Samples Walkthrough

Scan an RFID tag to begin entering tissue grossing information. An organ map may be displayed depending on the procedure type specified in the procedure tab. If no organ map is shown, a free-text box allows the user to manually enter the site name. After identifying the site, gross measurements and other information can be added. Each new cassette (specimen) will require a new RFID tag. The RFID tag should be processed and embedded in the cassette with the specimen.

Organ Maps:

Prostate Organ Map

Open

 

Colon Map

Open

Full Body Map

Open

Face Map

Open

Free-text box

Open

BxChip

For needle core biopsies using the BxChip, up to 6 cores can be placed in a single cassette and assigned to a single RFID tag. BxLink has several preset templates, located in the “Other” tab with a standard 6 left cores and 6 right cores, as well as a “Custom” template that allows the user to specify the order in which cores are placed into the BxChip and an “Individual Site” template where a single core can be recorded.

Other Preset Templates:

Open

To create a custom layout, simply click the site on the map corresponding to the specimen name. There are also “Left Other”, “Right Other”, and “Other” locations on the map that can be selected. Selecting any of these 3 sites will create a free-text box in the layout template on the left side of the page. 

To record an “Individual Site” simply click on the location you want to record on the site map.

Imaging

After selecting the BxChip (Left, Right, Custom, Individual Site, or Other) if using the BxLink Imaging Device, the user is prompted to capture an image of the cassette associated with the RFID tag scanned prior to entering gross measurements and other information. 

Place the sample in the camera and click “Capture.”

Once the image is captured, close the image capture modal to be taken back to the “Samples” section of the workflow. The recorded image(s) will appear.

The tissue detection algorithm displays a colored overlay that indicates where it identified tissue. Beginning near the edge of the BxChip with the arrows, the colors should be Red-Orange-Yellow-Green-Blue-Black. If any of the colors are out of order or duplicated, the tissue identification may have failed. The gross measurements should be verified manually. The overlay can be toggled on/off where it says “Overlay.” If multiple images have been taken, they are selectable by the date/time of image capture under the “Run” area.

Gross Description

In the gross description area, the user can input/edit measurements, add additional cores/pieces under the same site, and save current measurements. Selecting the dropdown arrow next to the measurements opens the following options. “Modifier” and “Biopsy Type” will change certain text in the final report. “Rule Outs”, “Clinical Observation”, and “Clinical Diagnosis” allow the user to enter indications from the clinic. “Grossing Description” and “Notes” are free-text fields to enter additional information about the specimen. Sample orientation can be marked as known or unknown. When sample orientation is known, the gross diagram will be shown on the report. When sample orientation is unknown, gross text will be shown on the report.

Other tissue types have a similar layout, except there are no modifiers and the “Grossing Description” is not hidden below the dropdown.

Gross Description for Urine Cytology and Urovysion (FISH)

 BxLink can also be used to provide a gross description for urine Cytology and Urovysion (FISH) samples. After scanning an RFID tag, gross description and diagnosis fields will become available. Lab users can select a gross description from several drop-down menus. A preliminary diagnosis can also be selected by lab users along with several other comment check-boxes. Once the encounter has been closed, the pathologist will be able to enter a diagnosis or match the lab diagnosis and create a final report.

Create a Sub-Sample

If a specimen needs to be split into multiple cassettes or if only a portion of the specimen will be submitted, the user will need to create a “Sub-Sample”.

Select the ellipses next to the sample that will be split, and select Create Sub-Sample (or Batch Create Sub-Sample in order to create multiple sub-samples at once).

To do this, remove the original RFID tag and keep it with the original specimen or container. Add a new RFID tag to each cassette. Select “Create Sub-Sample” and assign the RFID tag. 

Repeat this step for each additional cassette that is associated with the specimen. Each sub-sample can be imaged and have its own gross measurements and information.

Save Cores

This button is a shortcut to save all specimen measurements and information.

Replace RFID

Occasionally an RFID tag might fail or be destroyed. If this happens, just select “Replace RFID.”

Scan a new RFID. The new RFID will now be assigned to the specimen.

Reassign Site

Reassigning a site will recall the image capture modal and allow the user to re-select or edit the site names and layout.