Step-by-Step Guide to Calculate Reading Points on the EM-200Plus Instrument
1. Understand Key Parameters
- Test Cycle: 18 seconds per point.
 - R2 Addition Point: 18 (fixed for all methods).
 - Total Reaction Points: 34 (maximum).
 
2. Calculation Methods
A. 1 Point End Method
- Purpose: Measure absorbance at the end of the reaction.
 - Formula:
 
- Example (Total Protein):
- Reaction Time = 10 minutes = 600 seconds.
 - End Point = .
 
 
B. 2 Point End Method
- Purpose: Measure absorbance before and after R2 addition.
- Start Point: 1 point before R2 addition (17) or 1 point after (19), depending on the test.
 - End Point:
 
 
- Example 1 (Total Bilirubin):
- Start Point = .
 - Reaction Time After R2 = 5 minutes = 300 seconds.
 - End Point = .
 
 - Example 2 (HDL-C):
- Start Point = .
 - End Point = 34 (same calculation as above).
 
 
C. Kinetic/Fixed-Time Method
- Purpose: Measure absorbance during stabilized reaction intervals.
- Start Point:
 
 
- End Point:
 
- Example 1 (ALT - Double Reagent):
- Delay Time = 1 minute = 60 seconds.
Start Point = . - Measurement Time = 3 minutes = 180 seconds.
End Point = . 
 - Delay Time = 1 minute = 60 seconds.
 - Example 2 (AMY - Single Reagent):
- Start Point = .
 - End Point = .
 
 
3. Key Notes
- Rounding: Always round up for delay times and down for measurement times to ensure points fit within the 34-point limit.
 - R2 Handling: For methods without R2 (e.g., AMY), calculate points directly from the start of the reaction.
 
Summary Table
| Method | Start Point Formula | End Point Formula | Example | 
|---|---|---|---|
| 1 Point End | N/A | TP: End = 34 | |
| 2 Point End | R2 ± 1 (17 or 19) | TBIL: End = 34 | |
| Kinetic | ALT: 22 → 32 | 
By following these steps, you can accurately configure reading points for precise and efficient testing on the EM-200Plus.
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