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.
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.
POC™ Ecosystem
The epoc system provides bidirectional communication with the 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.
Secure Wireless Connection
The epoc system leverages a wireless connection and seamless integration to data management, to allow actionable test results from each department to be available and connecting the patient, actionable test results, the care team and the therapy delivered.
This is all accomplished by securing patient data. This data is encrypted to protect patient data against cyber attacks. The connection with data management provides encrypted end-to-end data transmission so the caregivers and the hospital can be confident that patient data won’t be compromised.
Imaging
The epoc system can provide important information about patients who may be at risk for side effects associated with iodine-based contrast media used for many radiologic diagnostic procedures. Contrast media is nephrotoxic to some patients. Risk factors include volume depletion, hypotension, renal dysfunction, diabetes mellitus, multiple myeloma, et al.
Laboratory-quality fast creatinine results in the radiology department may lead to:
Creatinine, eGFR, BUN, BUN/Creatinine Ratio
NICU/PICU
Fast, accurate patient side blood analysis in the NICU/PICU enables caregivers to assess and respond immediately to critical parameters such as fluid loss, ventilation, metabolism, and effects from anticoagulant usage, which ultimately may result in:
ABGs, Electrolytes, Glucose
Central Laboratory
The epoc system can empower laboratories to improve their responsiveness to critical patient testing requirements.
By providing results in less than 1 minute the laboratory is positioned to:
ABGs, BMP, Lactate, Hct
Emergency Room/Transport
Overcrowding and delays in the emergency department (ED) can put patient care in jeopardy and reduce patient satisfaction. The epoc system provides ED staff with laboratory accurate test results. With fast, reliable information at hand, providers can more quickly diagnose and care for patients. Time to treat could be greatly reduced, and patient outcomes could improve dramatically.
When test results are available immediately, the anxiety of patients and their families can be alleviated and patient satisfaction increased.
Laboratory-quality fast results in the ED may lead to:
ABGs, BMP, Lactate, Hct
Respiratory Care/ICU
The Respiratory Care team works in a fast-paced, complex critical care environment, managing compromised patients with rapidly changing status.
Laboratory-quality fast results in this setting may enable:
ABGs, Electrolytes, Lactate
CVOR/OR
In the OR, life-altering decisions are often made throughout surgery. Many of those decisions depend on the clinician’s ability to rapidly monitor, assess, and manage the patient’s status. The epoc system provides laboratory-accurate testing quickly and accurately during surgery. This allows surgeons, anesthesiologists, perfusionists, and nurses to more readily direct their attention to the patient’s care.
Laboratory-quality fast results in the OR may enable:
ABGs, Hct, cHgb, Electrolytes, Lactate
NXS Host
The epoc NXS host is a market first in handheld blood gas diagnostics to leverage the power of Android, with enhanced processing power and performance, 2GB of memory and long battery life. The slim, lightweight design incorporates a vibrant, HD resolution touchscreen that can be used with gloved fingers and features a large onscreen keyboard.
The intuitive user interface is designed to support novices and experts and delivers a streamlined prompt-based test workflow. The software & Host provide audio and onscreen visual prompts when action is required such as the insertion of a test card (or sample injection) to guide users during the test process.
Single-use, Full Panel Testing
The epoc Blood Analysis System provides accurate results for a full panel of critical tests, including blood gas, a basic metabolic panel with hematocrit and lactate, in less than 1 minute after sample introduction at the patient’s side.
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.
“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
“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
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”
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
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.
“Each reagent for the epoc has direct bar coding, ensuring easy traceability.”
Shweta Agarwal, MD, Baylor College of Medicine and Texas Children’s Hospital
“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
Test cards are barcoded to eliminate the risk of running an expired test card.
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
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.
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 | 5-50 |
Na+ | mmol/L | 85–180 |
K+ | mmol/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 | 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
Sample Size |
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Sample volume | At least 92 μL |
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Analysis |
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Time to result | Less than 1 minute |
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Quality Control |
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| Eurotrol GAS-ISE Metabolites (with BUN) Eurotrol Calibration Verification Fluids (with BUN) Eurotrol Hct Control
Eurotrol Hematocrit Verification Fluid |
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Test Card |
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Calibration | Automatically performed prior to every test |
Storage | 15–30°C |
Shelf life | Up to 5 months |
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Integrated Barcode Scanner |
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| For Patient ID, Operator ID, and ampuled QC;
1D and 2D bar-code symbologies |
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Operating System |
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| 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 |
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| 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.