manual

 Configuration
Setting the configuration
Before using your Afinion 2 Analyzer you should set the configuration according to your needs. To enter the Configuration menu, do the following:

1 Start-up menu

Touch to enter Main menu.

2 Main menu

Touch to enter Configuration menu.

3 Configuration menu

Select an item for configuration (see following pages).

Patient ID configuration
Patient ID enable/disable
The patient identification (ID) function can be enabled or disabled. The patient ID function is enabled as a default setting by the manufacturer. When the patient
ID function is enabled, the patient ID must be entered for each test cartridge to be analyzed. If the patient ID function is disabled, a run number will automatically
replace the patient ID and be displayed in the upper left corner of the screen. This numbering is reset each day at midnight.

Touch in the configuration menu to enter the patient ID on/off option.

Select to disable the patient ID function.

Select to enable the patient ID function.
Touch to accept and return to the Configuration menu.

AFINION™ 2 User Manual US | 13

Configuration
Operator configuration
The operator ID function is disabled as a default setting by the manufacturer.
Touch in the Configuration menu to enter the Operator configuration menu.

Operator ID enable/disable
Touch in Operator configuration menu to enable/disable operator ID.

Select to disable the operator ID function.

Select to enable operator ID. Any operator ID is accepted.
Select to enable operator ID with verification.
· To enable this function at least one supervisor is required to be present in the operator list.
· When operator ID with verification is enabled, analyzer configuration will only be available to the supervisors.
· To log in, the operator ID entered is required to be present in the operator list. See “Operator list management”, page 14.
Touch to accept and return to the Configuration menu.

Operator login expiration

Touch in the Operator configuration menu to set automatic logout of the operator.

Enter the number of minutes before automatic logout of operator.

The operator will automatically be logged out after the configured number of minutes after ended test.
Touch to confirm and return to previous view.

Operator list management

Touch in Operator configuration menu to enter operator list.

1 Touch to add new operator.

Touch desired operator ID and touch to delete or to edit the highlighted operator.
Copy operator list
It is possible to copy an existing operator lists between analyzers using a USB flash drive. Insert USB flash in the analyzer USB port.
Touch to export operator list from instrument to USB flash. Move USB to the new analyzer and touch to import operator list. Any
existing operator list on the analyzer will be deleted.

2 Enter new/edit operator ID

Enter new/edit operator ID and touch to enter. Both letters and numbers can be entered (maximum 16 characters).
If a barcode reader is connected to the analyzer, a barcoded operator ID can be entered.

3 Configure the operator level

Select USER to configure user access.
Select SUPERVISOR to configure supervisor access.

Configure tests accessible:

Select the test accessible for this operator.
Touch to return and edit the operator ID.
Touch to accept and store new operator in the operator list. The operator list can store 1000 operator IDs.
Supervisors will be marked with * in the operator list. When analyzer is configured to Operator ID with verification, configuration of the
analyzer will only be available to the supervisors.

14 | US AFINION™ 2 User Manual

 Configuration
Choosing language
Touch in the Configuration menu to enter the language setting. The default setting by manufacturer is English. Other languages are available.

1 Touch the arrow in the window to view other options. Scroll down until you find the preferred language.
Touch to accept and return to the Configuration menu.

Adjusting screen/beeper settings

Touch in the Configuration menu to enter the Screen/beeper menu.

Touch to enter the Screen alignment setting.

Touch to enter the Beeper volume setting.

A + sign is shown. Use a blunt pencil and tap the center of the +. Repeat tapping the center of the + each time it is shown. When the
process is finished, the previous screen will return.

Adjust the beeper volume by touching or

Touch to confirm and return to the previous view.

Setting date and time

The correct date and time should always be set because the date and time for the analyses are stored and displayed in the patient and control records. The
date format is YYYY:MM:DD, where YYYY is the year, MM is the month (01 to 12), and DD is the day (01 to 31). The time format is hh:mm, where hh is the hour
from 00 to 23 and mm is minutes from 00 to 59.

Touch in the Configuration menu to enter Date/time menu.

1 Touch to enter Date setting.

Touch to enter Time setting.

2 Enter today’s date or time.

Touch to confirm and return to the previous view.

AFINION™ 2 User Manual US | 15

Configuration
QC lockout configuration
Touch in the Configuration menu to enter the QC lockout configuration menu.

Touch to configure QC lockout for the assay selected.

Touch to configure QC lockout interval.
Touch to view/add/delete stored control lots in the control lot database.

1 Select assay for QC lockout configuration

HbA1c Touch the arrow in the window to open the drop down menu.
ACR
Touch the assay to select.

2 QC lockout
Select to disable the QC lockout function. No QC runs will be required for this assay.
Select to enable the QC lockout function. It is required to run ONE passed control,
control level C I OR C II, to reset the QC lockout interval.
Select to enable the QC lockout function. It is required to run TWO passed controls,
both control level C I AND C II, to reset the QC lockout interval.
Touch to confirm and return to the previous view.

3 QC lockout interval
Select to configure QC lockout interval by number of runs.
Select to configure QC lockout interval by hours.
Touch to enter/edit number of runs/hours to QC lockout.
displays the number of runs/hours configured in the QC lockout interval.
Touch to confirm and return to the previous view.

4 Control lot database

To add a control to the control lot database the Afinion Control Data is required.
The Afinion Control Data is a numeric data string which contains all lot specific data:

• Afinion Control lot number • Control expiry date

• Control type (assay) • Acceptable control range
• Control level (C I or C II) • CRC (check sum to validate the previous data)

The Afinion Control Data and its accompanying barcode is found in the Afinion Control Package Insert. If the Afinion Control Data is not
available, contact your local supplier.
Touch and either manually enter the Control Data or if a barcode reader is connected to the analyzer (recommended), scan the
barcode.
The Afinion Control Data may also be entered before, during or after a control run. The control lot will automatically be stored in the
database. See page 25.
Select lot number and touch to delete a control from the list.
When a control lot has reached its expiry date, the control will automatically be deleted from the instrument control database. The control
lot database can store 100 control lots.

16 | US AFINION™ 2 User Manual

 Configuration
General settings
Touch in the Configuration menu to enter the General settings menu.

Touch to erase all content and configurations.

Touch to enter Instrument network settings.

Touch to enter Connectivity settings.

Erase all contents and configurations

Touch in General settings menu to erase all contents and configurations.

Touch to erase all content and configurations.

Touch to cancel and return to General settings menu.

Analyzer network settings

See Table 1 for description of the available analyzer network settings.
Touch to enter Instrument network settings view.

Touch to configure the network.

Enter the IP Address. Touch to confirm and continue to Gateway.

Enter the Gateway. Touch to confirm and continue to Network mask.

Enter the Network mask. Touch to confirm and return to Hostname.

Enter the Hostname. Touch to confirm and return to Instrument network settings view.
Touch to accept and return to the General settings menu.

Table 1 Description of the available analyzer network settings

Consult your network administrator and LIS/HIS/EMR administrator for required network settings.

DHCP DHCP is turned on/off by selecting “DHCP”.

When using DHCP the instrument’s IP address will be assigned by the DHCP Server.
No other network settings are necessary.
NB! If DHCP is activated, only the hostname setting can be edited.
IP address Insert fixed IP address [0-255/0-255/0-255/1-254]
Gateway Insert Gateway [0-255/0-255/0-255/1-254]
Network Mask Insert Network mask [0-255/0-255/0-255/0-255]
Host name Insert Host name. Valid characters are [A-Z], [0-9], [-]. The length can be from 1-16 characters

AFINION™ 2 User Manual US | 17

Configuration
Connectivity settings
See Table 2 for description of the available Connectivity settings.
Touch in General settings to enter Connectivity settings

Select appropriate communication protocol

ASTM HL
ASTM LL
HL7
POCT1-A
Communication protocol is disabled as default.
Select which results to be transferred to LIS/HIS/EMR by selecting the appropriate button
Patient results only
Patient and control results
Select “New results only” and previous obtained results will not be transferred to the LIS/HIS/EMR

Touch to enter page 2 of the configuration or to return to the General settings menu

Touch to enter Server IP and Port number, Receiving application (available for ASTM HL, ASTM LL and HL7 only) and Receiving facility (available
for HL7 only).

Enter the server IP address: Press to continue to the Port number setting.

Enter the server port number setting: Touch to continue to the Receiving application setting or to close the text input.

Enter the Receiving application setting: Press to continue to the Receiving facility setting or to close the text input.

Use the button to select Patient ID as (available for HL7 only):

HIS Patient ID
Visit Number

Touch to return to the General Settings menu

Table 2 Connectivity settings

Consult your network administrator and LIS/HIS/EMR administrator for required connectivity settings.

Protocol ASTM HL ASTM High Level: The communication protocol is based on ASTM E 1394 - 97
ASTM LL ASTM Low Level: The communication protocol is based on ASTM E 1381 - 95
HL7 HL7: The communication protocol is based on HL7 version 2.4
POCT1-A POCT1-A: The communication protocol is based on CLSI: POCT01-A2 Point-of-Care Connectivity; Approved
Standard – Second Edition
Disabled Data connectivity is disabled
Results Patient results only Only patient results will be transferred to the LIS/HIS/EMR
Patient and quality Both patient and QC results will be transferred to the LIS/HIS/EMR
control
Server IP Insert the IP address of the receiving system [0-255.0-255.0-255.1-254]
Port [0-65535] (0 = not set)
Receiving (ASTM HL, ASTM LL and HL7 only)
Application Receiving application name (0 – 30 characters)
Receiving Facility (HL7 only)
Receiving facility name (0-30 characters)
Patient ID As HIS Patient ID (HL7 only)
Visit Number (HL7 only)

For further information about the connectivity settings, see the Afinion 2 data sheets for POCT1-A, ASTM and HL7 which can be obtained at www.Alere.com or
through your local Afinion supplier.

18 | US AFINION™ 2 User Manual

 Quality Control
Why quality control testing?
Quality control testing should be done to confirm that your Afinion 2 System is working properly and provides reliable results. Accurate results for patient samples
can only be assured when controls are used routinely and the values are within the acceptable ranges.

Choosing control material

Controls supplied by Alere Technologies AS are recommended for use with the Afinion 2 System. These control kits contain control materials with established
acceptable ranges for the Afinion 2 System.

If you decide to use controls from another supplier, you will need to determine their precision and to establish acceptable control ranges for the Afinion 2 System.

Handling and testing controls

Consult the package insert that comes with each control kit for detailed instructions on handling and storage of the control material.

To run a control, follow the procedure in the section “Testing procedures”, page 20-25.
The measured value should be within the acceptable range stated on the control vial label or in the control package insert. If the control results are within the
acceptable ranges, patient samples may be tested and results reported.
If the result obtained for a control is out of range, make sure that:
- The control vial has not passed its expiration date.
- The control vial has not passed the declared stability for opened vials.
- The control vial and Afinion Test Cartridges have been stored according to recommendations.
- There is no evidence of bacterial or fungal contamination of the control vial.
Correct any procedural error and retest the control material. If no procedural errors are detected, it is recommended to examine the laboratory’s quality control
record to investigate the frequency of control failures. Ensure that there is no trend in out-of-range quality control results. Retest the control material using a new
control vial.

Patient results must be declared invalid when controls do not perform as expected. Contact your Technical service representative (1.866.216.9505) for
advice before analyzing patient samples.

Frequency of control testing

It is recommended that controls are analyzed:
• When starting up an Afinion 2 Analyzer for the first time.
• With each new shipment of Afinion Test Kits.
• With each new lot of Afinion Test Kits.
• Anytime an unexpected patient test result is obtained.
• When training new personnel in the correct use of the Afinion 2 System.
• If national or local regulations require more frequent testing of control materials, perform quality control in compliance with the regulations for your facility.
• Users with a low frequency of testing should analyze controls at least every 30 days.

The controls should always be analyzed if an unexpected test result is obtained (see the Afinion Test Package Insert, section Test result reporting). If
local, state and/or federal regulations require more frequent testing of control materials, then quality control should be performed in compliance with these
regulations. Each laboratory site can benefit from establishing a quality control plan. The laboratory director should determine whether additional testing is
appropriate for their laboratory.

AFINION™ 2 User Manual US | 19

Testing Procedures
Operating precautions
When operating the analyzer:
• Use your fingertip to operate the touch screen. Do not use pens or other objects that may scratch or damage the screen. Exception: If the screen
alignment function is required, you will need to use a blunt pencil.
• The lid opens automatically, but must be closed manually. Do not try to open the lid manually.
• The lid protects the cartridge chamber from dust, dirt, light and humidity. Empty the cartridge chamber and keep the lid closed when the analyzer
is not in use.
• If an information code appears on the screen during the analysis, please consult the “Information codes and troubleshooting” section, page 26-28.
• Do not move the analyzer when a test cartridge is being processed.

When handling the test cartridge:

• Do not use test cartridges after the expiration date, or if the test cartridges are not stored in accordance with the recommendations.
• Do not touch the test cartridge optical reading area. Hold the test cartridge by the handle. (Figure 2).
• Do not use the test cartridge if the foil pouch, the desiccant bag or the test cartridge itself is damaged.
• The test cartridges must reach recommended operating temperature before use.
• Do not open the foil pouch until just before use. Once opened, the test cartridge has limited stability.
• Handle and dispose the test cartridges and sample collection equipment as potential biohazardous materials. Use gloves.
• Do not reuse any part of the test cartridge.

Consult the package insert that comes with each Afinion Test Kit for assay specific information.

Preparing for an AFINION™ 2 analysis

- Allow the Afinion Test Cartridges to reach the recommended operating temperature before use.
- Power on your Afinion 2 Analyzer so it is ready for the day’s first analysis.
- Enter the operator ID (optional). See procedure on page 22.
- The patient ID, control ID or Afinion Control Data can be entered before or during processing of the test cartridge in the analyzer.
See procedures on page 22-25.

Consult the package insert that comes with each Afinion Test Kit for assay specific information.

Tear strip

1 2 3
Open the foil pouch. Grip the handle and remove Inspect the cartridge. Do not use the test Mark the test cartridge with the patient
the test cartridge from the pouch. cartridge if it is damaged or if loose desiccant or control ID. Use the ID area on the test
Discard the desiccant bag and foil pouch in particles are found on the test cartridge. cartridge. An ID label can also be used.
suitable waste containers.
Use the handle to avoid Do not write on the barcode label or allow
When first opened, the test cartridge has limited touching the optical reading area. it to become wet, dirty or scratched.
stability. If an ID label is used, this must fit into the
ID area.

If a barcode reader is connected to the analyzer, a barcoded patient ID, control ID or Afinion Control Data can be entered.

20 | US AFINION™ 2 User Manual

 Testing Procedures
Collecting a sample
• The patient sample material and control material to be used is specific for each Afinion Test.
• The length of the capillary in the sampling device, and thereby the sample volume, might also vary for the different Afinion Tests.
• The time from filling the capillary until analysing the test cartridge must be as short as possible.
• Do not use the test cartridge if dropped on the bench or floor after the sample has been collected.

Consult the package insert that comes with each Afinion Test Kit for assay specific information.

Examples:

1 2 3
Remove the sampling device from the test Fill the capillary; hold the sampling device almost Immediately and carefully replace the
cartridge. horizontally and bring the tip of the capillary in sampling device into the test cartridge.
surface contact with the sample. Make sure that
Use the handle to keep the test cartridge steady the capillary fills completely. It is not possible to The time from filling the capillary until
against the table and pull the sampling device overfill. analysing the test cartridge must be as
straight up. Do not wipe off the capillary. short as possible.

Avoid air bubbles and excess sample on the

outside of the capillary.

Analysing a patient/control sample

1 2 3
Touch to enter the patient sample mode. Insert the test cartridge with the barcode label Close the lid manually.The analyzer will start
facing left. processing the test cartridge.
Touch to enter the control mode.
Be sure that the test cartridge is correctly placed in The processing time depends on the test
The lid opens automatically.
the cartridge chamber. in use.
A “C” in the upper left corner indicates that the
analyzer is in the control mode.

4 5 6
Touch and enter the patient ID. Record the result, then touch to accept. Remove the used test cartridge from the
cartridge chamber and discard it in a
Touch to confirm. If a printer is connected, touch to print
suitable waste container.
Touch and enter the control ID or Afinion the result.
Insert a new test cartridge or close the lid
Control Data. The lid opens automatically.
manually.
Touch to confirm. The result will be saved in the result records.
Keep the lid closed to protect the cartridge
Entering the patient ID, control ID or Afinion Control chamber when the analyzer is not in use.
Data will not interrupt the processing.

Consult the package insert that comes with each Afinion Test Kit for assay specific information.

AFINION™ 2 User Manual US | 21

Testing Procedures
Using the operator ID function
Entering operator ID
If enabled, the operator’s identification (ID) is required before processing an Afinion Test Cartridge (see “Operator configuration”, page 14).
Both letters and numbers can be entered (maximum 16 characters). The operator ID will be displayed with the result and stored along with the other specific data
for this run (see “Patient and control results records”, page 25).
If configured to “enabled with verification” the operator ID entered is required to be present in the operator ID list (see “Operator configuration”, page 14).

Enter the operator ID by numbers and/or touch to enter letters. If a barcode reader is connected to the analyzer, a bar coded
operator ID can be entered.
Touch to confirm and return to previous view.

The operator will be automatically logged out according to the configuration (see “Operator configuration” page 14).
The operator may also manually logout by using the operator logout button displayed in the Start-up menu.

Using the patient ID function

The patient ID function is enabled as a default setting. As long as this function is enabled, the patient ID must be entered for each patient sample to be analyzed. The
patient ID function can be disabled (see “Patient ID configuration”, page 13).

Entering patient ID
It is recommended to enter the patient ID during processing of the test cartridge in the analyzer. Entering the patient ID will not interrupt the processing. It is also
possible to enter the patient ID before the processing.

1 Touch to enter the patient ID option.

2 It is possible to enter up to four patient ID entries for each patient, P-ID 1 to 4. When enabled, P-ID 1 is required to be entered. Scrolling
between the patient IDs is done with the and .
Enter patient ID by numbers and/or touch to enter letters (maximum 16 characters).
If a barcode reader is connected to the analyzer, a barcoded patient ID can be entered.
Touch to confirm and return to previous view.

3 The entered P-ID 1 will appear on the screen.

The patient ID touch button will remain in the view and it is possible to make corrections.

The P-ID 1 will be stored in the memory and displayed along with the other specific data for this run (see “Patient ID configuration” page 13). Patient ID 2-4 will not
be displayed in the result records but will be stored in the memory and appear on printouts and data transferred to data management systems.

22 | US AFINION™ 2 User Manual

 Testing Procedures
Using the control ID function
In quality control testing, a suitable control ID must always be entered. The lot number of the control material is recommended as a suitable control ID. The control
ID function cannot be disabled.

Entering Control ID
It is recommended to enter the control ID during processing of the test cartridge in the analyzer. Entering the control ID will not interrupt the processing. It is also
possible to enter the control ID before processing. Both letters and numbers can be entered (maximum 16 characters). The control ID will be stored in the memory
and displayed along with the other specific data for this run.

To enter the control ID during processing, do the following:

1 Touch to enter the control ID option.

2 Enter control ID by numbers and/or touch to enter letters.

Touch to confirm and return to the previous view.

3 The entered control ID will appear on the screen.

The control ID touch button will remain in the view and make corrections possible.

Using the QC lockout function

When the QC lockout function is enabled for one or more assays, approved control testing is required within the configured interval. If the interval expires, patient
testing for the assay will be locked. A passed control run must be performed according to configuration to reset the interval or to unlock the assay for patient testing.
A failed control run will disable patient testing (see “QC lockout configuration”, page 16).

QC lockout status
The status of the active QC lockouts is presented with a QC lockout status button (padlock symbol) visible in the Start-up menu. This gives the operator the status
of QC lockout before he attempts to run any tests.
The padlock symbol will only be visible if QC lockout function is enabled for one or more assay types.

The padlock symbols used are:

Enabled-unlocked
All controls are within the configured interval. It is possible to run patient tests for all assays.

Warning-unlocked
All controls are within the configured interval. When one or more of the assays has 10 % or less of the configured interval remaining the
warning icon will be displayed. It is possible to run patient tests for all assays.

Expired-locked

One or more controls have expired according to the configured interval. Patient testing on the expired assay has been locked.

AFINION™ 2 User Manual US | 23

Testing Procedures

Touch the QC lockout status button (padlock symbol) in the Start-up menu to enter the QC lockout status view.

Status
The information is displayed as a list.
Only the assays with QC lockout activated are displayed in this window.
Red text indicates expired assays and orange text indicates assays within warning period.

Control level
How to reset QC lockout interval and/or unlock expired assays.

If no control level is specified, it is required to run ONE passed control, control level C I OR C II, to reset the QC lockout interval and unlock
the assay for patient testing.
E.g.
HbA1c: #0

If the control level is specified it is required to run TWO passed controls, both control level C I AND C II, to reset the QC lockout interval
and unlock the assay for patient testing.
E.g.
ACR C I: 00.00.00
ACR C II: 00.00.00

Remaining time/runs
Remaining time (dd:hh:mm) or number of runs for each assay with active QC lockout is shown. dd is the number of days, hh is the number
of hours, and mm is the number of minutes until the assay will be locked. # is number of patient tests.

Running controls with enabled QC lockout function

When running controls with the QC lockout function enabled, the Afinion Control Data is required to be entered or p
­ reviously stored in the instrument control lot
database. See “QC lockout configuration”, page 16.

1) The Afinion Control Data is entered before, during or after the control run. If a barcode scanner is connected (recommended) the control data barcode may be
scanned. The control lot will automatically be stored in the instrument control database.

2) If the Afinion Control Data is previously stored in the instrument control database, the operator will simply need to enter the 8 digit control lot number before,
during or after the control run.

If the instrument is configured to QC lockout and the control lot number is not found in the Afinion Control database or the Afinion Control Data entered is not valid,
the instrument will present an option to retry the input or discard the control run result. If discarded, the result will not be stored in the instrument result records.

Passed (result within the acceptable control range)

The result of the control is checked against the acceptable ranges for the corresponding lot number.
If the result is within the limits, a pass symbol is displayed on the screen and the QC lockout interval is reset according to the QC lock-
out configuration.
If QC lockout is configured to require two control levels (C I and C II), both levels must pass to reset the
lockout interval. Only the interval for the control level used in the test is reset.

Failed (result above or below the acceptable control range)

When a control result is not within the acceptable ranges specified for the control lot, a failed symbol is shown on the screen. The result
is stored in the instrument and is sent to the data management system if connected. The QC lockout interval will not be reset.
The arrow symbol will specify whether the result is above or below the acceptable ranges.
See “Handling and testing controls”, page 19.

24 | US AFINION™ 2 User Manual

 Testing Procedures
Patient and control results records
The patient and control results are stored in the memory of the Afinion 2 Analyzer. The last 500 patient results and the last 500 control results are saved in separate
records. When exceeding the capacity of 500 results, the oldest result will be deleted. The following parameters are listed for each run: Date and time, run number,
patient ID/control ID, operator ID, lot number of test cartridge and the test result.

View, print and export patient and control results

1 Main menu

Touch to enter patient results.

Touch to enter control results.

2 The last patient result or control is displayed

To view more results touch or
If a printer is connected, touch to print the result.

Result records may be exported if an USB flash (FAT 32 formatted) is inserted to the Afinion 2 USB port.

Touch to export the results. The results will be stored on the USB in a .txt file for each assay tested on the Afinion 2 Analyzer. These
files may be opened in e.g. Microsoft Excel for further processing.

When you export data that contains patient information, it is your responsibility to comply with your local regulations on protection
of personal health information.

AFINION™ 2 User Manual US | 25

Information Codes and Troubleshooting
When an information code appears
Information codes that might appear during use of the Afinion 2 Analyzer refer to specific information or error messages. The code numbers, the possible causes and
actions to take are listed below.

If the analyzer detects a problem during processing of a test cartridge, the test will automatically be aborted and the test cartridge will be safely moved to the
cartridge chamber. Proceed as follows:

1 Record the code number (#) and touch to accept.

The lid opens automatically.

2 Remove the test cartridge.

If the test cartridge is not ejected, restart the analyzer.
Do not reuse the test cartridge.

3 Look up the possible cause from the table below, and take actions to solve the problem.
If the problem persists, contact your local Afinion supplier (see “Service information” page 28).

Do not reuse a test cartridge that has been rejected by the analyzer. Collect a new sample and repeat the test with a new test cartridge.

Information codes caused by test-specific limitations

[#] Cause Action to take
103 Hemoglobin too low Consult the Afinion HbA1c Package Insert.
104 Hemoglobin too high Consult the Afinion HbA1c Package Insert.
105 HbA1c too low Consult the Afinion HbA1c Package Insert.
106 HbA1c too high Consult the Afinion HbA1c Package Insert.
107 Creatine too high Consult the Afinion ACR Package Insert.
108 Blood in urine Consult the Afinion ACR Package Insert.

26 | US AFINION™ 2 User Manual

 Information Codes and Troubleshooting
Information codes caused by sample or test cartridge
[#] Cause Action to take
201 Insufficient sample volume: Repeat the test with a new sample and test cartridge.
- Empty capillary Ensure that the capillary is completely filled with no air bubbles (see package insert for the Afinion Test in use).
- Air bubble in capillary
- Capillary incompletely filled
202 Excess sample on the sampling Repeat the test with a new sample and test cartridge. Ensure that only the tip of the capillary is in contact with the
device exterior sample (see package insert for the Afinion Test in use).
203 Wrong sample material Repeat the test with a new sample and test cartridge. Ensure that proper sample material is used (see package insert
for the Afinion Test in use, section “Specimen collection and storage”).
204 Coagulated sample Repeat the test with a new sample and test cartridge.
The time from filling the capillary until analyzing the test cartridge should be as short as possible.
Hemolysed blood sample or Consult the Afinion Package Insert.
poor sample quality Repeat the test with a new sample and test cartridge.
Test cartridge or analyzer failure Repeat the test with a new sample and test cartridge.
If the problem persists, restart the analyzer and run controls.
205 Capillary cracked or damaged Repeat the test with a new sample and test cartridge.
Inspect the sampling device before use and handle with care.
206 Barcode label not readable Repeat the test with a new sample and test cartridge.
(dirty or damaged) If the problem persists, restart the analyzer and run controls.
207 - No sampling device inserted Repeat the test with a new sample and test cartridge. Ensure that the correct sampling device is in place and that the
- Sampling device belongs to sampling device label is clean.
another Afinion Test
- Label on sampling device not
readable (dirty or damaged)
208 Test cartridge previously used Repeat the test with a new sample and test cartridge.
209 Test cartridge has passed Check expiry date on the foil pouch or kit container. Repeat the test using a new sample and a new test cartridge
expiration date from another lot.
The date in the analyzer is Check the date in the analyzer to make sure it is set correctly. Repeat the test with a new sample and test cartridge.
incorrectly set
210 Test cartridge temperature Repeat the test with a new sample and a new test cartridge.
too low Ensure that the operating temperature is within acceptable range (see package insert for the Afinion Test in use).
211 Test cartridge temperature Repeat the test with a new sample and a new test cartridge.
too high Ensure that the operating temperature is within acceptable range (see package insert for the Afinion Test in use).
212 Software upgrade is required Contact your local supplier for assistance.
to run this test.
213 Test cartridge or analyzer failure Repeat the test with a new sample and test cartridge. If the problem persists, restart the analyzer and run controls.
214
215 Test cartridge or analyzer failure Repeat the test with a new sample and test cartridge. If the problem persists, restart the analyzer and run controls.
Hemolysed blood sample or Consult the Afinion HbA1c Package Insert. Repeat the test with a new sample and test cartridge.
poor sample quality
(Afinion HbA1c)
217 Hemolysed blood sample or Consult the Afinion HbA1c Package Insert. Repeat the test with a new sample and test cartridge.
poor sample quality
(Afinion HbA1c)
218 Condensation detected on Run a new test cartridge. Ensure that the cartridge is equilibrated to room temperature before the foil pouch is opened.
cartridge

Information codes and messages caused by analyzer failure

[#] Cause Action to take
27
28 Start-up procedure failed Contact your local supplier for assistance.
29
Self-test
error.
Analyzer
in non-
Analyzer failure Restart analyzer. If the problem persists, contact your local Afinion 2 supplier.
operative
mode
301 Self-test failed Restart the analyzer.
302 Analyzer failure Restart the analyzer and run controls. Repeat the test with a new sample and test cartridge.
303 Analyzer temperature is too Ensure that the operating temperature is within recommended range (15-32ºC, 59-89 °F).
high Wait until the analyzer has cooled down. Repeat the test with a new sample and test cartridge.
304 Analyzer temperature is Ensure that the operating temperature is within recommended range for the Afinion Test in use (see package insert).
too low The analyzer temperature is displayed in the Start-Up menu (see page 11). Repeat the test with a new sample and test
cartridge.

AFINION™ 2 User Manual US | 27

Information Codes and Troubleshooting
[#] Cause Action to take
305 Printer improperly connected Switch off the analyzer, reconnect the printer and restart the analyzer.
Malfunction of the printer If the message persists, see the printer user manual.
Touch Touch screen failure/ Touch Restart analyzer and realign screen.
screen screen buttons do not
error respond accurately

Other information codes

[#] Cause Action to take
401 No registered supervisors in At least one supervisor is required in the operator list when the analyzer is configured to operator ID verified,
operator list (see page 14).
402 Cannot delete last At least one supervisor is required in the operator list when the analyzer is configured to operator ID verified,
supervisor (see page 14).
403 This assay type is not The operator logged in does not have access to run this assay type. Please contact your supervisor.
accessible to the operator
404 Operator ID is not found in When Operator ID with verification is enabled, operator ID entered is required to be present in the operator list,
operator list (see page 14). Please contact your supervisor.

[#] Cause Action to take

501 The control lot has passed Check the expiration date on the control lot package insert or kit box.
expiration date Repeat the test using a sample from a new control lot.
502 Afinion Control Data is not Reenter the Afinion Control Data, (see page 16).
recognised and is not stored
in control lot database
503 Control verification aborted. The Afinion Control Data entered was not recognised. The control test was aborted by the operator. Test result was
not stored. Run new control test to reset QC lockout interval.
504 Required control test interval A passed control run must be performed according to configuration to unlock this assay for patient testing.
has expired. Patient testing
is disabled for this assay.

[#] Cause Action to take

601 Operator list or control lot The operator list can store 1000 operators and the control lot database can store 100 control lots. Delete an operator
database is full or control lot to enter a new item

Service information
The laboratory must notify the manufacturer of this test system of any performance, perceived or validated, that does not meet the performance
specifications as outlined in the instructions.

The manufacturer provides a toll free line for technical support: 1.866.216.9505

The toll free number is available for use only in the United States of America.

Before asking for assistance, please record the following information:

• Afinion 2 serial number (SN) – see label on the backside of the analyzer
• Software version number – see Start-up menu.
• Afinion Test type
• Test cartridge or kit lot number – see foil pouch or kit container
• Control identification and lot number – see vial label
• Control results obtained
• Description of the problem with reference to information codes or messages

28 | US AFINION™ 2 User Manual

 Maintenance
Cleaning and maintenance
No maintenance of the Afinion 2 Analyzer is required other than cleaning the exterior and cartridge chamber.

Cleaning the exterior

Cleaning the exterior of the Afinion 2 Analyzer should be performed whenever necessary. Most spills and stains can be removed with water or a mild detergent.
- Power off the analyzer. Unplug the power supply when the shut down procedure is completed.
- Clean the outside of the analyzer and the touch display with a clean, lint-free and non-abrasive cloth dampened in water or a mild detergent.
- To disinfect the exterior of the analyzer use a 1:10 solution of household bleach (i.e., 0.5% sodium hypochlorite), 2% glutaraldehyde solution or 70% alcohol
solution. The surface of the analyzer should be exposed to the disinfectant for at least 10 minutes.
- Allow the analyzer to air dry.
- Plug in the power supply and power on the analyzer.

• The analyzer must be powered off and unplugged before cleaning.

• Do not use any cleaning liquid or equipment other than those recommended above.
• Do not immerse the analyzer in water or other liquids.

Cleaning the cartridge chamber

The Cleaning Kit ( 1116048) should always be used for cleaning the cartridge chamber.

The cartridge chamber should be cleaned immediately if materials or liquids are spilled in the cartridge chamber. For regular maintenance (removal of dust
particles etc.), the cartridge chamber should be cleaned every 30 days.

- Touch to open the lid.

- Unplug the power supply.
- Wet a Cleaning Swab with 3 drops of water and gently rinse the cartridge chamber. To disinfect the surface, use a 1:10 solution of household bleach (i.e., 0.5%
sodium hypochlorite), 2% glutaraldehyde solution or 70% alcohol solution). Do not soak.
- Carefully remove spills and particles from the cartridge chamber using the moistened swab.
- To disinfect the cartridge chamber, the surface of the chamber should be exposed to the disinfectant for at least 10 minutes1.
- Wipe off any residual liquid from the cartridge chamber using a new, dry Cleaning Swab.
- Plug in the power supply, and power on the analyzer by pressing the on/off button.
- The lid will close automatically during the self-test. If it doesn’t, then close it manually and restart the analyzer.

• The analyzer must be unplugged before cleaning.

• Do not use any cleaning liquid or equipment other than those recommended above.
• Do not allow liquid to drip off the Cleaning Swab into the analyzer. If liquid drips into the analyzer, optics can be destroyed.
• Do not immerse the analyzer in water or other liquids.
• Do not move or tilt the analyzer when cleaning the cartridge chamber.

Disposal of the analyzer

For correct disposal according to the Directive 2012/19/EU (WEEE), contact your local Afinion 2 supplier.

Software upgrade
Consult the Afinion USB Flash Drive Package Insert for software upgrade.

1
Clinical and Laboratory Standards Institute (CLSI) Guideline M29-A3: ”Protection of Laboratory Workers From Occupationally
Acquired Infections; Approved Guideline - Third Edition”. ISBN 1-56-238-567-4

AFINION™ 2 User Manual US | 29

Warranty
Alere Technologies AS warrants solely to the Buyer that the Afinion 2 Analyzer will be free from defects in materials and workmanship, when given normal, proper
and intended usage, and will perform in accordance with Alere Technologies AS’s specifications for a period of twelve months from the date of delivery.

At its expense, Alere Technologies AS agrees to repair, or at Alere Technologies AS’s option, replace with a new or reconditioned unit, any Afinion 2 Analyzer which
is under warranty and not performing substantially in accordance with applicable product specifications, provided that the Buyer has given Alere Technologies
AS notification of such warranty claim within the warranty period. If Alere Technologies AS is unable after reasonable efforts to repair or replace the Afinion 2
Analyzer not performing substantially in accordance with applicable product specifications, the Buyer’s sole remedy shall be the refund of an amount not to
exceed the actual purchase price paid by the Buyer for the Afinion 2 Analyzer. All repairs will be done during normal working hours. All replaced parts shall become
Alere Technologies AS’s property. Alere Technologies AS may require the Buyer to ship the Afinion 2 Analyzer to Alere Technologies AS or elsewhere at Alere
Technologies AS’s expense, for warranty service to be performed.

Notwithstanding the foregoing, Alere Technologies AS shall have no obligation to make repairs, replacements or corrections which result, in whole or in part, from
(i) an act of God or other unforeseen catastrophe, (ii) any error, omission or negligence of the Buyer, (iii) improper or unauthorized use of the Afinion 2 Analyzer,
(iv) operating errors or the disregard of warnings and pre-cautions described in this Afinion 2 Analyzer User Manual; (v) repairs performed to the Afinion 2 Analyzer
by any person other than an authorized Alere Technologies AS service representative; (vi) use of the Afinion 2 Analyzer in a manner for which it was not designed,
(vii) causes external to the Afinion 2 Analyzer such as, but not limited to, power failure or electric power surges, or (viii) use of the Afinion 2 Analyzer in combination
with equipment, components or software not supplied by Alere Technologies AS.

EXCEPT AS STATED IN THIS SECTION OF THE USER MANUAL, ALERE TECHNOLOGIES AS DISCLAIMS ALL WARRANTIES, WHETHER EXPRESS OR IMPLIED,
WRITTEN OR ORAL, WITH RESPECT TO THE AFINION 2 ANALYZER, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE. ALERE TECHNOLOGIES AS’S MAXIMUM LIABILITY ARISING OUT OF THE SALE OF THE AFINION 2 ANALYZER OR ITS USE, WHETHER BASED
UPON WARRANTY, CONTRACT, TORT OR OTHERWISE, SHALL NOT EXCEED THE ACTUAL PURCHASE PRICE PAID BY THE BUYER FOR THE AFINION 2
ANALYZER. IN NO EVENT SHALL ALERE TECHNOLOGIES AS BE LIABLE FOR SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES, INCLUDING, BUT NOT
LIMITED TO, LOSS OF PROFITS, LOSS OF DATA OR LOSS OF USE DAMAGES, ARISING HEREUNDER OR FROM THE SALE OF THE AFINION 2 ANALYZER.
THIS WARRANTY MAY NOT BE TRANSFERRED BY THE BUYER.

The acknowledgement of claims shall be reported to your Technical Care Specialist at 1.866.216.9505

30 | US AFINION™ 2 User Manual

 Technical Specifications
AFINION 2 Analyzer
TM

Analyzer
Size 200 mm W x 186 mm H x 328 mm D
Weight 3.4 kg
Display Standard LCD colour display with back light and integrated touch panel.
Resolution: 240 x 320 pixels. Visible area: 58 x 77 mm.
Camera 640 x 480 pixels
Capacity of result records 500 patient results and 500 control results
Capacity of operator list 1000 operators
Capacity of control lot database 100 control lots
SW update Via USB flash drive
Communication interface USB 2.0 High Speed, Ethernet 10/100 Mbps
Power supply
Power supply Separate AC to DC power supply. Double insulated.
Input 100-240 VAC, 50-60 Hz
Output 24 VDC ± 5% , 1.75 A, 42 W
Output connector 0.2 x 0.1 in. / 5.5 x 2.5 mm plug. Positive (+) on inner pin.
Operating conditions
Temperature 15-32°C (59-89°F)
Relative humidity 10-80%, non-condensing
Altitude Max 4000 MASL
Location Dry, clean, horizontal surface. Avoid direct sunlight.
Test cartridge temperature According to specifications for the Afinion Assay in use.
Storage and transport (in the original container)
Temperature -40 to 70ºC (-40 to 158°F)
Relative humidity 10-93 % at 40ºC

Additional equipment
For information regarding recommended barcode reader, printer, the Afinion Analyzer Cleaning Kit or USB flash drive, please call 1.866.216.9505.

AFINION™ 2 User Manual US | 31

Gallery of Icons
The touch buttons and their function
Touching a button on the screen will activate the function of this button. All the touch buttons that may appear during operation of the Afinion 2 Analyzer are
explained below by their function.

Start-up menu
Patient sample mode Select patient sample mode.

Control mode Select control mode.

Main menu Enter Main menu (operator ID, patient records, control records and configuration menu).

Enabled-unlocked
QC lockout status
All controls are within the configured interval. It is possible to run patient tests for all assays.

Warning-unlocked
All controls are within the configured interval. When one or more of the assays has 10 % or
QC lockout status
less of the configured interval remaining the warning icon will be displayed. It is possible to
run patient tests for all assays.
Expired-locked
QC lockout status One or more controls have expired according to the configured interval. Patient testing on the
expired assay has been locked.
Operator logout
Manual operator logout button.
button
Main menu
Patient records View patient result records. View, print or export patient results.

Control records View control result records. View, print or export control results.

Configuration menu Enter configuration menu (language, patient ID on/off, date/time and screen/volume).

Patient ID
Configuration Configure patient ID function.
configuration menu
menu
Operator
Configure operator function.
configuration menu

Language setting Enter language configuration.

Screen/Volume menu Configure screen and volume settings (screen contrast, screen adjustment and beeper volume).

Date/Time menu Enter date/time settings (date and time).

QC lockout
Configure QC lockout function.
configuration menu

General settings menu Enter the general settings menu.

Patient ID Patient ID disabled Patient ID disabled.

configuration
menu
Patient ID enabled Patient ID enabled and required.

Operator Operator ID
Configure operator ID function.
configuration configuration
menu Automatic operator
Configure number of minutes before automatic logout of operator.
logout

Operator list Manage operator list. View, add, edit and delete operators.

Patient and
Print Print result on connected printer.
control records

Result records export Export result records to connected USB flash.

Universial
Patient ID Enter patient ID.
buttons

Control ID Enter control ID.

Enter Enter and return to previous view.

Backspace Delete previous character.

Increase Increase contrast/volume.

32 | US AFINION™ 2 User Manual

 Gallery of Icons
Menu Touch button Name Function

Decrease Decrease contrast/volume.

Scroll up View previous

Scroll down View next

Exit Exit current menu and return to previous screen view.

Accept Accept (a setting or a test result).

Abort Abort the test result or cancel operation.

Add button Add new operator or control lot.

Delete button Delete operator or control lot.

Edit button Edit QC lockout interval or operator ID.

Operator ID Operator ID disabled Operator ID function is disabled.

configuration
Operator ID enabled Operator ID is required to be entered to run an Afinion Test Cartridge

Operator ID enabled Operator ID is required to be entered to run an Afinion Test Cartridge. The operator ID is veri-
with verification fied against the analyzer operator list.
Language
Language Enter language configuration.
settings
Screen/Beeper
Screen alignment Enter screen alignment function.
menu

Beeper volume Enter beeper volume setting.

Date/Time menu Date Enter date setting.

Time Enter time setting.

General settings
menu Erase Erase all content and configurations.

Instrument network
Enter analyzer network settings
settings

Connectivity settings Enter connectivity settings

QC lockout
configuration QC lockout Enable/disable QC lockout function.
menu

QC lockout interval Configure QC warning and lockout interval.

Control lot information View, add or delete control lots stored on analyzer.

Operator list Operator list export Export operator list from analyzer to USB flash.

Operator list import Import operator list from USB flash to analyzer.

QC lockout QC lockout disabled QC lockout is disabled for this test.

QC lockout enabled One passed control run of either C I or C II is required to reset QC lockout interval.

QC lockout enabled Two passed control runs, C I and C II are required to reset QC lockout interval.

QC lockout Interval by number of

QC reminder and lockout active after a configured set of patient tests.
interval patient tests
Interval by number of
QC reminder and lockout active after a configured set of hours.
hours

AFINION™ 2 User Manual US | 33

Gallery of Icons
Other symbols and signs
Other symbols, signs and abbreviations that may appear during operation of the Afinion 2 Analyzer are explained below. These symbols or signs are only inform-
ative and can not be activated like the buttons.

Symbol Meaning Appears when?

Wait! Hour-glass icon that appears in the start-up procedure.

Icon used along with a code number [#] that corresponds to code specific information messages [#]
Information code
(see “Information codes and troubleshooting”).

Operator ID Icon illustrates the operator ID.

Patient ID Icon illustrates the patient ID.

Control ID Icon illustrates the control ID.

The instrument is connected to the LIS/HIS/EMR server. When no symbol, the instrument is not connected to the
Connected
LIS/HIS/EMR server.

Quality control pass Control result is within acceptable range.

Quality control failed Control result is outside acceptable range.

Result is above
The displayed control result is above acceptable range.
acceptable range
Result is below
The displayed control result is below acceptable range.
acceptable range

C Control The letter C will appear on the screen when the control mode is selected.

O-ID Operator ID Abbreviation used in the patient and control records.

P-ID Patient ID Abbreviation used in the patient records.

C-ID Control ID Abbreviation used in the control records.

Abbreviation used in the patient and control records for the run number of the analysis. This numbering is reset each
RUN# Run number
day at midnight.

LOT# Lot number Abbreviation used in the patient and control records for the lot number of the test cartridge.

USER User Operator with user privileges.

SUPERVISOR Supervisor Operator with supervisor privileges.

34 | US AFINION™ 2 User Manual

Symbols and Abbreviations
The following symbols and abbreviations are used in the product labeling of the Afinion 2 System.

Symbol/Abbreviation Explanation Symbol/Abbreviation Explanation

The product conforms to all applicable EC
Conformity to the RoHS 2 directive
Directives and Regulations
IVD In vitro diagnostic medical device Conformity to the technical regulations for
EurAsian Conformity Mark
Catalogue number
Conformity to the North American product
UL 61010-1 safety standards
LOT Lot number CAN/CSA 22.2 No. 61010-1

Serial number Direct current

TEST CARTRIDGE Test cartridge USB port

CONTROL C I Control C I Ethernet port

CONTROL C II Control C II Double insulation

CLEANING KIT Cleaning kit LED Light emitting diode

Waste electrical and electronic equipment
PC Personal computer
(WEEE)

Biological risks ID Identification

HIS Hospital information system

Contents sufficient for ”n” number of tests
N
LIS Laboratory information system
Expiration date
LCD Liquid crystal display
Storage temperature limitations
AC Alternating current
Manufacturer
DC Direct current
Date of manufacture
ASTM American Society for Testing and Materials
Fragile, handle with care
HL7 Health Level Seven

Keep away from sunlight Point-of-Care Connectivity; approved

POCT1-A
standard
Keep dry EMR Electronic medical record

Warnings and precautions DHCP Dynamic host configuration protocol

Consult the Afinion User Instructions IP Internet protocol

AFINION™ 2 User Manual US | 35

 Alere Technologies AS
Kjelsåsveien 161
P.O. Box 6863 Rodeløkka
NO-0504 Oslo, Norway
www.alere.com

ISO 13485 certified company

© 2018 Abbott. All rights reserved. All trademarks referenced are trademarks
of either the Abbott group of companies or their respective owners.

1116752 Rev. A 2018/09