Direct Response Diagnostics Overview of Point-of-care Systems www.sysmex.nl www.sysmex.be
Introduction Product overview/table of contents In 2003 Sysmex launched the poch-100i. It was the first Sysmex analyser that was made for point-of-care (POC) use. To this day, poch-100i is one of the most used haematology analysers in a POC environment... We are happy to present you an overview of POC products available in the Benelux countries. 4 6 8 10 Haematology Haematology Clinical Chemistry Cardialogy 12 14 16 Clinical Chemistry Clinical Chemistry and Haematology Blood Gas 2 3
XP-300 Automated Haematology Analyser The Sysmex XP-300 was launched in 2008. It is an automated 3-part differential haematology analyser and a great choice for laboratories that need robust, reliable service and highquality diagnostic results. Parameters WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, LYM#, LYM%, MXD#, MXD%, NEUT#, NEUT%, RDW-SD, RDW-CV, PDW, MPV, P-LCR, PCT 4 Whole blood 1 minute ~ 50 µl per test 42.0 (W) x 35.5 (D) x 48.0 (H) cm Performs rapid and accurate analysis of a 17-parameter CBC n Same detection method as Sysmex high-end systems n Non-toxic, biodegradable reagents n 5
poch-100i Automated Haematology Analyser The poch-100i has been used for analysing blood samples for over a decade. This robust analyser has a closed module and is frequently used in hospitals, laboratories and clinics. Parameter WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, LYM#, LYM%, MXD#, MXD%, NEUT#, NEUT%, RDW-SD, RDW-CV, PDW, MPV, P-LCR Whole blood 2.5 minutes 15 µl per test 18.5 (W) x 46.0 (D) x 35.0 (H) cm n Proven technology for accuracy and results n Closed tube patient and QC sampling n Small and compact analyzer ideal for POCT 6 7
Fuji DRI-CHEM NX500 Clinical chemistry Analyser FUJI DRI-CHEM NX500, developed by FUJIFILM, is a dry chemistry system that is particularly flexible due to the test-based parameter selection. The analyser is especially popular in satellite laboratories. Whole blood, Serum or Plasma 1 to 6 minutes ~ 10 µl per test 47.0 (W) x 36.0 (D) x 42.0 (H) cm Parameter Measurement range Measurement time (min.) ALP 14 1 183 U/L 4 AMYL 10 1 200 U/L 5 CHE 5 500 U/L 4.5 CKMB 1 300 U/L 5 CPK 10 2 000 U/L 4 GGT 10 1 200 U/L 5 GOT/AST 10 1 000 U/L 4 GPT/ALT 10 1 000 U/L 4 LAP 10 500 U/L 4 LDH 50 900 U/L 2 LIP 20 1 000 U/L 5 ALB 10 60 g/l 6 BUN 1.79 49.98 mmol/l 4 Ca 1.00 4.00 mmol/l 4 CRE 18 2 122 µmol/l 5 DBIL 2 274 µmol/l 5 GLU 0.6 33.3 mmol/l 6 HDL-C 0.26 2.84 mmol/l 2 IP 0.16 4.84 mmol/l 5 Mg 0.08 2.88 mmol/l 4.5 NH3 7 357 µmol/l 2 TBIL 3 513 µmol/l 6 TCHO 1.29 11.64 mmol/l 6 TCO2 5 40 mmol/l 5 TG 0.11 5.65 mmol/l 4 TP 20 110 g/l 6 UA 30 1 071 µmol/l 4 NA 75 250 mmol/l 1 K 1.0 14.0 mmol/l 1 Cl 50 175 g/l 1 CRP 3 70 µmol/l 5 n Plasma filter to separate the whole blood within 1 minute n Combine your own test panel with single test slides n Dry chemistry 8 Fuji DRI-CHEM NX500 is a registered product of FUJIFILM Corporation www.fujifilm.com 9
PATHFAST A compact immunoanalyser The PATHFAST system combines the accuracy of a fullscale lab analyser with the flexibility of a mobile solution. High precision makes this analyser an adequate satellite of a full-scale lab on a cardiology, intensive care or emergency ward. PATHFAST is also an ideal supplement or back-up system in central labs. Parameter Trop I sensitive, NTproBNP, D-Dimer, hscrp, Myoglobin, HCG, CK-MB mass, Presepsin Whole blood ~ 16 minutes 100 µl 37.5 (W) x 57.0 (D) x 51.0 (H) cm n Superior assay performance n Six results in less than 16 minutes n Improved ease-of-use 10 PATHFAST is a registered product of Mitsubishi Chemical Europe GmbH www.pathfast.eu 11
Piccolo Xpress Clinical chemistry analyser Piccolo Xpress, developed by Abaxis, analyses over 30 parameters across 16 complete panels. The analyser is frequently used in pediatric, stroke, geriatric and neonatalogy wards. Other institutions include rehab centers and nursing homes. Parameter Lipid Panel Lipid Panel Plus Liver Panel Plus General Chemistry 6 General Chemistry 13 AmLyte 13 Comprehensive Metabolic Panel Basic Metabolic Panel Basic Metabolic Panel Plus MetLyte 8 Panel MetLac 12 Panel MetLyte Plus CRP Renal Function Panel Kidney Check Hepatic Function Panel BioChemistry Panel Plus Electrolyte Panel ALB n n n n n n n n Albumin ALP n n n n n Alkaline phosphatase ALT n n n n n n n n Alanin aminotransferase AST n n n n n n n n Aspartate aminotransferase BUN n n n n n n n n n n n n Blood Urea Nitrogen * Ca n n n n n n n n Calcium CK n n n Creatin Kinase Cl n n n n n n n n Chloride CRE n n n n n n n n n n n n Creatinine GFR * n n n n n n n n n n n Glomerular Filtration Rate * CRP n n n C-Reactive Protein DBIL n Direct Bilirubin GGT n n n n Gamma glutamyltransferase GLU n n n n n n n n n n n n Glucose K + n n n n n n n n n Potassium LAC n Lactate LDH n Lactate Dehydrogenase Mg n n Magnesium Na + n n n n n n n n n Sodium PHOS n n Phosphorus AMY n n n n Amylase TBIL n n n n n Total bilirubin tco n n n n n n n n 2 Total carbon dioxide Whole blood, Serum or Plasma 12 minutes per disk ~ 100 µl per test 14.9 (W) x 21.0 (D) x 32.5 (H) cm TP n n n n n Total protein UA n n Uric Acid CHOL n n Total cholesterol CHOL/HDL * n n Total cholesterol/hdl ratio * HDL n n High-Density Lipoprotein LDL * n n Low Density Lipoprotein * TRIG n n Triglycerides n Complete test panels n Minimal handling n Wet chemistry VLDL * n n Very Low Density Lipoprotein * nhdlc * n n non-hdl Colesterol * * Calculated value 12 Piccolo Xpress is a registered product of Abaxis Inc. www.abaxis.com, www.piccoloxpress.com 13
CUBE-S The pocket size laboratory Parameter Field of use Sample material Sample volume In 2016 Eurolyser launched the new CUBE-S. This new version has an automatic haematocrit correction and additional parameters. The CUBE-S can be used in hospitals, satellite laboratories and general practitioners offices. This product is distributed by Sysmex in Belgium only. CRP Inflammation Status Serum or Whole blood 5 µl hscrp Cardiological Risk Serum or Whole blood 20 µl HbA 1c Diabetes Monitoring Whole blood 10 µl Cystatin C Diabetes Monitoring / Renal Diagnostics Serum or Whole blood 20 µl PT (INR) Coagulation Monitoring Whole blood 20 µl D-Dimer Coagulation Monitoring/Thrombosis Diagnostics Plasma 20 µl Ferritin Iron deficiency disorders Serum 50 µl Troponin I Cardiological Risk Serum 50 µl Lipoprotein (a) Cardiological Risk Serum or Plasma 10 µl Hb Iron Deficiency Disorders Whole Blood 20 µl LDL Cholestrol Cardiological Risk Serum or Plasma 10 µl ASO Infection Diagnostics Serum or Whole blood 5 µl µalb Diabetes Monitoring/ Renal Diagnostics Urine 20 µl K+ Potassium Cardiological Risk Serum or Plasma 20 µl Whole blood, Serum or Plasma From 1 minute From 5 µl 16.0 (W) x 14.5 (D) x 13.5 (H) cm n Sample tube with capillary n Maintenance free n Android app-based software 14 Eurolyser CUBE is a registered product of Eurolyser Diagnostica GmbH www.eurolyser.com 15
OPTI CCA-TS2 Portable Blood Gas Analyser The OPTI CCA-TS2 bloodgas analyser is manufactured by OPTImedical, based in Atlanta (US). The analyser is robust, portable and maintenance-free. It is suitable for daily or irregular use. B-60 B E E-CI E-Ca E-Glu E-BUN B-Lac ph X X X X X X X X pco 2 X X X X X X X X* po 2 X X X X X X X X thb X X X X X X X so2 X X X X X X X Na + X X X X X K + X X X X X CI - X CA ++ Glucose BUN(Urea) Lactate X X X X *Pending FDA 510k clearance Whole blood, Serum or Plasma ~ 2 minutes 125 µl, (60 µl for B-60 casette) 36.2 (W) x 23.0 (D) x 12.0 (H) cm n Low risk on pre-analytical errors n Maintenance free n Optional: Battery operated 16 OPTI CCA-TS2 is a registred product of IDEXX laboratories, Inc. www.idexx.com, www.optimedical.com 17
Bibliography XP-300 van Dievoet MA, Louagie H & Ghys T. (2016): Performance evaluation of the Sysmex XP-300 in an oncology setting: evaluation and comparison of hematological parameters with the Sysmex XN-3000. International Journal of Laboratory Hematology. 38(5), 490 496. poch-100i Briggs C, Kunka S, Pennaneach C, Forbes L & Machin SJ. (2002): Performance evaluation of a new compact hematology analyzer, the Sysmex poch-100i. Laboratory hematology: official publication of the International Society for Laboratory Hematology. 9(4), 225 233. Whisler S & Dahlgren C. (2004): Performance evaluation of the Sysmex poch-100i automated hematology analyzer. Laboratory hematology: official publication of the International Society for Laboratory Hematology. 11(2), 107 117. Fuji DRI-CHEM NX500 Yang JH, Kim JH, Lee JY, Choi KY, Lee SW, Lee YS,... & Kwon SY. (2014): Evaluation of Point-of-Care Testing Devices for Pre-donation Alanine Aminotransferase Test. Korean Journal of Blood Transfusion. 25(2), 105 112. Piccolo Xpress Park H, Ko DH, Kim JQ & Song SH. (2009): Performance evaluation of the Piccolo xpress Point-of-care Chemistry Analyzer. The Korean journal of laboratory medicine. 29(5), 430 438. Owen WE, Caron JE & Genzen JR. (2015): Liver function testing on the Abaxis Piccolo Xpress: Use in Ebola virus disease protocols. Clinica Chimica Acta. 446, 119 127.6. Simpson P, Jolly L, Tirimacco R, Gill J & Tideman P. (2010): Evaluation of the lipid panel on the Abaxis Piccolo Xpress to determine its potential as a point-of-care instrument in a nonlaboratory setting. Point of Care. 9(1), 32 35. CUBE-S Brouwer N & van Pelt J. (2015): Validation and evaluation of eight commercially available Point of Care CRP methods. Clinica Chimica Acta. 439, 195 201. OPTI CCA-TS2 Schlebusch H, Paffenholz I, Zerback R & Leinberger R. (2001): Analytical performance of a portable critical care blood gas analyzer. Clinica chimica acta. 307(1), 107 112. PATHFAST Kurihara T, Yanagida A, Yokoi H, Koyata A, Matsuya T, Ogawa J,... & Miyamoto D. (2008): Evaluation of cardiac assays on a benchtop chemiluminescent enzyme immunoassay analyzer, PATHFAST. Analytical biochemistry. 375(1), 144 146. 18 19
Design and specifications may be subject to change due to further product development. Changes are confirmed by their appearance on a newer document and verification according to its date of issue. Copyright 2017 Sysmex Europe GmbH/Sysmex Nederland BV Distributor The Netherlands: Sysmex Nederland B.V. Ecustraat 11, 4879 NP Etten-Leur, The Netherlands Phone +31 76 5086000 Fax +31 76 5086086 info@sysmex.nl www.sysmex.nl Distributor Belgium: Sysmex Belgium N.V. Park Rozendal, Building A, Terhulpsesteenweg 6a, 1560 Hoeilaart, Belgium Phone +32 2 7697474 Fax +32 2 7697499 info@sysmex.be www.sysmex.be Distributor: Sysmex Europe GmbH Bornbarch 1, 22848 Norderstedt, Germany Phone +49 40 52726-0 Fax +49 40 52726-100 drd@sysmex-europe.com www.sysmex-europe.com You will find your local Sysmex representative s address under www.sysmex-europe.com/contacts DRD.EN.C.02/17