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cobas® h 232 POC system

On the spot results to support efficient diagnosis and management of cardiovascular diseases
IVD For in vitro diagnostic use.
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cobas h 232 POC system
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Fast

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

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Portable

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

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Confident

Accurate results, aligned with Roche central laboratory tests7

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Governance

Connection to the cobas® infinity POC solution helps remote management of the POC testing and quality assurance from a single location.6

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.

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 T 40 –  2,000 ng/L
12 min
Early aid in diagnosis of acute myocardial infarction and identification of patients with an elevated mortality risk1
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 syndromes2

Help in the CV risk assessment of patients with T2D. Aid in the identification of patients at CV risk with T2D without known history of CV disease to optimize cardioprotective treatment

Can be used to identify elderly individuals at high‐risk for atrial fibrillation2
D-Dimer 0.1 - 4.0 µg/mL 8 min Aid in exclusion of deep venous thrombosis and pulmonary embolism3
CK-MB 1.0 – 40 ng/mL 12 min Aid in diagnosis of patients with suspected AMI, assessment of the size of the infarction and detection of re-infarction4
Myoglobin 30 – 700 ng/mL
8 min Aid in diagnosis of patients with suspected myocardial infarction, reperfusion control5

AMI: Acute Myocardial Infarction; NT-proBNP: N-terminal pro b-type natriuretic peptides; POC: Point of Care; CV: Cardiovascular; T2D: Type 2 diabetes

Management of heart failure (HF) in the primary care settings

NT-proBNP helps to early detect Type 2 Diabetes (T2D) patients at high risk of HF, regardless of previous history of cardiovascular disease.8

  • Type 2 Diabetes patients are at increased risk of cardiovascular disease.8
  • NT-proBNP value > 125 pg/mL helps identify T2D patients in need of intensified care and improve HF outcomes.8,9
  • NT-proBNP POC testing is practical and can be pragmatically targeted for screening people with T2D in routine clinical practice.10

NT-proBNP on cobas h 232 supports the initial diagnosis of HF and the monitoring of the disease progression in out-patient settings.2,11,12

The story of Paul and the management of his chronic heart failure
doctor talking to patient

NT-proBNP testing on the cobas h 232 POC system supports rapid up-titration as shown in the STRONG-HF study13

  • Patients admitted for acute HF can be rapidly and safely up-titrated to recommended doses of guideline-directed medical therapy by following the strategy that includes NT-proBNP.
  • HCPs, patients and their families can benefit from an improvement in post-discharge management leading to reductions of the re-hospitalization and mortality and enhanced patient quality of life.

Enabling faster triaging decisions for patients with suspected acute myocardial infarction in pre-hospital setting and emergency room

Pre-hospital measurement of POC Troponin T allows early identification of patients at high risk of mortality and helps ensure a fast triage to the correct location.14, 15

cobas h 232

Pre-hospital measurement of POC Troponin T in low-risk suspected NSTE-ACS patients can help save healthcare costs by reducing emergency department visits.16

 

POC Troponin T: Roche Cardiac POC Troponin T on cobas h 232, NSTE-ACS: non-ST-segment elevation acute coronary syndrome

References

  1. Roche Cardiac POC Troponin T Method Sheet V 3.0 (2019).
  2. Roche Cardiac NT-proBNP Method Sheet V 2.0 (2024).
  3. Roche Cardiac D-Dimer Method Sheet V 6.0 (2023).
  4. Roche Cardiac CK-MB Method Sheet V 5.0 (2018).
  5. Roche Cardiac M Method Sheet V 7.0 (2018).
  6. Roche cobas h 232 POC system Operator's Manual V 7.0 (2022).
  7. Bertsch T et al. (2010). Clin Lab 56(1-2): 37-49.
  8. Huelsmann M et al. (2008). Eur Heart J 29(18): 2259-2264.
  9. Huelsmann M et al. (2013). J Am Coll Cardiol 62(15): 1365-1372.
  10. Ceriello A et al. (2023). J Diabetes Complications 37(3):108410.
  11. McDonagh TA et al. (2021). Eur Heart J 42(36): 3599-3726.
  12. Taylor CJ et al. (2017). Br J Gen Pract 67(660): 326-327.
  13. Mebazaa A et al. (2022). Lancet 400(10367): 1938-1952.
  14. Stengaard C et al. (2013). Am J Cardil 112(9): 1361-1366.
  15. Rasmussen MB et al. (2017). Eur Heart J 39(1): 5-6.
  16. Camaro J et al. (2023). Eur Heart J 44(19):1705-1714.

Overview

Ordering Information

The cobas h 232 POC system is a portable point-of-care system that supports optimised management of patients with symptoms of chest pain and breathlessness by allowing confident on-the-spot decision diagnosis and assessment based on laboratory comparable results5.

 

The cobas h 232 POC system can allow rapid and easy determination of NT-proBNP, D-Dimer and Troponin T in different settings including Community Diagnostic Centres, GP practices, ambulances and emergency rooms.

cobas h 232

Fast

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

Portable

  • Handheld point of care system is lightweight and easy to use, even in mobile situation6,4

Connected

  • Wireless technology ensures immediate availability of results at all Points of Care using the cobas® infinity POC solution4

Accurate 

  • Accurate results, aligned with Roche central laboratory tests5

Safety

  • Operator ID entry and lockout to ensure use by authorised 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 minimise errors, increase safety and streamline workflow
  • Connection to the cobas® infinity POC 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

Available tests

View Full Table

Available tests

Test Measuring range Time to result Material number Clinical utility
Troponin
40 –  2,000 ng/L
12 min
Roche CARDIAC POC Trop T (07007302190)

Early aid in diagnosis of acute myocardial infarction and identification of patients with an elevated mortality risk (1,6,7)

NT-proBNP
60 –  9,000 pg/mL
12 min
Roche CARDIAC proBNP+ (05533643190) 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 syndromes (2,8)
D-Dimer
0.1 - 4.0 µg/mL
8 min Roche CARDIAC D-Dimer (04877802190) Aid in exclusion of deep venousthrombosis (3, 9) 
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