Is anyone using a waived CBC analyzer?

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Any information on waived CBC analyzers such as CytoChip, XW-100 etc. is appreciated. Thanks!

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We looked at these for our special pathogens lab, but the instruments suppress the abnormal results.  Our ED docs and director wanted to have those abnormal values.  We ended up with the Pixcell, like CytoChip, also a cartridge-based device- better for potentially infrequent use.

I was looking at the hemoscree  for our cancer center.  Covid happened we never discussed again.  I was reallybinterest d in the hemoscreen and still am as I am looking at creating POC stat labs in our ED’s.

We are also looking for a small cbc instrument for one of our clinics. We met with Sysmex yesterday and they pointed out that most waived instruments are not validated for chronically ill patients and will not release many abnormal results. CytoChip was the one our clinic had requested, but it does not work at high elevations and the clinic is at 9000ft. Still looking for a good option.

We have an XW100 at one of our clinics with an urgent care. It is very simple to use, quick results but does have some drawbacks. It can't be interfaced meaning manual data entry/scans. It has population limits so cannot test patients under 2 years old. You can't test on patients with hematologic disorders, oncology patients, or critically ill patients either. 

If you get abnormal results, the device will ask you to repeat the patient. Everything has to be entered in exactly the same or it won't match up with the first run. Then, if results are still abnormal, they may be suppressed from the result printout. We then have to send the specimen out to our main lab for full CBC testing. 

Honestly, our providers there hate it and have been choosing not to order the POC test. They would rather wait for a stat courier to take the sample to the bigger lab and just get full results from the get go. And, even though the instrument has been validated and correlated to main lab analyzers, for some reason they still don't trust it to give true values. It is basically just taking up space right now. 

Thank you all for your responses. 
Karissa, your information is very helpful. 

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Susan Buckley
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