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Blutgasanalysesysteme
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.

Eigenschaften & Vorteile

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™ 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

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.

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

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

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.

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

Technische 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

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