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  5. epoc® Blood Analysis System with epoc® NXS Host

Advance care delivery by bringing critical testing patient-side


What could happen when critical testing results are securely delivered patient-side in less than 1 minute with a system that securely connects the entire care team?

With the epoc® Blood Analysis System as the nexus of care, caregivers and the laboratory can stay connected to what’s important—being where patients need them most.

Features & Benefits

The epoc system connects the patient, actionable test results,

the care team, and the therapy they deliver.

Patient diagnosis and treatment may happen faster. The hospital may make better use of resources. Patient safety may be enhanced with a simplified testing process and integrated positive patient ID. The streamlined testing workflow could help reduce costs. Outcomes could improve, and a complete, consistent clinical picture would be accessible across the care continuum. 
epoc NXS Hospital Hotspot POC™ EcosystemSecure Wireless ConnectionImagingNICU/PICUCentral LabEmergency/TransportRespiratory Care/ICUCVOR/ORepoc NXS Hostepoc BGEM Test Card

    Healthcare providers spend more time with the patient to drive faster diagnosis and treatment decisions.

    How can enhanced safety and a simplified testing process provide confidence and peace of mind?

    The epoc system lets you be where patients need you most.

    The epoc system connects the entire team, so it doesn’t matter if the laboratory staff and caregivers work in different parts of the hospital. With the epoc system, they stand together to advance care delivery.

    Integrated Patient Safety

    Enhance patient safety with a secure, wireless connection to confirm real-time patient identification to mitigate data entry and transcription errors.

    “The purpose of the 2017 National Patient Safety Goals is to improve patient safety. Two goals highlighted to address problems were to identify patients correctly and improve staff communication.”

    The Joint Commission Accreditation Hospital

    Integrated Patient Safety

    With easy access to test cards available at the patient’s side spend less time on more complex workflows to get actionable results.

    Results can be available in less than 1 minute and accurately reflect patient’s immediate condition.

    “The immediate introduction at the bedside of a patient’s blood sample into an epoc test card minimizes preanalytical sample degradation.”

    Clarke Woods, BS, and Dave Culton, BA. Pinnacle Health

    Hospital bed

    Patient-side testing simplifies the process, eliminating sample transport and pre-analytical sample degradation to provide accurate results.



    Traditional testing models require multiple steps including transport to a stationary analyzer which takes up precious time that may delay availability of results.

    “We are talking 30 mins on a test and that is a STAT because that is just the process. That’s just how long it takes there’s nothing you can do about that”


    Kristie Campbell, Huntsville Hospital

    Transforming Care Delivery at Huntsville Hospital

    Huntsville Hospital reduced their (sepsis) mortality rate by ~50% as art of a sepsis program.

    “For every hour you wait to give an antibiotic, the mortality for that patient increases 8%, so now that we have the handheld device, the nurse can get those results within 3 minutes, and we know how to treat that patient.” - Carissa Hicks, RN, Huntsville Hospital

    Actionable results in less than 1 minute at the patient's side.

    Results reflect that patient's immediate condition, not their condition 30 minutes ago.
    Scan ID Badge and Insert Test Card
    Confirm Positive Patient ID
    Collect Sample

    The laboratory spends less time on complex inventory management optimizing time and resource utilization.

    What does a single room temperature stable test card with barcoded expiration deliver?

    The epoc system lets you be where patients need you most.


    Freedom to focus on where you bring the most value to patient care.
    Barcoded test cards automate quality assurance and a single room temperature stable test card streamlines inventory management.

    Empowered by Design

    Automated quality assurance eliminating the risk of running expired reagents further mitigating risk of diagnosis and treatment based on erroneous results.                                                                                                                                                                         

    “Each reagent for the epoc has direct bar coding, ensuring easy traceability.”

    Shweta Agarwal, MD, Baylor College of Medicine and Texas Children’s Hospital

    Empowered by Design

    Streamlined inventory management by doing away with the manual tracking of reagents once removed from refrigeration.

    “The epoc system uses a single test card with all the different analytes whereas a competitor system uses multiple test cartridges for the same results. Lastly, the smart card technology of epoc reduces cost and maximizes efficiency in the hospital setting.”

    Shweta Agarwal, MD, Baylor College of Medicine and Texas Children’s Hospital  

    Orange Card

    Test cards are barcoded to eliminate the risk of running an expired test card. 

    Leverage centralized control of decentralized testing with secure, wireless communication and our POC Informatics Solutions

    The epoc system provides bidirectional communication with POCcelerator data manager, allowing caregivers the ability for device, operator and inventory management, along with quality control. This provides the ability to proactively manage data across the hospital, giving you centralized control over decentralized testing.
    Connected Comprehensive Care

    Connected Comprehensive Care

    Manage, configure, control, and troubleshoot testing on epoc, RAPIDPoint® and RAPIDLab® blood gas systems with our POC Ecosystem™ Solution. Enable the monitoring of information from every connected analyzer, including epoc Blood Analysis Systems and test devices with more than 40 manufacturers, with our POCcelerator Data Management System.

    POC Ecosystem Solution

    POC Ecosystem™ Solution

    Whatever your device mix and wherever critical testing takes place, Siemens Healthineers’ POC Informatics help advance workforce productivity, improve clinical workflows, satisfy compliance and accreditation requirements, and optimize the management of resources.

    Assays

    Measured Parameters

    Parameter

    Unit of Measure

    Measurement Range

    pH

    pH units

    6.5–8.0

    pCO2

    mmHg

    5-250

    kPa

    0.7-33.3

    pO2

    mmHg

    5–750

    kPa

    0.7–100

    TCO2

    mmol/L
    mEq/L

    5-50

    Na+

    mmol/L
    mEq/L

    85–180

    K+

    mmol/L
    mEq/L

    1.5–12.0

    Ca++

    mmol/L

    0.25–4.00

    mg/dL

    1.0–16.0

    mEq/L

    0.5–8.0

    Cl-

    mmol/L
    mEq/L

    65–140

    Hct

    % PCV

    10–75

    L/L

    0.10–0.75

    Glu

    mmol/L

    1.1–38.5

    mg/dL

    20-700

    g/L

    0.20-7.00

    Lac

    mmol/L

    0.30–20.00

    mg/dL

    2.7–180.2

    g/L

    0.03–1.80

    Crea

    mg/dL

    0.30–15.00

    μmol/L

    27–1326

    BUN

    mg/dL

    3-120

    Urea

    mmol/L

    1.1-42.8

    mg/dL

    7-257

    g/L

    0.07-2.57

    Institutions should establish and set their own normal range values.

    * Values >60 will be reported as >60 mL/min/1.73 m2.

    † IDMS-traceable MDRD type

    ‡ CKD-EPI equation

    § Bedside Schwartz equation

    Calculated Parameters

    Parameter

    Unit of Measure

    Measurement Range

    cHgb

    mmol/L

    2.0-15.5

    g/dL

    3.3-25

    g/L

    33-250

    cHCO3-

    mmol/L

    1-85

    mEq/L

    cTCO2

    mmol/L

    1-85

    mEq/L

    BE(ecf)

    mmol/L

    30 – +30

    mEq/L

    BE(b)

    mmol/L

    -30 – +30

    mEq/L

    cSO2

    %

    0-100

    GFRmdr*†

    mL/min/1.73m2

    2–60 or >60

    GFRmdr-a*†

    mL/min/1.73m2

    2–60 or >60

    GFRckd‡

    mL/min/1.73m2

    1-225

    GFRckd-a‡

    mL/min/1.73m2

    1-225

    GFRswz§

    mL/min/1.73m2

    1-275

    AGap

    mmol/L

    -14 – +95

    mEq/L

    AGapK

    mmol/L

    -10 – +99

    mEq/L

    BUN/Crea

    mg/mg

    0.2-400.0

    Urea/Crea

    mmol/mmol

    0.8-1615.4

    mg/mg

    0.4-856.8

    A

    mmHg

    5-800

    kPa

    0.67-106.64

    A-a

    mmHg

    1-800

    kPa

    0.13-106.64

    a/A

    %

    0-100

    fraction

    0-1

    Institutions should establish and set their own normal range values.
    * Values >60 will be reported as >60 mL/min/1.73 m2.
    † IDMS-traceable MDRD type
    ‡ CKD-EPI equation
    § Bedside Schwartz equation

    Technical Details

    Sample Size

     

    Sample volume

    At least 92 μL

     

     

    Analysis

     

    Time to result

    Less than 1 minute

     

     

    Quality Control

     

     

    Eurotrol GAS-ISE Metabolites (with BUN)

    Eurotrol Calibration Verification Fluids (with BUN)

    Eurotrol Hct Control

    Eurotrol Hematocrit Verification Fluid

     

     

    Test Card

     

    Calibration

    Automatically performed prior to every test

    Storage

    15–30°C

    Shelf life

    Up to 5 months

     

     

    Integrated Barcode Scanner

     

     

    For Patient ID, Operator ID, and ampuled QC;

    1D and 2D bar-code symbologies

     

     

    Operating System

     

     

    Android 9.0

    Data Security

    Patient Data encryption

    Encrypted end-to-end data transmission

    No hard-coded password

    No user access to operating system

    Communications

     

     

    Real Time Wireless, LIS/HIS via data management system, POC Informatics Solutions

    Product availability may vary from country to country and is subject to varying regulatory requirements. Please contact your local representative for availability.