Avox 1000E
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Hello,
I'm looking into the Avox 1000E for my Cath Lab staff.
What do you think of this device? About how much did you pay for one? Any other thoughts/comments?
I greatly appreciate it!
Jake
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We have been using the Avox 1000E in our Cath Lab for the last 7 years and have nothing but good things to say about the analyzer. We use ours for THb and O2% stats during our right heart procedures. The TAT for results is excellent with results within 30 seconds of introducing sample cuvettes into the analyzer. It compares very well to our Rapidpoint blood gas instruments that we use in our main laboratory. Its ease of use and fast results make it perfect for our setting.
We use the AVOX 1000E as well and just interfaced it through RALS. (We have only one.)
Optical Filter checks are consistently in range as are liquid QC.
We have an IQCP in place running optical checks daily, three levels of LQC once per week and three levels of LQC on days of right heart caths. We are a CAP lab. The director of the Cath Lab wants to perform less QC...i.e. two levels.
I don't think three levels at the times I indicated for LQC is excessive, but I believe CAP says two levels can be performed. I'd prefer not to change, but might have to unless I can show CAP, state or CLIA regulations.
Any thoughts would be appreciated.
Thanks, Donna
One thing to keep in mind. You can program the 1000E to have a lock out if filters aren’t performed but if they run the filters and they’re out of range they
will still be able to use the analyzer for patient testing. You need to make sure your operators are comparing their results against the expected ranges. My Cath Lab has struggled with this for years.
Lara
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We use the AVOX 1000E interfaced with Telcor. We run both the optical filters and the three levels of QC on each day the Cath lab is open. It is a very consistent instrument for us.
We have 4 AVOX 1000E in our Cath Lab(currently not interfaced) for about 3 years. These replaced the Oxicom(due to repair issues). The Avoxs are workhorses, having very few problems. We perform optical QC every 24 hours(with lockout) and liquid QC weekly(2 levels), cal ver every 6 months and patient to patient every 6 months.
We have AVOX1000E here and like it very much - it is well-designed for the cath lab setting. It is a bit behind the times technologically though. There is no barcode reader, it cannot accept a patient ID over 11 characters, and as Lara noted above, no QC lockout based on range (only on frequency, and that's just the EQC - yellow/orange filters). I mention it to the vendor all the time, that if they could address those issues, it'd be darn near perfect. Also interfaces well to Telcor.
We chose it over the Radiometer OSM80 (and I am a BIG Radiometer fan) because the difference in disposable costs was just a no-brainer, especially for a low-volume cath lab.
One other comment - it generates tHb, O2 content and O2Hb (oxyhemoglobin) - not technically O2 sat - though that is what everybody calls it. It is really oxyhgb.
We have used AVOX 1000E for 10 years. I did finally had to replace one a while back and I think it cost around $7000. Dumb box but does the job well for the
cost. We interfaced ours with Telcor. The instrument must be plugged in for results to interface; hurdle we had to jump in the beginning but not an issue anymore. The QC lock out is a joke, but we do use it. We do filter QC every 8 hours of use (locked
out if not) and 2 levels of liquid QC weekly. We document both filter and liquid qc on paper forms so that the end user can confirm they are within range. Paper forms seems backwards when you are interfaced but they needed that crutch to make sure results
were within range. Otherwise they would run QC and never check the ranges. We chose not to auto verify results in EPIC because the AVOX holds on to patient ID’s forever. The only way to know for sure the patient ID is removed is to power the instrument
off. So our biggest issue is patient results going to a previous patient due to the ID was not re-entered. When I had a consistent sales rep back with ITC (2 mergers ago) this was our chief complaint. It’s so cheap to run that you can’t beat the cost. Also
only allows for 50 operators if you use operator lock-out. Operators for lock-out are only entered on the instrument because it does not have a bidirectional interface.
Would I buy it again? Yes for the cost totally worth it. If I was given unlimited budget, would I buy again? No there are so many instruments with so much better
configuration options. I physically go to the AVOXs 1-2 times a month instead of sitting at my desk to enter operators or collect QC data. Time is money these days.
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Katie sums it up well!
Interesting point about the patient ID staying in the machine. If you read the operator's manual, it indicates that the patient ID will purge if more than 15" has passed or the machine is powered off/on. Same as the Operator ID - which it does purge after 15". Ours was brand new and it wasn't purging the patient ID. I called it in to Accriva (ITC at the time) and they said "oh, no, it'll definitely purge after 15" ". I said, "well, this one doesn't" - preparing for them to send me a new machine. When the Accriva tech tried it herself on a device they had in their office, she also discovered that it doesn't purge the ID. So, this is a model defect....that I can't believe they haven't fixed by now!
We have a fairly low-volume cath lab so it hasn't proved to be too much of a problem - I emphasize powering off the machine at end of day so it's at least clear for the next day. But if we were running case after case in a row, yes it would be a problem.
We have 5 Avox 1000E interfaced through TELCOR to Sunquest and to EPIC. The QC ranges are taped to the front of the device so the operators can determine if they're in range. TELCOR produces nice QC reports which will display in BOLD all of the out of range values so it's quick and easy to review and notify the site if there's an issue. (The days of running down there to review paper QC logs is over!)
As for patient ID's lingering, our "solution" is to educate staff to enter the patient's ID FIRST, before inserting the cuvette. Another behavior we encourage is removing the patient ID from the device after the case. This isn't perfect by any stretch, but I've seen a sharp decrease in results inadvertently filed on the previous patient.
We are in the process of switching to the Avox 1000E from the Avox 4000. If you have your 1000E interfaced to a data management program how do you program the instrument to transfer results. There is no transfer results selection that I can find in the menu. Is there a trick to this?
Thank you
Stephanie Johnson
sjohns45@hfhs.org
Stephanie,
We have our Avox 1000E interfaced with Telcor. We have a lantronix box hooked up to it and it is set to Auto-Print. It uses the same hook-up as if using a printer to send results to an interface.
Hannah
We just got a Avox 4000 for our cath lab and I like to know how it connects to Rals?
since it only accepts numeric data entry, how do you set up operator id and patient id that start with 1 to 3 letters?
Also does the QC fail if the ranges are set in Rals?
Elham, you would not have the ability to enter letters in the AVOX.
Regarding the QC ranges, you cannot set ranges for either the electronic QC (yellow/orange filters) nor liquid QC. We use Telcor, not RALS, but if it works similarly, I am sure you can set ranges in RALS for both EQC and LQC. That will allow for your out of range data to display clearly on reports you generate, but setting ranges there is not going to have any effect or lock-out capability that is sent back to the AVOX device itself. The staff would have to refer to a posted range/manual log at the time of testing.
The AVOX is a slick little machine but it is not very sophisticated and lacks many of the bells and whistles we've come to expect from POC devices. I wish their R&D would step up their game or they are going to lose market share for what is otherwise a very useful little device.
Stephanie - using a Dawning Box is also an option to interface AVOX results, though I am not entirely sure that it is supported any longer. Would need to ask Accriva.