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QwikCheck™
APPENDIX 11: QwikCheck™ Rapport de test
Semen Analysis Report
QwikCheck™ GOLD
SEMEN ANALYSIS REPORT
DEVICE SN#
SW VER.
TEST DATE
3/12/04 15:26
PATIENT ID
XXXXXXXXXXXXXXXXXXXX
BIRTH DATE
ABSTINENCE
ACCESSION #:
XXXXXXXXXXXXXXXXXXXX
COLLECTED
11/22/04 12:20
RECEIVED
11/22/04 12:25
TYPE
FRESH/WASHED
VOLUME
WBC CONC.
PH
TEST RESULTS
CONC.
TOTAL MOTILITY
<PR+NP>
MOTILITY GRADES:
PROG. <PR>
NONPROG. <NP>
IMMOT. <IM>
MORPH. NORM. FORMS
<WHO 5
th
>
MSC
PMSC
FSC
VELOCITY
29 mic/sec
SMI
TOTALS PER VOLUME
SPERM #
MOTILE SPERM
PROG. SPERM
FUNC. SPERM
MORPH. NORM.
SPERM
-----------------------------------------
SYSTEM DATA
5. 14.08
7. 0.644
AW 123456
-----------------------------------------
Sperm Quality Analyzer Guide Version 1.00
SYSTEM Default Settings
DEVICE SN#
382
SW VER.
01.XX.XX
PRINT DATE 14/01/04
DATE FORMAT
TIME FORMAT
11/22/51
LATEX BEADS (or STABILIZED
3 DAYS
SPERM)
LEVEL
LOT #
EXP. DATE
TARGET VALUE
RANGE +/-
3.5ml
< 1M/ml
LEVEL
LOT #
7.5
EXP. DATE
TARGET VALUE:
RANGE +/-
32.6M/ml
LEVEL
28%
LOT #
EXP. DATE
16%
TARGET VALUE:
12%
72%
10%
9.1M/ml
6.4 M/ml
3.2M/ml
341
114.1M
31.9M
22.4M
11.2M
11.4M
12. 456
I-Button WHO 5th_1_JUN_2018
CONTROLS
QwikCheck™ GOLD
SETTINGS
382
01.XX.XX
15:33
DD/MM/YY
HH:MM
CONTROLS
1
5435334656565656
05/05
45M/ml
5.0M/ml
2
75664767676776
05/05
23M/ml
2.1M/ml
NEGATIVE
546456546565566
05/05
0.0M/ml
37
Service Data Report
QwikCheck GOLD
Service Report
DEVICE SN#
382
SW VER.
XX.XX.XX
PRINT DATE
01/12/08
SELF-TEST DATA
REF1
230
REF2
LED1
9
LED2
AMP
65
CONC1
SMI
409
CONC2
ZL
508
CONC3
AW
14987
SERVICE DATA
1.
16
7. 0.000
13. 100
2.
5
8. 115
14. 100
3. 150
9.
10
15.
4.
28 10.
6
16.
5. 0.95
11. 130
17.
6. 512
12.
31
18.
2925
24
0.0
104.6
418.9
1.70
100
3
1000
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