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. 2020 Aug;42(4):439-449.
doi: 10.1111/ijlh.13218. Epub 2020 Apr 28.

Hematological performance of a last generation automated blood cell counter: The Mindray BC-6800 Plus

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Hematological performance of a last generation automated blood cell counter: The Mindray BC-6800 Plus

Gina Zini et al. Int J Lab Hematol. 2020 Aug.

Abstract

Introduction: Hematology analyzers produce reliable, reproducible, precise, accurate results, as well as a premicroscopic characterization of abnormal samples. We have evaluated the clinical performance of a new blood cell counter, which has been temporarily made available to our hematology laboratory.

Methods: Over four months, we analyzed with the Mindray BC-6800 Plus more than 1000 samples with a high incidence of hematological abnormalities, using recommended ICSH and CLSI protocols. We have also assessed flagging efficiency for abnormal cells and scattergram cell distribution.

Results: From a quantitative point of view, our assessment has identified state-of-the-art level reproducibility, excellent linearity, stability over 48°C at 4°C for the conventional parameters, lack of carry-over (<0.2%), and comparability with the routine instruments. These features would make the instrument suitable for immediate and smooth introduction in the hematology laboratory. Flags for abnormal cells are efficient; flag for blast cells has high sensitivity and predictive value of negative results. Additional benefits are provided by a competent interpretation of cell distribution scattergrams in samples from patients with specific hematological disorders.

Conclusion: We have demonstrated good analytical and useful diagnostic performance of this new instrument, including effective selection of abnormal samples for informed microscope morphological analysis.

Keywords: BC 6800 Plus; Mindray; blood cell counter; complete blood count; hematologic neoplasms; performance evaluation.

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References

REFERENCES

    1. International Council for Standardization in Haematology, Writing Group, Briggs C, Culp N, et al. ICSH guidelines for the evaluation of blood cell analysers including those used for differential leucocyte and reticulocyte counting. Int J Lab Hematol. 2014;36:613-627.
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    1. CLSI. Validation, verification and quality assurance of automated hematology analyzers; Approved standard - Second edition. CLSI document H20-A2. Wayne, PA: Clinical and Laboratory Standards Institute; 2007.
    1. BC-6800 Plus Auto Hematology Analyzer. Operator’s manual. Mindray Bio-medical Electronics Co., Ltd., Shenzhen, China; 2018.
    1. Swerdlow SH, Campo E, Harris NL, et al. (eds). WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 4th ed. Lyon: International Agency for Research on Cancer; 2017.

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