A 3-part hematology instrument provides enough information for typical physician office laboratories. With a simple CBC, the neutrophil and lymphocyte counts will answer the question of a viral infection or a bacterial infection that can be treated with antibiotics.
For specialty laboratories, a 5-part hematology instrument can provide a more detailed and targeted assessment of the blood status. To distinguish eosinophils and basophils from neutrophils, for example, a 5-part differentiation is necessary.
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The most important aspect of automated hematology analyzers is the ability of the analyzer to detect and flag for abnormal samples. Workflow efficiencies can be gained by significantly reducing suspicious flagging and the number of manual differentials. The number of samples that require manual examination can be greatly reduced with more detailed information and improved accuracy1,2 provided by a 5-part differential.
About 30% of samples generate a suspicious flag with a 3-part analyzer requiring a manual differential. The more detailed information provided by a 5-part differential analyzer can reduce suspicious flagging by about 10%.1
Dynamic Gating Technologies achieve a high level of accuracy in the differential and are only available on 5-part differential hematology analyzers. The sophisticated gating technology improves identification of cell populations by adjusting the thresholds between cell cluster arrangements. In contrast, fixed gating technologies sometimes cause cells to be counted as part of an incorrect subtype, especially in pathological specimens generating suspicious flags.3
Appropriate use of critical values improves patient outcomes by ensuring that physicians are promptly notified of immediate life-threatening conditions.5 For example, severe Neutropenia with critically low Absolute Neutrophil Count (ANC) below 500/L is considered a critical parameter that cannot be overseen by clinicians. Proper evaluation and interpretation of critical Neutropenia requires an accurate Neutrophil count that cannot be achieved with a 3-part differential hematology analyzer. See (Table 1).5,6
5-part differential analyzers provide quantitative and qualitative measurements to differentiate and provide absolute counts for Basophils, Monocytes and Eosinophils. Measuring increased or decreased levels of WBCs can help distinguish abnormal samples from patients which may require further testing to determine if other conditions or diseases are present.5-part differential analyzers provide important clinical information that is not attainable with a 3-part differential analyzer and can be used in identifying various clinically significant conditions like autoimmune diseases and infections.
The DxH 500 Series 5-part differential analyzers go beyond just cell counting. They provide the technological means for the identification of qualitative cell morphological characteristics to differentiate between normal and pathological conditions, improving the information provided to clinicians with 21 clinical parameters and improving laboratory workflow through reduction in suspicious flagging and increased accuracy. 5-Part differential hematology solutions maximize productivity in low-volume labs with 99% uptime.4
The hematology analyzer is used to count blood cells, classify leucocytes, and determine haemoglobin levels. The detection principle includes two principles: the electrical and optical principles. Electrical resistance and RF conductivity are examples of electrical principles, while laser scattering and spectrophotometry are examples of optical principles. Genrui Biotech is currently going to show you the hematological analyzer.
1. The principle of leucocyte trichotomy: When different volumes of leucocytes travel through a small well, there is a substantial difference in the size of the pulses created, according to the principle of electrical resistance. he instrument divides the leucocytes into groups based on the size of the pulses. The apparatus uses the number of electron pulses higher than 35fl detected from the leucocyte counting cell as the leucocyte count after adding a haemolytic agent to the samples to lyse the red blood cells. According to the size of the pulse, leucocytes in the blood are divided into three groups: small cell group (35-90fl, mainly lymphocytes), intermediate cell group (91-160fl, including monocytes, eosinophils, basophils, and naive cells), and large cell group (161-450fl, mainly neutrophils).
2. The principle of pentad classification: The progression from the electrical resistance method's trichotomous grouping to the use of a combination of techniques (laser, radiofrequency, and chemical staining) for the simultaneous detection of a single cell and a comprehensive analysis of the experimental data to produce a pentad classification of leukocytes. This method accurately classifies a large number of cells with great specificity, and it is currently widely regarded as the preferred automated blood cell classification method.
In a triple or quintuple hematology analyzer, hemoglobin is measured spectrophotometrically. In a dilution containing a haemolytic agent, red blood cells lyse and release haemoglobin, which reacts with certain components of the haemolytic agent to generate a stable haemoglobin derivative that is colorimetric in a certain light wave range (530-550nm). Because the change of absorbance is proportional to the blood hemoglobin concentration, the hemoglobin concentration can be calculated. The above is the principle.
Hematology analyzers (also spelled haematology analysers in British English) are used to count and identify blood cells at high speed with accuracy.[1][2][3] During the 1950s, laboratory technicians counted each individual blood cell underneath a microscope. Tedious and inconsistent, this was replaced with the first, very basic hematology analyzer, engineered by Wallace H. Coulter. The early hematology analyzers relied on Coulter's Principle (see Coulter counter). However, they have evolved to encompass numerous techniques.[4]
Hematology analyzers are used to conduct a complete blood count (CBC), which is usually the first test requested by physicians to determine a patient's general health status.[5] A complete blood count includes red blood cell (RBC), white blood cell (WBC), hemoglobin, and platelet counts, as well as hematocrit levels. Other analyses include:[citation needed]
A 3-part differential cell counter uses Coulter's Principle to find the size and volume of the cell. The sample is lysed and dissolved into an electrolyte solution in a container, which also holds a smaller container. The smaller container has 2 pumps running to and from its solution, one creating a vacuum and the other replacing the lost solution. The smaller container has a small hole (an orifice) near the bottom of the container. Coulter's principle is applied through the use of two electrodes. One electrode (the internal electrode) is within the smaller container, and the other (the external electrode) is outside of the smaller container but within the electrolyte/sample solution. As the vacuum draws the sample cells through the orifice, the cell momentarily causes electrical resistance to the current as it passes through the orifice. This resistance is recorded, measured, amplified, and processed which can then be interpreted by the computer into a histogram. The 3-part analyzer is able to differentiate between 3 types of WBC's, neutrophils, lymphocytes, and monocytes.[7]
This type of hematology analyzer utilizes both Coulter's Principle and flow cytometry to determine the granularity, diameter, and inner complexity of the cells. Using hydrodynamic focusing, the cells are sent through an aperture one cell at a time. During this, a laser is directed at them, and the scattered light is measured at multiple angles. The absorbance is also recorded. The cell can be identified based on the intensity of the scattered light and the level of absorbance.[8] A 5-part cell counter can differentiate all WBC types (neutrophils, lymphocytes, basophils, eosinophils, and monocytes). 5-part analyzers are more expensive than 3-part analyzers, but provide more in-depth information about the sample. Specific jobs, such as allergy testing, require 5-part differential analysis. However, most medical tasks can be completed with the 3-part analyzer.[citation needed]
With its simplified operation, the XP-300 is an ideal hematology analyzer for a clinic satellite laboratory. It provides a CBC with 8 reportable parameters and 3-part WBC Differential, which includes an Absolute Neutrophil Count (ANC). The results include histograms for WBC, RBC and PLT. The system provides a high level of accuracy through the use of automatic floating discriminators. Built on reliable Sysmex technology, it features a simple start-up menu and single button selection for sampling and daily maintenance with a compact, space-saving design.
The ADVIA 2120 Hematology System was recently released by Bayer HealthCare, Diagnostics Division, as a bench-top analyzer designed for medium- to large-volume laboratories. This flow cytometry-based system uses light scatter, differential white blood cell (WBC) lysis, and myeloperoxidase and oxazine 750 staining to provide a complete blood cell count, a WBC differential, and a reticulocyte count. A cyanide-free method is used to measure hemoglobin colorimetrically. The system is automation ready; in addition to its capability for analyzing peripheral blood specimens, the analyzer is also equipped to analyze cerebrospinal fluid samples. In this article we explain the underlying technology of the ADVIA 2120, provide linearity ranges, method-specific reference ranges, and stability data, and describe novel parameters and applications that are unique to the methodology used by this instrument. Finally, we discuss research applications and future directions, such as the use of this hematology analyzer in the determination of fetal lung maturity. be457b7860
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