본문 바로가기

카테고리 없음

Epoc Blood Gas Analyzer User Manual



Published online 2016 Jan 30. doi: 10.1016/j.dib.2016.01.040
  1. Epoc Blood Gas Analyzer Pdf
  2. Epoc System Manual

We have used Heska equipment in our emergency practice from the start. Not only is it extremely cost effective, it provides repeatable, accurate results. We trust and depend on it in the middle of the night. The chemistry analyzer makes serial electrolyte checks affordable enough to do, and the Element POC provides solid blood gas information.

PMID: 26937460
This article has been cited by other articles in PMC.

Associated Data

Supplementary Materials

mmc1.pdf (180K)
mmc2.pdf (181K)
mmc3.pdf (180K)
mmc4.pdf (181K)

Epoc system manual

mmc5.pdf (173K)
mmc6.pdf (90K)

Abstract

The epoc® blood analysis system (Epocal Inc., Ottawa, Ontario, Canada) is a newly developed in vitro diagnostic hand-held analyzer for testing whole blood samples at point-of-care, which provides blood gas, electrolytes, ionized calcium, glucose, lactate, and hematocrit/calculated hemoglobin rapidly. The analytical performance of the epoc® system was evaluated in a tertiary hospital, see related research article “Analytical evaluation of the epoc® point-of-care blood analysis system in cardiopulmonary bypass patients” [1]. Data presented are the linearity analysis for 9 parameters and the comparison study in 40 cardiopulmonary bypass patients on 3 epoc® meters, Instrumentation Laboratory GEM4000, Abbott iSTAT, Nova CCX, and Roche Accu-Chek Inform II and Performa glucose meters.

Specifications table

Subject area Chemistry, Biology
More specific subject area Point-of-care testing
Type of data Figure
How data was acquired The epoc® blood analysis system (Epocal Inc., Ottawa, Ontario, Canada)
Data format Analyze data
Experimental factors Patients under cardiopulmonary bypass were all heparinized as routine
Experimental features Linearity was evaluated using 5 levels of Eurotrol epoc Calibration Verification Fluids and 5 levels of Eurotrol epoc Hematocrit Verification Fluids (Eurotrol B.V., Keplerlaan, The Netherlands) on 3 epoc® blood analysis systems. Linearity materials were analyzed in triplicate on each system. Remnant specimens from cardiopulmonary bypass patients collected in plain 3 mL syringe for routine clinical analysis on GEM4000 in the cardiovascular operating room were used. After being analyzed on GEM4000 and all 3 epoc meters, samples were analyzed in Abbott iSTAT, Nova CCX analyzer, Roche Accu-Chek Inform II and Performa glucose meters side by side, with all measurements performed within 5 min.
Data source location Saint John, New Brunswick, Canada
Data accessibility Data are within this article

Value of the data

  • • Detailed analytical linearity analysis for 9 parameters on the epoc® meters was presented.
  • • Comparison study was conducted on 40 cardiopulmonary bypass patients.
  • • The data helps medical laboratories and point-of-care testing users to make an informed decision on blood gas analyzer selection.

1. Data

The data contains information on the analytical linearity performances for 9 parameters on 3 epoc® meters (Supplementary Fig. 1). It also contains information on the cardiopulmonary bypass patient sample comparison study for analytical accuracy performance for 8 parameters on 3 epoc® meters (Fig. 1, Fig. 2, Fig. 3, Fig. 4).

The comparison study of the epoc® point-of-care blood analysis system with the GEM4000 in cardiopulmonary bypass patients.

The comparison study of the epoc® point-of-care blood analysis system with the iSTAT in cardiopulmonary bypass patients.

The comparison study of the epoc® point-of-care blood analysis system with the Nova CCX in cardiopulmonary bypass patients.

The comparison study of the epoc® point-of-care blood analysis system with the Roche glucose meters in cardiopulmonary bypass patients.

Epoc Blood Gas Analyzer Pdf

2. Experimental design, materials and methods

2.1. The epoc® blood analysis system

The epoc® blood analysis system (Epocal Inc., Ottawa, Ontario, Canada) is a newly developed hand-held analyzer for testing whole blood samples at point-of-care, which provides blood gas, electrolytes, ionized calcium, glucose, lactate, and hematocrit/calculated hemoglobin in 30 seconds. This system contains a test card, a wireless card reader, and a host mobile computer. pH, pCO2, sodium, potassium, and ionized calcium are measure potentiometrically; pO2, glucose, and lactate are measured amperometrically, whereas hematocrit is determined conductometrically [2]. Hemoglobin is calculated from the measured hematocrit using the formula: Hemoglobin (g/L)=Hematocrit (decimal fraction)×340 [3], [4].

2.2. Linearity study

The epoc® point-of-care blood analysis system was evaluated using several Clinical and Laboratory Standards Institute (CLSI) evaluation protocols for testing the linearity (EP6) [5]. Five levels of Eurotrol epoc Calibration Verification Fluids (Eurotrol B.V., Keplerlaan, The Netherlands, lot#183-B407), and 5 levels of Eurotrol epoc Hematocrit Verification Fluids (Eurotrol B.V., Keplerlaan, The Netherlands, lot#190-B404) were measured on all three epoc® blood analysis systems. These linearity materials were analyzed in triplicate on each system respectively.

2.3. Comparison study

The epoc® point-of-care blood analysis system was evaluated using several Clinical and Laboratory Standards Institute (CLSI) evaluation protocols for testing the accuracy (EP15) [6] and bias (EP9) [7]. Remnant specimens from 40 heparinized CPB patients collected in plain 3 mL syringe (Becton Dickinson, Franklin Lakes, New Jersey) for routine clinical analysis on GEM4000 (Instrumentation Laboratory, Bedford, MA, USA) in the cardiovascular operating room of the Saint John Regional Hospital, Horizon Health Network, were used for this study. Samples collected were of arterial, mixed venous, and venous types. After being analyzed on GEM4000 and all 3 epoc meters (therefore total epoc® measurements were up to 118), samples were analyzed in Abbott iSTAT (Abbott Point of Care, Princeton, NJ, USA), Nova CCX analyzer (Nova Biomedical Corporation, Waltham, MA, USA), Accu-Chek Inform II and Performa glucose meters (Roche Diagnostics, Basel, Switzerland) side by side, with all measurements performed within 5 min. All testing devices were run according to manufacturers’ instructions by a medical laboratory technologist. These arrangements attempted to eliminate pre-analytical errors associated with blood analysis, such as different sample collection containers and sensitive specimen stability [8], [9].

2.4. Statistical method

Statistical analysis was carried out using Microsoft Excel. The best fit line by linear regression was used to evaluate assay linearity (Supplementary Fig. 1). Regression analysis was used to evaluate method comparisons (Fig. 1, Fig. 2, Fig. 3, Fig. 4). Bland–Altman analysis was constructed to assess systematic bias between methods (see Ref. [1]). Comparison studies on hemoglobin measurements see Fig. 1 in Ref. [1].

Footnotes

Appendix ASupplementary data associated with this article can be found in the online version at doi:10.1016/j.dib.2016.01.040.

Appendix A. Supplementary material

Sony mgongo 6.2 user manual. Supplementary material

Supplementary material

Supplementary material

Supplementary material

Supplementary material

Supplementary material

References

1. J. Chen, M. Gorman, B. O’Reilly, Y. Chen, Analytical evaluation of the epoc® point-of-care blood analysis system in cardiopulmonary bypass patients, Clin. Biochem. (accepted or in press). [PubMed]

Gas

2. epoc® System Manual, Epocal Inc., Ottawa, Ontario, Canada, 2014.
3. Bauer J.D. Numerical evaluation of formed elements in blood. In: Sonnenwirth A., Jarett L.D., editors. Gradwohl’s Clinical Laboratory Methods and Diagnosis. CV Mosby; St. Louis: 1980. pp. 785–808. (Chapter 36) [Google Scholar]
4. Turgeon M.L. Little, Brown and Co.; Boston, Toronto: 1985. Clinical Hematology—Theory and Procedures. [Google Scholar]
5. Clinical Laboratory Standards Institute, Evaluation of the Linearity of Quantitative Measurement Procedures: A Statistical Approach; Approved Guideline, CLSI document EP06-A CLSI, Wayne, PA, US, 2003, ISBN 1-56238-498-8.
6. Clinical Laboratory Standards Institute, User Verification of Performance for Precision and Trueness; Approved Guideline, second edition, CLSI Document EP15-A2, CLSI, Wayne, PA, US, 2006, ISBN 1-56238-574-7.
7. Clinical Laboratory Standards Institute, Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline-Second Edition (Interim Revision), CLSI Document EP09-A2-IR, CLSI, Wayne, PA, US, 2010, ISBN 1-56238-731-6.
8. Yan R., Lou A., Watts G., Tarr H., Smith H., Kinney L., Chen Y. Comparison of Becton Dickinson Vacutainer rapid serum tube with the serum separator tube for routine chemistry and immunoassay tests. J. Clin. Pathol. 2014;67:599–604. [PubMed] [Google Scholar]
9. Yan R., Colantonio D., Wong P.Y., Chen Y. Suitability of Becton Dickinson Vacutainer rapid serum tube for collecting and storing blood samples for antibiotic and anticonvulsant drug monitoring. J. Clin. Pathol. 2014;67:807–810. [PubMed] [Google Scholar]

Epoc System Manual

Articles from Data in Brief are provided here courtesy of Elsevier