EPOC Vs iStat
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Our NICU is requesting an instrument to perform gases down to a pH of 6.5. We are looking for best fit for them. Does anyone have opinions of one over the other? I know EPOC cartridges are room temp. That is a great selling point. Wondered if anyone else has any other information or opinion. Thank you!!
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The Epoc is basically the iSTAT version 2. Both were created/invented by the same person. The Epoc has some improvements.
The Abbott Cal/Vers don't all reach the AMR of all the analytes and alternate products are required to validate them. We used Eurotrol for pCO2 for the low end and pO2 on the high end for this reason. Both were required to keep our NICU happy with the AMR on the ISTAT.
This isn't necessary on the Epoc for us.
Siemens pH Cal/vers MEAN levels range from 6.6 to 7.8, each lot is slightly different.
Abbott pH Cal/Vers MEAN levels ragne from 6.5 to 7.9, each lot is slightly different.
Having a large NICU in a system that has used or is using the iSTAT, Epoc and Prime Plus:
The NICU samples do have a higher rate of sample errors vs the adult patient samples which is largely due to the users attempting to draw the very minimum amount needed to run the assay and occasionally they miss judge. This is more noticeable with staff that have less experience with the system and improves with time.
The iSTAT doesn't perform the cartrdige Cal/Ver until the specimen has been loaded, if there is a problem the sample is lost.
Both systems can be improperly loaded by the user and result in the analyzer throwing sample errors.
We have them for our neonates, but it seems like getting a proper sample can be difficult.