1 00:00:07,007 --> 00:00:08,141 Hello. 2 00:00:08,141 --> 00:00:12,178 My name is Ryan Kennedy and I'm a product manager here at Sysmex America. 3 00:00:12,212 --> 00:00:14,781 Today, I have the pleasure of demonstrating for you 4 00:00:14,781 --> 00:00:16,016 some of the Gating software 5 00:00:16,016 --> 00:00:19,919 capabilities on the Sysmex instrument for animal testing laboratories. 6 00:00:19,919 --> 00:00:24,858 The XN-V automated hematology analyzer. One of the fantastic features 7 00:00:24,858 --> 00:00:29,829 of the XN-V Series analyzer is the ability to electronically re-analyze 8 00:00:29,829 --> 00:00:34,401 a sample’s data under a different species algorithm calculation, 9 00:00:34,501 --> 00:00:38,738 which is going to reclassify the Gates and generate any new flagging 10 00:00:38,738 --> 00:00:42,976 and results if necessary based on that new species selection 11 00:00:42,976 --> 00:00:46,179 without needing to aspirate any additional sample. 12 00:00:46,413 --> 00:00:48,715 To dive a little deeper into this functionality, 13 00:00:48,715 --> 00:00:53,186 we're going to go over to the Species Settings application within our analyzer. 14 00:00:53,286 --> 00:00:56,589 On the main menu of the XN-V, you'll notice that there's an icon 15 00:00:56,589 --> 00:00:58,725 for species setting. 16 00:01:01,428 --> 00:01:03,296 This is the area of the analyzer 17 00:01:03,296 --> 00:01:07,200 where you can customize any of the species that are built into the analyzer, 18 00:01:07,300 --> 00:01:12,405 as well as modify or create entirely new sample judgment criteria. 19 00:01:12,705 --> 00:01:16,109 When you go into the setting, it's going to open up a pop up window. 20 00:01:16,443 --> 00:01:20,413 Now I just want to touch on each one of these selections briefly. 21 00:01:21,114 --> 00:01:23,483 The ‘Manage Settings’ 22 00:01:23,550 --> 00:01:25,652 is where you can download or upload 23 00:01:25,652 --> 00:01:29,122 different species Gates that you've already set. 24 00:01:29,122 --> 00:01:33,893 The XN-V solution comes preloaded with multiple species already classified 25 00:01:33,893 --> 00:01:36,429 for the different Gating of the populations, 26 00:01:36,429 --> 00:01:40,066 for the various measurement channels available on the analyzer. 27 00:01:40,934 --> 00:01:43,770 However, say hypothetically, you have a research group 28 00:01:43,770 --> 00:01:47,640 that you're performing testing on and you modify those Gates somewhat 29 00:01:47,640 --> 00:01:51,211 and now you have a sister site that is doing a similar research study. 30 00:01:51,277 --> 00:01:56,216 Those Gates that you modified can be downloaded and sent to that sister site 31 00:01:56,549 --> 00:01:59,119 so you can share information extremely easily 32 00:01:59,219 --> 00:02:02,522 to any other laboratories for collaboration purposes. 33 00:02:03,623 --> 00:02:06,359 ‘Name/Comment/Analysis’ 34 00:02:06,359 --> 00:02:09,229 This is where you're going to see all your different species types 35 00:02:09,229 --> 00:02:11,698 that come prebuilt with the analyzer 36 00:02:11,698 --> 00:02:15,201 and you will also see any new ones that you've built as well. 37 00:02:15,602 --> 00:02:18,771 There are a lot of different customization options available, 38 00:02:18,805 --> 00:02:22,742 but just to summarize, you can build subspecies off of an already 39 00:02:22,742 --> 00:02:24,611 existing species type 40 00:02:24,611 --> 00:02:28,047 make entirely new species to start building Gates with them, 41 00:02:28,248 --> 00:02:33,486 as well as make modifications on how they analyze the reports out; WBC, 42 00:02:33,620 --> 00:02:36,322 Platelet, Hemoglobin and Hematocrit 43 00:02:36,322 --> 00:02:38,925 parameters for each of the species types. 44 00:02:39,692 --> 00:02:42,562 While we're on the screen, I also want to point out that on your 45 00:02:42,562 --> 00:02:46,199 XN-V Series instrument, you have two different fluorescent flow 46 00:02:46,199 --> 00:02:50,670 cytometry methodologies available to calculate your WBC parameter. 47 00:02:50,670 --> 00:02:53,673 In addition to having three different methodologies 48 00:02:53,673 --> 00:02:56,276 available to calculate the platelet parameter, 49 00:02:56,476 --> 00:02:59,879 this gives you parameter measurement redundancy in cases 50 00:02:59,879 --> 00:03:03,716 where you have abnormal pathologies, and having those additional automated 51 00:03:03,716 --> 00:03:06,819 measurement options greatly reduces the likelihood 52 00:03:06,819 --> 00:03:11,224 of needing to go to these time extensive and less precise manual methods. 53 00:03:11,491 --> 00:03:16,062 ‘Reference Interval’ this is something that you could use or not use, 54 00:03:16,062 --> 00:03:19,899 but you'll have the capability if you find it useful in your laboratory. 55 00:03:20,200 --> 00:03:23,970 If you do decide to use it, you would just go into this screen here 56 00:03:23,970 --> 00:03:28,541 and select your different species and indicate your lower and upper limits. 57 00:03:28,841 --> 00:03:33,146 So on your printouts or on your explorer screen, you would see whether or not 58 00:03:33,146 --> 00:03:38,117 the results were high or low or within your expected range 59 00:03:39,686 --> 00:03:41,421 ‘List Order’ 60 00:03:41,421 --> 00:03:45,558 this is where you can customize your list of species for your laboratory. 61 00:03:45,992 --> 00:03:48,661 So, for example, if you don't analyze 62 00:03:48,661 --> 00:03:53,600 horse, rabbit or cattle specimens, you can remove them from the selected 63 00:03:53,600 --> 00:03:57,537 items on the right so that your scientists don't select them by mistake. 64 00:03:57,704 --> 00:04:01,140 Or if you just want to clean up the list so that you aren't scrolling 65 00:04:01,140 --> 00:04:02,375 through a bunch of different 66 00:04:02,375 --> 00:04:06,579 species types that you never use to get to the ones you actually do. 67 00:04:06,946 --> 00:04:07,814 Again... 68 00:04:07,814 --> 00:04:12,585 Another feature in here to customize and make it the most user friendly to you. 69 00:04:12,752 --> 00:04:16,556 Flagging capabilities on this instrument are completely customizable 70 00:04:16,556 --> 00:04:17,957 and can be tailored specifically 71 00:04:17,957 --> 00:04:21,828 for any of the species profiles that you have built on your instrument. 72 00:04:22,095 --> 00:04:25,064 In this area you can see that you have multiple different flagging 73 00:04:25,064 --> 00:04:30,303 criteria available for your WBC, RBC and platelet parameters. 74 00:04:30,403 --> 00:04:33,373 And all you would need to do is select which species type 75 00:04:33,373 --> 00:04:35,508 you want to adjust flagging criteria on 76 00:04:35,575 --> 00:04:39,145 and then which flags you want to have populated on your analyzer. 77 00:04:39,345 --> 00:04:42,548 And for those flags you want to populate, you would indicate 78 00:04:42,548 --> 00:04:45,952 what cut off limits you want for each of those flags. 79 00:04:46,286 --> 00:04:50,123 Earlier we mentioned the ability to electronically re-analyze 80 00:04:50,123 --> 00:04:54,060 a sample's data under a different species algorithm calculation 81 00:04:54,160 --> 00:04:59,132 which allows you to on the fly make incredibly quick changes to results 82 00:04:59,365 --> 00:05:03,303 based on species profiles that already exist within your instrument. 83 00:05:03,803 --> 00:05:07,206 Well, now let's take a look at the ability to adjust the actual gates 84 00:05:07,206 --> 00:05:11,711 on the individual species within the manual analysis section. 85 00:05:11,911 --> 00:05:14,814 First, let's go to our sample explorer, 86 00:05:16,749 --> 00:05:19,752 then data browser section. 87 00:05:19,752 --> 00:05:22,488 Then let's select ‘ReAna’ on a specimen 88 00:05:22,488 --> 00:05:24,857 that we want to modify 89 00:05:26,159 --> 00:05:29,862 and then select ‘Manual Analysis’ 90 00:05:32,131 --> 00:05:36,536 This is going to open up a new window where you have your sample demographic 91 00:05:36,536 --> 00:05:38,171 information at the top 92 00:05:40,573 --> 00:05:42,208 and your sample results 93 00:05:42,208 --> 00:05:44,644 over on the left hand side. 94 00:05:47,413 --> 00:05:50,917 You have your different gate sections over here on the right hand side. 95 00:05:51,017 --> 00:05:54,020 So you can see that each of the fluorescent flow cytometry measurement 96 00:05:54,020 --> 00:05:58,891 channels, as well as the impedance channels, are available for customization. 97 00:05:59,225 --> 00:06:01,961 Now let's look at the WNR fluorescent 98 00:06:01,961 --> 00:06:04,731 flow cytometry measurement channel. 99 00:06:05,765 --> 00:06:10,069 Which is normally capturing nRBC, Basophil 100 00:06:10,069 --> 00:06:13,172 and a total white blood cell count parameter. 101 00:06:13,606 --> 00:06:15,041 And let's say that you feel that 102 00:06:15,041 --> 00:06:18,611 this isn't capturing all of the three parameters correctly. 103 00:06:19,212 --> 00:06:22,682 Simply select the different groupings that are preset here, 104 00:06:23,149 --> 00:06:26,185 then left click to generate a different vertex. 105 00:06:26,386 --> 00:06:29,989 And then when you want to close the gate, you would right click 106 00:06:30,289 --> 00:06:33,926 and then just continue to do that for each gate. 107 00:06:34,127 --> 00:06:38,331 Also, you could type in over here the specific x and y coordinates 108 00:06:38,331 --> 00:06:42,568 if you feel more comfortable with that option or to make minor tweaks. 109 00:06:42,735 --> 00:06:46,973 And then once you hit reanalyze, you will see the information populate over 110 00:06:46,973 --> 00:06:52,278 on the left hand side of the screen to the right of the original results list. 111 00:06:52,578 --> 00:06:55,848 So now you can see the two results based on the different gatings 112 00:06:55,848 --> 00:07:00,586 and how they compare and then select which one is going to work for you. 113 00:07:00,887 --> 00:07:03,256 Additionally, if you feel that this new gating 114 00:07:03,256 --> 00:07:06,626 that you have created is something you want to use moving forward, 115 00:07:06,626 --> 00:07:10,129 you can select at the bottom here ‘Gate Save’ 116 00:07:10,630 --> 00:07:14,934 and save that information to be available for use on future samples. 117 00:07:15,601 --> 00:07:18,571 Or if you feel that you aren't satisfied with the gates 118 00:07:18,571 --> 00:07:22,208 that you've made, you can discard by selecting exit. 119 00:07:22,742 --> 00:07:26,479 So the last feature of the re-analysis menu functionality that we're going to 120 00:07:26,479 --> 00:07:30,149 briefly go over is the ability to create new gates entirely. 121 00:07:30,249 --> 00:07:33,753 Which you can perform under the manual analysis ‘EXT.’ 122 00:07:33,853 --> 00:07:35,555 or extended. 123 00:07:38,257 --> 00:07:41,794 This area is going to look very similar to the previous selection, 124 00:07:41,794 --> 00:07:45,264 that simple manual analysis area. 125 00:07:45,631 --> 00:07:49,035 However, this is specific just to those fluorescence flow 126 00:07:49,035 --> 00:07:52,839 cytometry measurement channels and their associated parameters. 127 00:07:53,072 --> 00:07:56,876 And you can see here that you can very easily create new gates 128 00:07:56,876 --> 00:08:00,346 within any of those fluorescent flow cytometry measurement channels, 129 00:08:00,813 --> 00:08:04,650 again, simply by using your mouse with the left clicks, generating 130 00:08:04,650 --> 00:08:08,554 each vertex and right clicking when you want to close the loop 131 00:08:08,554 --> 00:08:11,657 or by typing in specific x and y coordinates. 132 00:08:12,425 --> 00:08:14,060 This area within the analyzer 133 00:08:14,060 --> 00:08:17,864 allows you to go beyond what's already pre built on the system. 134 00:08:17,864 --> 00:08:21,567 If your laboratory so desires for your research purposes. 135 00:08:22,235 --> 00:08:24,604 For each channel, you can create up to seven 136 00:08:24,604 --> 00:08:28,441 individual gates with an eight gate being the total enumeration 137 00:08:28,441 --> 00:08:32,345 of subsequent gates within its specified region limits. 138 00:08:33,212 --> 00:08:37,650 In addition to our innovative technology with the XN-V Series Solutions, 139 00:08:37,650 --> 00:08:41,687 you will also gain the ability to vastly customize your animal testing. 140 00:08:41,988 --> 00:08:46,559 As one of the leaders in hematology laboratory diagnostics, Sysmex remains 141 00:08:46,559 --> 00:08:50,897 committed to supporting veterinary testing facilities, your unique needs 142 00:08:50,897 --> 00:08:55,334 and the vital role that you play in the health care and pharmaceutical industry.