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cobas h 232 POC system

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

On-the-spot care & share

For Frontline Healthcare Providers, cobas h 232 POC system is a portable point-of-care system that supports optimized treatment of patients with symptoms of chest pain and dyspnoea, because it enables confident on-the-spot diagnosis and assessment of the patient’s condition based on objective results, comparable with Roche laboratory methods, that can be shared wirelessly for immediate feedback and response.

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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 minimize errors, increased safety and a streamlined 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

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

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Test	Measuring range	Time to result	Clinical utility
Troponin	40 – 2,000 ng/L	12 min	Identification of patients with suspected acute myocardial infarction at high risk of mortality⁴
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 risk of stratification of patients with acute coronary syndromes⁵
CK-MB	1.0 – 40 ng/mL	12 min	Support the diagnosis of acute coronary syndrome and myocardial infarction, assessment of re-infarction¹
D-Dimer	0.1 - 4.0 µg/mL	8 min	Exclusion of deep vein thrombosis and pulmonary embolism²

Faster triageing of patients with suspected acute myocardial infarction in pre-hospital care and emergency room^4,8

A test result 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.

Point of Care Troponin T testing

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Roche NT-proBNP provides additional and objective results to aid in diagnosis and management of heart failure in primary care^5,9,10

The story of Paul and the management of his chronic heart failure

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References

Roche CARDIAC CK-MB-Method Sheet-package insert
Roche CARDIAC D-Dimer-Method Sheet-package insert
Roche CARDIAC M-Method Sheet-package insert
Roche CARDIAC POC Troponin T- Method Sheet-package insert
Roche CARDIAC proBNP +Method Sheet-package insert
Roche (2016). cobas h 232 POC system Operator’s Manual, Version 6.0.
Bertsch, T. et al. (2010). Clin Lab., 56(1-2), 37-49.
Stengaard C. et al (2013). Am. J. Cardiol. 2013; 112:1361-6.
Ponikowski, P. et al. (2016). Eur Heart J, 37(27), 2129-200.
Rutten, F.H. et al. (2016). EPCCS Practical Guidance on Heart Failure Diagnosis and Management in Primary Care. Available at www.epccs.eu/bestanden/cde7c636129164442711916-EPCCS-2016-HF-Diagnosis-webversion.pdf