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The rapid diagnostic tests in strip format available for this meter support efficient diagnosis and assessment of cardiovascular diseases. The evaluation of these tests with the cobas h 232 meter combines the advantages of a rapid diagnosis with enhanced clinical interpretation of quantitative values (in comparison with qualitative tests). In addition, automated evaluation provides more reliable results by eliminating the potential sources of error associated with visual reading. Refer to the package inserts accompanying the test strips for detailed information on specific tests.

Readings may be carried out directly where the blood samples are taken. Therefore, the cobas h 232 meter is ideal for use at the point of care in emergency rooms, intensive care units and ambulances, as well as by cardiologists and general practitioners. The cobas h 232 meter is rapid and easy to operate: Insert an unused strip in the meter and apply the sample. After the reaction period, the meter provides a quantitative result; in addition, a qualitative result is provided prior to the end of some tests.

The cobas h 232 meter has the ability to connect to a data management system (DMS) by means of wireless communication (if the meter is equipped with WLAN functionality) or through the Handheld Base Unit from Roche Diagnostics (available separately). The cobas h 232 meter supports data exchange via the POCT1A standard. Data management systems may have the ability to expand the security features of the meter, such as enabling operator lockouts. Data management systems may also enable data transfer to an LIS or HIS. Refer to the manuals of the Handheld Base Unit and of your DMS for technical details.", "Name": "Product Description" } ] } } ] }

cobas h 232 POC system

Enabling confident on-the-spot diagnosis and management of patients presenting with signs and symptoms of cardiovascular disease

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Benefits

The ideal fit for "on-the-spot care and share" in pre-hospital settings and emergency rooms settings

 

Fast

 

On-the-spot results are available in 3 steps and 12 minutes or less1,2,3,4,5
 

Portable

 

Handheld point of care system is lightweight and easy to use, even in mobile situation6
 

Connected

 

Wireless technology ensures immediate availability of results at all Points of Care (requires cobas® POC IT solution)6
 

Confident

 

Accurate results, standardized with Roche central laboratory tests7

 

Safety

 

  • Operator ID entry and lockout to ensure use by authorized staff 
  • Patient and user ID to ensure correct documentation of test results
  • Quality control lockout

 

Control and traceability

 

  • Enhanced connectivity through wireless technology and a unique QR code feature can minimize errors, increase safety and a streamline workflow
  • Connection to the cobas® POC IT solution allows extension of the testing network and ensures control of operators and quality assurance from the central laboratory 
  • Automatic recertification of operators through cobas academy to ensure use by trained operators only

 

cobas h 232 system

Available tests

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Available tests

The cobas h 232 POC system allows rapid and easy determination of Troponin T, NT-proBNP, D-Dimer, CK-MB and Myoglobin in different settings, like ambulances, general practitioner offices and emergency rooms.

Test Measuring range Time to result Clinical utility
Troponin
40 –  2,000 ng/L
12 min

Early aid in diagnosis of acute myocardial infarction and identification of patients with an elevated mortality risk4

NT-proBNP
60 –  9,000 pg/mL
12 min
Aid in diagnosis of patients with suspected heart failure, in monitoring of patients with compensated left ventricular dysfunction and in the risk stratification of patients with acute coronary syndromes5
CK-MB
1.0 – 40 ng/mL
12 min
Aid in diagnosis of patients with suspected acute myocardial infarction (AMI, heart attack), assessment of the size of the infarction and detection of re-infarction1
D-Dimer
0.1 - 4.0 µg/mL
8 min Aid in exclusion of deep venous thrombosis and pulmonary embolism2
Myoglobin
30 – 700 ng/mL
8 min Aid in diagnosis of patients with suspected myocardial infarction, reperfusion control3
Faster triaging of patients with suspected acute myocardial infarction in pre-hospital care and emergency room4,8

A test result from Roche CARDIAC POC Troponin T ≥ 50ng/L allows identification of patients at high risk of mortality and helps ensure a fast triage to coronary intensive care unit or cath lab.

Roche NT-proBNP provides additional and objective results to aid in diagnosis and management of heart failure in primary care5,9,10

References

 

  1. Roche CARDIAC CK-MB-Method Sheet-package insert 
  2. Roche CARDIAC D-Dimer-Method Sheet-package insert 
  3. Roche CARDIAC M-Method Sheet-package insert 
  4. Roche CARDIAC POC Troponin T- Method Sheet-package insert 
  5. Roche CARDIAC proBNP +Method Sheet-package insert
  6. Roche (2016). cobas h 232 POC system Operator’s Manual, Version 6.0.
  7. Bertsch, T. et al. (2010). Clin Lab., 56(1-2), 37-49.
  8. Stengaard C.  et al (2013). Am. J. Cardiol. 112:1361-6.
  9. McDonagh TA et al. (2021). Eur Heart J 42(36): 3599-3726.
  10. Rutten F.H. et.al. (2017) Practical Guidance on Heart Failure Diagnosis and Management in Primary Care. Available at https://ipccs.org/2017/12/10/epccs-practical-guidance-on-heart-failure-diagnosis-and-management-in-primary-care/download-epccs-practical-guidance-on-heart-failure-diagnosis-and-management-in-primary-care.pdf

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