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Physicians Office Resource - November 2018

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Physicians office Resource

2018 Issue 11

™

Resources for You, Your Patients, & Your Practice

MOLECULAR LATERAL FLOW DIAGNOSTICS A New Era for Point-of-Care Testing . Pages 2 & 4

Take Our Research Survey

also in this issue Did You Prescribe a Wrench to Turn a Screw? The Role of Inhaler Techniques in Respiratory Disease Management Pg 14 Medical Buzzwords Can Be Fun, But They Don’t Do Much Good

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Pg 32

Get your finger on the pulse of the U.S. Healthcare System and entered for a chance to win an iPad Mini!

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2018 - Issue 11

Physicians office Resource

PHYSICIANS office RESOURCE

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Published by Medical Education Resources, LLC

Publisher Aaron R. Medaris amedaris@ physiciansofficeresource.com CEO Andrew C. Nimmo acnimmo@ physiciansofficeresource.com President John D. Pasquale jpasquale@pharmaconnect.com Business Manager Marci J. Hills mhills@ physiciansofficeresource.com

MDescapes: Luxury Destinations & Deals for Physicians

Account Manager Brandi L. Brower

Four Seasons

Editorial Board Michael Paquin, FHIMSS Barry Craig, MLT (NCA), CLC

IN THIS ISSUE

Staff Writer Dylan J. Chadwick Creative Director Production Manager Keith A. Katsikas Jr

#5300

ProductSpotlight

Copyright ©2018

Silaris™ Influenza A&B Test

To continue your free subscription of Physicians Office Resource magazine, please fill out the Business Reply Card (BRC) located within this magazine and drop in any United States Post Office mailbox.

From Sekisui Diagnostics

A molecular test utilizing polymerase chain reaction (PCR) technology providing accurate results for early diagnosis and proper management of influenza. Accurate √ Molecular Results √ State-of-the art microfluidic cassette technology √ PCR test using proprietary OscAR™ Technology Affordable √ Single Test Diagnosis √ Controls in every kit √ Molecular reimbursement (CPT Code 87502)

If you are a manufacturer of medical products or provide services to medical professionals and would like to advertise your products or services to the nation’s top physicians doing in-office testing, call 801-380-6094 or visit: POR.io for more information.

2!

!

Thank you! !

!

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Simple √ Easy to Use √ Compact portable dock with no calibration required √ Room temperature storage !

Learn #5300 at POR.io ! more !about this ! product ! by entering !

Molecular Lateral Flow Diagnostics: A New Era... If you’re like many physicians and Point of Care (POC) laboratories, you may be dealing with suboptimal performance from some of your current diagnostic methods...

4

The Role of Inhaler Technique in Respiratory Disease Management...

14

Adherence to medication regimens is a well-known, well-documented issue in chronic lung disease care...

Medical Buzzwords There’s an increasingly circulated anecdote (usually among graphic designers) about a big time representative from a big time tech company meeting before a middle school...

32


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2018 - Issue 11

PHYSICIANS office RESOURCE

MOLECULAR LATERAL FLOW DIAGNOSTICS: A NEW ERA FOR POINT-OF-CARE TESTING By Sekisui Diagnostics

If you’re like many physicians and Point of Care (POC) laboratories, you may be dealing with suboptimal performance from some of your current diagnostic methods. For example, conventional Rapid Influenza Diagnostics Tests (RIDTs) vary in terms of sensitivity and specificity when compared with viral culture or reverse transcription-polymerase chain reaction (RT-PCR). But the technology of point-of-care diagnostics is changing. One particular evolving technology is molecular diagnostics, which detects specific sequences in DNA or RNA that may (or may not) be associated with disease. At present, there are molecular applications in infectious 4

diseases, oncology, pharmacogenomics, genetic disease screening and coagulation, among others. PCR: The Gold Standard, but Not Feasible in POC Polymerase chain reaction (PCR) has long been considered a diagnostic gold standard due to the high accuracy of the technology, which accounts for its use in core or reference labs. It can detect disease with as few as several copies of a gene. But due to complicated workflows, complex procedures, cold chain storage, and time & economic costs, PCR hasn’t been feasible in a point-of-care setting. www.PhysiciansOfficeResource.com


POR_Nov18.qxp_Layout 1 10/31/18 10:13 AM Page 1

PCR Now in the Palm of Your Hand Laboratories love the accuracy of results from molecular tests, though many still prefer the workflow of a traditional lateral flow test. By combining top-performing PCR technology with state-of-theart microfluidic testing – and merging it into a POC-friendly workflow – physician office labs finally get cutting-edge molecular lateral flow systems with the best of both worlds: PCR-quality results and the ease of use of conventional lateral flow rapid diagnostics. For physicians, this provides the convenience and procedural familiarity of traditional POC rapid immunoassays - while providing the superior sensitivity, specificity and information provided by laboratorybased PCR testing. Advantages of Molecular Lateral Flow Technology Compared to other methods, molecular lateral flow technology has

“ By combining top-

0537, 8-616re Call 88n 2, for mo s Optio ation—end st rm info ember 31 Dec

INTRODUCING SILARIS™ INFLUENZA A&B TEST

PCR Molecular Testing At The Point Of Care ● ● ●

Accurate Affordable Simple

For more information please visit us at silaris.com.

performing PCR technology with state-ofthe-art microfluidic testing – and merging it into a POC-friendly workflow – physician office labs finally get cutting-edge molecular lateral flow systems with the best of both worlds: PCR-quality results and the ease of use of conventional lateral flow rapid diagnostics.” SEKISUI

For In Vitro Diagnostic Use Only © 2018 Sekisui Diagnostics, LLC. All rights reserved. Because every result matters™ and Silaris™ are trademarks of Sekisui Diagnostics, LLC.

significant point-of-care advantages: • Laboratory PCR performance. • No cold chain storage – the test and its components can be stored in ambient environments. • Easy to use – each test needs less than 2 minutes of handson time.

• Affordability – with a single test diagnosis, reducing send out lab costs for confirmatory testing. • State-of-the-art microfluidic cassette technology with a compact portable Dock allows for true molecular PCR testing to be performed anywhere testing is needed. Since the U.S. FDA reclassified antigen-based Rapid Influenza Diagnostic Tests (RIDTs) requiring increased sensitivity, specificity and annual strain testing quality controls for RIDTs, the value of molecular testing has become more widely recognized allowing hospitals and physician office laboratories to step up to molecular testing and benefit from a simplified workflow and greater performance for early detection & proper management of influenza. Read this and other articles at www.PhysiciansOfficeNews.com 5


2018 - Issue 11

PRODUCTFOCUS

Win a FREE iPad Mini!

PHYSICIANS office RESOURCE

As a Thank You for taking part in our brief survey you will be entered in our periodic drawing to win a FREE Apple iPad mini, which you may gift to someone or keep for yourself. The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

www.survey.por.io Additional details on page 25

#5301

CLIA-Waived BioFire® FilmArray® Respiratory Panel (RP) EZ From BioFire

The BioFire RP EZ accurately detects and identifies 14 viral and bacterial pathogens—not just Flu A and Flu B— so you can provide your patients with the right treatment, the first time. The test is easy and can be performed right in your office or clinic, with results in about an hour. The BioFire RP EZ is designed to run on a single computer/ instrument configuration (EZ Configuration) of the BioFire® FilmArray® 2.0 System.

View Brochures, Videos & More at: POR.io Enter Number 5301 in the Search Area

#5302

The RX daytona+ From Randox

A bench-top, fully automated, random-access chemistry analyzer, providing routine and specialized testing with emergency STAT sampling functionality. Demonstrating unparalleled versatility, the RX daytona+ combines robust hardware and intuitive software with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX daytona+ ensures unrivalled precision, reliability and accuracy for results you can trust.

View Brochures, Videos & More at: POR.io Enter Number 5302 in the Search Area 6

www.PhysiciansOfficeResource.com


INTRODUCING THE NEW AFINION 2 ANALYZER ™

SIMPLY MORE EFFICIENT. The Afinion 2 Analyzer is the result of years of continuous product innovation and refinement, and delivers actionable point-of-care test results in just minutes. HbA1c | ACR

#5303

Toll Free Customer Care Number: 1-877-441-7440 abbott.com © 2018 Abbott. All Rights Reserved. All other trademarks referenced are trademarks of their respective owners. CVD132201 10004144 08/18

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2018 - Issue 11

PRODUCTFOCUS #5304

Hematology Testing Made Easy

PHYSICIANS office RESOURCE

From Sysmex

Designed for labs testing up to 25 samples per day, the Sysmex pocH-100i™ has the smallest footprint of any analyzer on the market. The instrument requires only 15µL of whole blood for reporting of 17 clinical parameters, including a 3-part WBC Differential. It is ideal for urgent care, physician office lab, small clinic, or any outpatient setting where a point of care CBC is needed.

View Brochures, Videos & More at: POR.io Enter Number 5304 in the Search Area

#5305

Ideal System for Low-to-Moderate Volume Laboratories From Sekisui Diagnostics

The SK™500 chemistry instrument and SEKURE Reagents offer an ideal system for low-to-moderate volume laboratories seeking exceptional throughput with minimal use of space and water. The SK500 is a compact and efficient instrument with a full menu of reagents specifically designed for and packaged for the system

View Brochures, Videos & More at: POR.io Enter Number: 5305 in the Search Area

#5306

Self-contained Diagnostic Workstation From Vitalograph

Vitalograph introduces the Compact Expert diagnostic workstation. The device is a full touch-screen based medical workstation, which comes equipped with Vitalograph’s flagship Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Beyond spirometry, it is a desktop testing station for ECG, Pulse Oximetry, Weight , COPD assessment, and Blood Pressure measurements.

View Brochures, Videos & More at: POR.io Enter Number 5306 in the Search Area 8

www.PhysiciansOfficeResource.com


537, 616-0 ore 8 8 8 Call n 2, for m ds Optio ation—en t s informember 31 c e D

INTRODUCING SILARIS™ INFLUENZA A&B TEST

PCR Molecular Testing At The Point Of Care ● ● ●

Accurate Affordable Simple

For more information please visit us at silaris.com.

#5307

For In Vitro Diagnostic Use Only © 2018 Sekisui Diagnostics, LLC. All rights reserved. Because every result matters™ and Silaris™ are trademarks of Sekisui Diagnostics, LLC.

9


PRODUCTFOCUS Defining Mobile Telediagnostics From MedPod

With the ability to deploy into a medical office in less than 2 minutes, MobileDoc is the ultimate portable practice. Revolutionary in its compact and mobile design, MobileDoc integrates best-in-class professional medicalgrade devices with state-of-the-art HD video and EHR connectivity. Physicians can provide care remotely that is on par or better than a face-toface visit, including conducting basic exams, checking vitals, and performing specialty testing—shattering the boundaries of traditional care.

PHYSICIANS office RESOURCE

2018 - Issue 11

#5308

View Brochures, Videos & More at: POR.io Enter Number 5308 in the Search Area

#5309

Reliable Detection of Strep A, Flu A, Flu B and RSV From Cepheid

Cepheid’s GeneXpert Xpress® brings standardized molecular testing to any healthcare setting. Employing the highly accurate and easy to use lab in a cartridge technology in every GeneXpert system, the GeneXpert Xpress® is a true on-demand walkaway testing system that provides accurate and reliable detection of Strep A, Flu A, Flu B and RSV. Two or four-module configurations save valuable bench space and reduce the need for multiple testing platforms.

View Brochures, Videos & More at: POR.io Enter Number: 5309 in the Search Area

#5310

Accurate, Actionable Results from the Leader in Point-of-Care Lipid Testing From Abbott

The CLIA-waived Alere Cholestech LDX™ Analyzer is engineered for confidence, providing accurate, actionable, and readily accessible results that have set the standard in point-of-care lipid profile, cholesterol, and glucose testing. Results are easy to obtain. Fingerstick sampling and a small sample size (40μL) makes results less painful and time consuming.

View Brochures, Videos, & More at: POR.io Enter Number 5310 in the Search Area 10

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#5311 #5312

#5174

#5175

Call 888-522-9939 or Visit medpod.por.io for More Information 11


2018 - Issue 11

PRODUCTFOCUS

The Brewer Basic Exam Table

PHYSICIANS office RESOURCE

#5313

From Brewer

Full featured, entry-level exam table design. The Brewer Basic Exam Table features a pneumatic cylinder, seamless upholstery, and the largest storage capacity available. We invite you to compare features, price, warranty and you will find the Brewer Basic Exam Table is clearly the best entry level exam table available.

View Brochures, Videos, & More at: POR.io Enter Number 5313 in the Search Area

#5314

Sysmex XN-L™ Series Automated Hematology Analyzers From Sysmex

Now lower volume customers can enjoy the same capabilities in CBC testing as larger hospitals and reference labs. Enhanced clinical value is standard and optional licenses for reticulocyte or body fluid testing are available. The XN-L analyzers are the first to feature BeyondCareSMÂ Quality Monitor, an innovative, web-based QC and calibration management program.

View Brochures, Videos & More at: POR.io Enter Number 5314 in the Search Area

#5315

EZ 2-Part Reagent Vitamin D From Carolina Liquid Chemistries

Carolina Liquid Chemistries Corp., also known as The Reagent Company, has recently added to their menu the EZ Vitamin D assay. The EZ Vitamin D Assay is the first and only 2-part, latex enhanced immunoturbidimetric assay for use on automated chemistry analyzers. It is FDA Cleared, recognizes both 25-OH Vitamin D2 and D3 equally, and is a 20part (R1 and R2) liquid ready to use reagent with no sample pretreatment required.

View Brochures, Videos & More at: POR.io Enter Number 5315 in the Search Area 12

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It's flu season. Which test are you using?

Simplify workflow, results and patient management. The CLIA-Waived BD Veritor™ Plus System for Rapid Detection of Flu A+B simplifies workflow and provides clear and quick results for appropriate patient management within the same visit. • One button functionality, easy to use and implement • Unambiguous digital flu result in under 11 minutes* • Demonstrated performance compared to molecular tests1 • Low cost of ownership

Simply the right POC test for influenza, Group A Strep and RSV.†

#5316

Request a demo today at go.bd.com/VeritorPOR *Results after 10-minute incubation period for Flu A+B and RSV; after 5-minute incubation period for Group A Strep † RSV- Respiratory Syncytial Virus References: 1. BD Veritor System for Rapid Detection of Flu A+B, CLIA-waived kit package insert, 8087667 (14) 2018-06. BD Veritor System for Rapid Detection of Flu A+B, laboratory kit package insert, 8087666 (11) 2017-10.

BD, 7 Loveton Circle, Sparks, MD 21152-0999 USA Tel: 1.800.638.8663 © 2018 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company.

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2018 - Issue 11

PHYSICIANS office RESOURCE

DID YOU PRESCRIBE A WRENCH TO TURN A SCREW? THE ROLE OF INHALER TECHNIQUE IN RESPIRATORY DISEASE MANAGEMENT By Mike Hess, BS, RRT, RPFT

Adherence to medication regimens is a well-known, welldocumented issue in chronic lung disease care. The reasons for this are many; from an inability to afford prescribed medications, to formulary-related barriers, to ineffective patient education on devices and dose schedules. For example, a recent cross-sectional study of nearly 3,000 European patients with COPD found over half were unable to use their devices correctly, despite having been previously educated on proper usage1. The issue appears at a similar rate in the asthma population2, highlighting the need for better education. However, even when patients are able to perfectly execute the steps involved with priming, loading, and actuating their inhalers, clinicians often fail to consider their patients’ inspiratory flow characteristics when assessing technique. This omission can mask the true cause of treatment plan non-adherence, and prevents clinicians 14

from providing effective alternatives. Fortunately, there are multiple, easy-to-implement strategies available to evaluate virtually all aspects of inhaler device use. The InCheck DIAL (Clement Clarke International) is a reusable inspiratory flow meter that can simulate the internal resistance of various dry-powder devices on the market. The clinician sets the resistance range appropriate to the patient’s device and instructs the patient to inhale maximally on a disposable mouthpiece. The resulting measurement can be used to determine if the patient is physically able to generate sufficient inspiratory flow to disaggregate the powder bolus into respirable particles. Use of the InCheck DIAL provides clinicians with customized, patient-specific data that allows for more informed clinical decision-making without adding significant time to encounters, and empowers clinicians to spend their patient education time focusing on the particular www.PhysiciansOfficeResource.com


mechanics of each device, decreasing the likelihood of preparation and actuation errors. The InCheck DIAL is also capable of measuring inspiratory flow without resistance, simulating usage of metered-dose and soft-mist inhalers (MDIs and SMIs). However, as these devices are not breath-actuated, evaluation of inspiratory characteristics alone is not sufficient to assure competency. In the case of the SMI (Respimat) device, demonstration with teach-back remains the best available solution. Clinicians should be careful to observe the patient through the entire process beginning with loading the medication cartridge, in order to determine whether the patient has the dexterity to prepare and prime the inhaler. Patients should also be observed during the inhalation phase to detect coughing or other inadvertent exhalation that reduces airway deposition. MDIs are arguably the most difficult inhaler devices to use appropriately. Research data has consistently demonstrated the majority of MDI users experience at least one error while using their devices, with as many as 76% experiencing a critical error that affects the delivery of their

“…a recent cross-

sectional study of nearly 3,000 European patients with COPD found over half were unable to use their devices correctly, despite having been previously educated on proper usage. The issue appears at a similar rate in the asthma population, highlighting the need for better education.” Mike Hess

medication3. Some of this data is Evaluation is initiated by the patient decades old, indicating the when they ‘puff ’ the sterile water exceedingly difficult nature of canister of the simulator. Their accurately identifying patients inspiratory flow is sensed via pressure struggling with technique and tubing between the simulator and the appropriately addressing their AIM unit, and visual feedback is deficiencies. The Aerosol Inhalation provided in real time. When the unit Monitor (Vitalograph) represents a detects cessation of flow, a breath hold novel, comprehensive solution to this timer starts, again providing live visual problem. This electronic device uses a and audio feedback to help clinicians disposable MDI simulator to and patients time the breath hold. accurately evaluate the four major When the clinician observes the phases of MDI administration patient exhale, they press a button (coordination, inspiratory flow rate, stopping the timer; the device then inspiratory time, and breath hold). displays color-coded indicators (as well as variable audio tones) on an anatomical graphic of the airways, summarizing the inhalation maneuver and highlighting areas that require retraining. The process is fully automated until the end of the inspiratory hold, reducing the likelihood of operator error, and the localized feedback allows clinicians to again provide efficient, targeted education to optimize technique. AIM also comes with a DPI simulator for those who require an all-in-one solution. 15


#5317

Lab-Accurate Results for ACR and HbA1c From Abbott

With its compact size and panel of tests, the Afinion 2 system is ideal for point-of-care testing in physician offices, clinics, community health centers and hospital out-patient clinics. From just a small urine or fingerstick whole blood sample, lab-accurate results for ACR and HbA1c are made available during the consultation.

PHYSICIANS office RESOURCE

2018 - Issue 11

PRODUCTFOCUS

View Brochures, Videos & More at: POR.io Enter Number 5317 in the Search Area

#5318

Single, Integrated POC Testing Solution From Abbott Point of Care

The fully automated i-STAT System offers a broad menu of tests for diagnostic and treatment indicators related to disease state management and clinical practice guidelines. Using just 2 or 3 drops of blood, the system provides time-sensitive tests at the patient’s side in just minutes.

View Brochures, Videos, & More at: POR.io Enter Number 5318 in the Search Area

#5319

CELL-DYN Emerald Hematology Analyzer From Abbott

CELL-DYN Emerald is a 3-part differential hematology analyzer that offers high performance in an affordable, compact design that provides reliable and accurate patient results every time. As a smaller operating laboratory, you need a solution that offers reliable results. CELL-DYN Emerald provides results in under 65 seconds. CELL-DYN Emerald’s small size, simple touch screen software and reliability offer an easy-to-use, truly compact table/bench top instrument for easy performance in your laboratory.

View Brochures, Videos & More at: POR.io Enter Number 5319 in the Search Area

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CONTINUEDFROMPAGE15 At Western Michigan University Homer Stryker M.D. School of Medicine, both the AIM and InCheck DIAL are routinely utilized to ensure patients are not only knowledgeable about their medications, but able to use them properly. As the majority of our patients use at least one non-powder device, the AIM in particular has led to significant quality improvements in our practice. The integration of a dedicated respiratory therapist serving as patient educator and inhaler education tools in our practice has allowed us to markedly improve our education practices and customize our patient disease management regimens to more accurately reflect our patients’ respiratory status. This has led to significant improvements in our COPD population’s quality of life, as measured by the COPD Assessment Test (CAT), as presented in 2017 at COPD10usa4. Unlike medications administered via other routes, the effectiveness of inhaled

medications depends heavily on an individual’s technique and abilities. Unfortunately, despite expert opinion and evidence-based practice recommendations, evaluation of inhaler technique and inspiratory flow characteristics remains overlooked and incomplete in most patients. This leads directly to increased healthcare costs, increased symptom severity and instability, and lower quality of life. This is unfortunate, considering the availability and comparatively low cost of devices such as the Aerosol Inhalation Monitor, which provide rapid, comprehensive feedback that empowers clinicians to improve personalized disease management strategies. These devices should be considered just as indispensable as otoscopes and blood pressure cuffs, and should be come just as ubiquitous in primary care and pulmonology practices alike. Patients with respiratory compromise deserve nothing less.

References: 1. Molimard M, Raherison C, Lignot S, et al. Chronic obstructive pulmonary disease exacerbation and inhaler device handling: real-life assessment of 2935 patients. Eur Respir J. 2017;49(2):1601794. doi: 10.1183/13993003.01794-2016. 2. Price D, Bosnic-Anticevich S, Briggs A, et al. Inhaler competence in asthma: Common errors, barriers to use and recommended solutions. Respir Med. 2013;107(1):37-46. doi:10.1016/J.RMED. 2012.09.017. 3. Scichilone N. Asthma Control: The Right Inhaler for the Right Patient. Adv Ther. 2015;32(4):285-292. doi:10.1007/ s12325-015-0201-9. 4. Yawn BP, Thomashow B. Abstract Presentations: COPD10usa 2017. Chronic Obstr Pulm Dis J COPD Found. 2017;4(4): 305-319. doi:10.15326/jcopdf. 4.4.2017.0162.

Read this and more articles plus references at www.PhysiciansOfficeNews.com

VITALOGRAPH AIM

For Effective Inhaler Training On Dry Powder and Metered Dose Inhalers

#5320

The unique Vitalograph AIM™ (Aerosol ACT NOW Inhalation Monitor) is designed to assist ! $100 wo rth of medical practitioners in training subjects to use free simu lators of their inhaler correctly. Mastery of the correct the users technique will support more accurate drug choice (DPI or M DI or bot delivery and good patient compliance, resulting *ex h). pires Feb ruary 28 in better disease management and fewer visits , 2019 to medical professionals.

MDI Simulator Technique Good/Poor Summary Fail (Red): Canister fired too early or not at all Fail (Red): Inspiratory flow rate was too fast Sub-Optimal (Orange): Inhalation time and/or breath hold too short

AIM Reimbursement – CPT #94664 Nat. Avg Reimbursement $17.84*

Good (Green): Correct canister activation with adequate flow rate, inhale and breath hold time

www.vitalograph.com

(800)255-6626

Print Ref: 56057_1

Vitalograph® and AIM™ are trademarks or registered trademarks of Vitalograph Ltd.

17


2018 - Issue 11

PRODUCTFOCUS

#5321

Optimize Productivity and Expand your Practice

PHYSICIANS office RESOURCE

From MedPod

The Medpod Medical Cart optimizes productivity and load balancing by enabling access to remote physicians during high volume periods or to reach lowdensity populations. Medpod’s proprietary software integrates with a wide range of professional medical devices and gives the remote provider control of the devices to conduct an examination that is on par with a face-to-face visit. Patient images, audio and data can be captured, annotated, tagged and uploaded in realtime or stored and forwarded into the EHR by either remote or local provider.

View Brochures, Videos & More at: POR.io Enter Number 5321 in the Search Area

#5322

From Routine To Specific Tests, Perform Them All On A Single System From HORIBA Medical

The Pentra C400 is an extremely compact Clinical Chemistry benchtop analyzer. From routine to specific tests, it can perform them all on a single system. It can run up to 420 tests per hour with ISE module. Its automation and continuous loading provides enhanced productivity in a user-friendly environment.

View Brochures, Videos, & More at: POR.io Enter Number 5322 in the Search Area #5323

Now It’s More Than Just A Blood Test From Sysmex

With its simplified operation, the Sysmex XP-300™ is ideal for clinics and physician office labs. It provides a CBC with 17 different parameters, including a 3-part WBC Differential. The XP-300+M combines the accuracy and reliability of a Sysmex CBC with the agility of Medicus Middleware. Features include EMR connectivity, instrument interfaces and a QC module.

View Brochures, Videos & More at: POR.io Enter Number 5323 in the Search Area

18

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Flu, RSV, Strep.

Be Ready. #5324

With confirmatory molecular results,

Cepheid’s CLIA Waived test menu delivers peace of mind to you and your patients.

Xpert® Xpress Flu/RSV • One sample. One Cartridge. Three results • Qualitative, molecular detection and differentiation of influenza A, influenza B and RSV • No confirmation required for negative results

Xpert® Xpress Flu

Xpert® Xpress Strep A

• Qualitative, molecular detection and differentiation of influenza A and B

• Accurate, real-time PCR molecular testing

• Sample types include nasal swab and nasopharyngeal swab

• Internal QC in each cartridge

• No confirmation required for negative results

for Group A Strep

• No confirmation required for negative results*

For more information, call (888) 256-6990. For in vitro diagnostic use. * No culture confirmation required for negative results unless clinical symptoms persist, or there is an outbreak of acute rheumatic fever (ARF). 904 Caribbean Drive | Sunnyvale, CA 94089 USA |

TOLL FREE

+1.888.336.2743 |

PHONE

+1.408.541.4191 |

FAX

+1.408.541.4192 | www.cepheid.com

19


THE PERFECT Caribbean escape

LIVE LARGE & PROSPER 40% Off Villa Experience Visit FourSeasons.com/Nevis or Call 869-469-6238 Learn more about this resort and take the virtual tour at www.MyMDescapes.com

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25 21


#5325

Accutest pH® Phenaphthazine Paper From Jant Pharmacal

Test papers give instant, easy-to-read results, with clear, bright matches at 0.5 intervals from pH 4.5 to 7.5. Color charts are lab-tested for precision accuracy. Made in the U.S.A. with state-of-the-art materials. An FDA-listed medical test product, used in hospitals and doctor’s offices around the world. Economical – approximately 100 tests/roll. Widely used in hospitals and doctors’ offices to detect the presence of amniotic fluid in vaginal secretions during late-term pregnancy, a sign of premature amniotic sac rupture.

PHYSICIANS office RESOURCE

2018 - Issue 11

PRODUCTFOCUS

View Brochures, Videos, & More at: POR.io Enter Number 5325 in the Search Area

#5326

Make Laboratory Compliance and Inspection Easier From My Inspection

Make laboratory compliance and inspections easier by changing how you document, save and retrieve all information necessary to meet CLIA and accreditation regulations. With two unique electronic tools My Compliance Manual and MyInspection™ Software, the guesswork and tedious task of interpreting and documenting policy, procedure, forms, charts and logs is over. Your lab will be compliant, have less paper, and be inspection ready.

View Brochures, Videos & More at: POR.io Enter Number 5326 in the Search Area

#5327

The Doctors Guide to Smart Career Alternatives and Retirement From Dr. Cory S. Fawcett

The Doctors Guide to Smart Career Alternatives and Retirement will show you ways to redesign your career in healthcare to find that balance of work and enjoyment that’s been missing. Many physicians are ready to give up their healthcare career altogether. It doesn’t have to end that way. There are ways to improve the things you don’t like. We will all eventually leave medicine, when we do, this guide will make it smoother.

View Brochures, Videos & More at: POR.io Enter Number 5327 in the Search Area 22

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INNOVATIVE INTEGRATION ACROSS THE CARE CONTINUUM

CBC testing solutions for physician office labs

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XN-L SERIES

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23


#5332

The Brewer Century Series Stool From Brewer

PHYSICIANS office RESOURCE

2018 - Issue 11

PRODUCTFOCUS

Has a pneumatic height adjustment, 16" wide, 4" thick polyfoam seat cushion, and five-leg 23" brushed aluminum accent base. Optional adjustable 18" chrome footing. Optional adjustable contoured backrest with black plastic shroud.

View Brochures, Videos & More at: POR.io Enter Number 5332 in the Search Area

#5333

Memory Loss Biomarkers to Aid in Diagnosis in Primary Care Practices From Evoke Neuroscience

The eVox® System is an FDA 510(k) cleared medical device to aid primary and specialty care physicians in diagnosis of memory loss and other cognitive disorders. eVox® measures memory loss biomarkers that may aid in detecting memory loss sooner, identifying the root cause of memory loss, and performing a differential diagnosis. eVox® procedures are performed in-office and are reimbursable by Medicare and commercial payers.

View Brochures, Videos & More at: POR.io Enter Number 5333 in the Search Area #5334

Micros ES60 From HORIBA Medical

The Micros ES60 is an easy to use tabletop hematology analyzer. It combines the reliability of the current Micros 60 with the latest Linux based operating system utilizing a large color touch screen user interface. The Micros ES60’s Zero Maintenance concept provides unparalleled user convenience monitoring all aspects of instrument operations and provides real time status updates for the user.

View Brochures, Videos, & More at: POR.io Enter Number 5334 in the Search Area

24

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Win a FREE iPod Mini!

Join POR as we conduct our first in a series of brief surveys, designed to give a voice to providers. With your help we can better understand what’s trending in physician offices, laboratories, and healthcare facilities across America, and help improve office and laboratory proficiency, profitability, and patient care.

As a Thank You, we’ll report the results from this and future surveys in Physicians Office Resource magazine. Moreover, we will enter you in our periodic drawing for a FREE Apple iPad, which you may gift to someone or keep for yourself. The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

www.survey.por.io

25


2018 - Issue 11

PRODUCTFOCUS

#5335

Brewer’s Flex™ Access Exam Table

PHYSICIANS office RESOURCE

From Brewer

Step up to power table performance for less with Brewer’s Flex™ Access Exam Table. Industry-leading 700-lb. patient weight capacity, unique safety features and unmatched ergonomic patient access maximize your clinical efficiency and ROI. A streamlined footprint and optional upgrades like safety grab bars, stirrups, and passthrough work surface provide ultimate flexibility for your practice.

View Brochures, Videos, & More at: POR.io Enter Number 5335 in the Search Area

#5336

CLIA-Waived Comprehensive Metabolic Panel From Abbott Point of Care

The Piccolo Xpress™ point-of-care chemistry analyzer delivers comprehensive CLIA waived diagnostics to Physician Offices. In 3 easy steps, the Piccolo provides lab-accurate results in minutes from a menu of 29 general chemistry tests, including lipids, liver, kidney, metabolic and other specialty functions. By using only 100 microliters of whole blood, serum or plasma - physicians can make confident treatment decisions faster, thereby increasing the efficiency, throughput and capacity of their practice, while also increasing revenue and ensuring patient satisfaction.

View Brochures, Videos & More at: POR.io Enter Number 5336 in the Search Area

#5337

BioFire® FilmArray® Torch From BioFire

The BioFire® FilmArray® Torch is a fully integrated, random, and continuous access system designed to meet your laboratory’s syndromic infectious disease testing needs. The BioFire Torch offers a radically reduced benchtop footprint, saving precious space in the lab, and its scalability meets high throughput demands. BioFire® FilmArray® Link Software automatically uploads patient results. Fully compatible with all CLIA Moderate BioFire® FilmArray® Panels, the BioFire Torch helps you maximize efficiency and productivity.

View Brochures, Videos & More at: POR.io Enter Number 5337 in the Search Area 26

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#5338

#5339

#5340

#5341

#5342

27


2018 - Issue 11

PRODUCTFOCUS #5343

Fully Automated Quantitive Immunoassay Analyzer

PHYSICIANS office RESOURCE

From Sekisui

The FastPack® IP System is a fully automated quantitative immunoassay analyzer designed for use in the Physician Office laboratory. Utilizing sophisticated chemiluminescence technology, the FastPack® IP System provides the capability to produce complex immunoassay results in 12 minutes or less with a push of a button. Menu includes Vitamin D, Testosterone, TSH, Free T4 PSA and hCG.

View Brochures, Videos & More at: POR.io Enter Number 5343 in the Search Area

#5344

Highly Accurate Networked PC-based Spirometry From Vitalograph

Vitalograph introduces the new Spirotrac V software coupled with the rugged, accurate Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Challenge testing, cough testing and slow vital capacity testing with lung age estimation are all standard features. Beyond spirometry, the Spirotrac V also becomes a platform for a PC-based diagnostic workstation, incorporating a Bluetooth ECG, USB Pulse Oximetry, 6 minute walk test, Bluetooth Weight Scale for COPD / CHF assessment, and automated Blood Pressure measurements.

View Brochures, Videos, & More at: POR.io Enter Number 5344 in the Search Area

#5345

Pentra XLR From HORIBA Medical

For laboratories that need a highly reliable hematology analyzer with gold standard technology, the Pentra XLR provides the highest quality of results while delivering process efficiencies with auto-validation, auto rerun, and auto dilutions in a small, compact system. For laboratories that require reticulocytes for better patient care, the Pentra XLR provides a high quality and automated reticulocyte panel, available on a highly reliable hematology analyzer from HORIBA Medical in a cost effective manner.

View Brochures, Videos & More at: POR.io Enter Number 5345 in the Search Area 28

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Micros ES 60 Hematology System CBC with 3-part diff

Is it viral or bacterial? Urgent or routine? Take the guess work out of your day with point-of-care testing!

Advanced technology in a small footprint HORIBA Part # 5360600241

#5346 Pentra 60C+ Hematology System CBC with 5-part diff

Compact 5-part diff system HORIBA Part # 5300001398

#5347 Pentra C400 Chemistry Analyzer

Compact benchtop offering routine to special testing

Why invest in laboratory testing? #5348

HORIBA Part # 5300001388

Because HORIBA’s hematology and chemistry analyzers: • Provide fast and accurate results allowing you to deliver more decisive patient care • Increase office efficiency by reducing call-backs to patients with test results • Increase patient satisfaction by eliminating wait time for results and repeat office visits

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Contact your HORIBA Medical Representative for more information • www.horiba.com/us/en/medical/

29


2018 - Issue 11

PRODUCTFOCUS #5349

Portable, Single Click Operation Spirometer From MicroDirect

PHYSICIANS office RESOURCE

The Micro Direct SpiroUSB many features include single click operation of all main functions, full ATS/ERS test quality checks, real time Flow/Volume and Volume/Time traces, a choice of child incentive displays, choice of predicted values, estimated lung age, pre/post bronchodilator comparisons and can be used on multiple PC’s with dongle software protection key. The child incentive display and ATS quality checks ensure maximal results every time. Use with a laptop for true portability.

View Brochures, Videos & More at: POR.io Enter Number 5349 in the Search Area

Ramp® 200 Cardiac Test System

#5350

From Jant Pharmacal

RAMP® 200 Cardiac Diagnostic System tests for NT-proBNP*, Troponin I, CK-MB and Myoglobin. Compact, high throughput, multi-port laboratory reader (18-36 tests/hour with 3 test modules). Run multiple tests on the same or different patients simultaneously. Enhanced data management and connectivity. Self-diagnostic and internal quality control checks. Single Port RAMP reader is also available. Results in 15 minutes. *Entresto, a new drug for HF, disrupts BNP levels, however NT-proBNP “remains a useful cardiac biomarker to assess therapeutic effect and prognosis in patients treated with the drug.” References available. Entresto is a TM of Novartis AG.

View Brochures, Videos & More at: POR.io Enter Number 5350 in the Search Area #5351

The RX imola From Randox

A fully automated, random access analyzer with STAT sampling functionality; boosting productivity and saving time when it matters most. Developed for medium-high throughput laboratories, the RX imola provides comprehensive testing with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX imola: A cost-effective system that delivers consistent high quality results with a small footprint.

View Brochures, Videos & More at: POR.io Enter Number 5351 in the Search Area 30

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#5354

#5352

#5355

#5353

Exam Tables

#5356

#5357

#5359

#5358

Pediatric Tables

#5360

#5361

#5362

#5363

Power Tables

#5364

#5365

#5366

#5367

Cabinets and Stools

#5368

#5369

#5370

#5371

31


2018 - Issue 11

PHYSICIANS office RESOURCE

MEDICAL BUZZWORDS CAN BE FUN BUT THEY DON’T DO MUCH GOOD By Dylan Chadwick, Staff Writer for Physicians Office Resource There’s an increasingly circulated anecdote (usually among graphic designers) about a big time representative from a big time tech company meeting before a middle school

Perhaps the anecdote is exaggerated (aren't they all?), but the intended principle rings relevant: words need context to be fully understood. Consider the mind-blowing fact that

class. He asks the students, presumably born in the early 2000s, if they know what a floppy disk is. He's met with

this anecdote actually reveals: for the last 18 years, floppy disks have only really existed as skeuomorphic (a fancy term

silence. Then, he produces a floppy disk from his sport coat pocket and shows it to them. “This is a floppy disk,” he says, turning it over in his hands to show them. “Now, have any

for "making digital items resemble their real-world counterparts") “save” graphics on our computers and mobile apps, and children born after 2000 are extremely

of you seen one of these before?” After a few more beats of silence, a child raises her hand to say that she recognizes

unlikely to have ever seen one "in the wild."

the object as the icon she clicks on to save her progress on Microsoft office. A few seconds later, another child raises his hand because he’s seen it on his Angry Birds game. A wave

On Creating Buzzwords

of recognition floods the classroom as the children place a function and a purpose to a tangible object they’re encountering for the very first time. 32

These divides in comprehension crisscross every facet of culture and industry as our old processes continually blur into neutralizing digital futures, and medicine is no exception. Consider a medical buzzword construction like “Orphan Annie Eyes,” a phrase which describes the cells www.PhysiciansOfficeResource.com


that help diagnose papillary thyroid cancer. As John Biemer outlines in his article Is it time to Update Antiquated

“ Buzzwords are

often a product of timing and through generations and evolution, they lose their original prescribed meaning.”

Medical Buzzwords? it’s a term with resonance, first officially appearing in a 1971 book entitled Basic Endocrine Pathology and referring to the cell nucleus as “relatively empty (like Orphan Annie Eyes.).” Practicing american physicians of the era would have likely understood the reference because the Little Orphan Annie comic strip was a daily comic strip that ran in syndication from 1894 to 1968. In fact, many physicians currently practicing would understand

Dylan Chadwick

the reference as Little Orphan Annie is a bona fide cultural icon, but this kind of ubiquity won’t last forever and decreases with each passing year. The term is still taught to young medical students mostly unfamiliar with the character, many of whom were born and raised outside of the united states and have absolutely no context of Annie, her eyes or the adventure she shares with her rich benefactor, Daddy Warbucks. I’m no stooge. I know that of buzzwords lend a gleeful air of contemporaneity to the language we use, and can even clarify its meaning, with “laymen” cultural definitions. Still, for our language to remain truly effective in a globalizing industry, we must assure that all who engage it are acutely familiar with the backstory and in an age with such rapid informational turnover, we simply can’t count on our buzzwords to stay in vogue infinitely. Do They Really Matter Though? We likely use buzzwords, phrases and sayings every day that betray their original intention. I won’t claim to know the etymological backstory of “OK” for example, and I can admit that I just barely learned that when we say “pull out all the stops” we’re

actually referring to an organ player increasing the volume of the instrument. Does my understanding of

urine of those with necrotic syndrome… and while these buzzwords work in their time, we cannot assume that blackberry

this organ player backstory enhance my currants or the Knights of Malta will knowledge and understanding of the hold the same relevance today as they phrase? I'd like to think so. did in the past. It's for this reason that Buzzwords are often a product of our language, often without our own timing and through generations and input, updates itself to stay relevant. evolution, they lose their original prescribed meaning. Those buzzwords and phrases with user-friendly applications (like “the whole 9 yards”) adapt and continue in our language while too niche or obscure fall out of our spoken canon where they stay hidden away, only resurrected for stodgy discussion in dusty college literature programs. Linguists often describe our language in the same terms they would a casserole or stew of social developments, one shaped and flavored the various ingredients and cultural impressions throughout history. Biemer describes antiquated medical phrases like "currant jelly sputum" to describe the appearance of bloody mucous coughed up by someone with pneumonia or the "Maltese cross" shape of the fatty casts contained within the

More Work/Little Pay Off Some medical students use Buzzwords to keep the staggering overflow of medical info and jargon straight in their brains, or simply as mental crib sheets a big exam. Maybe these buzzwords offer a quick workaround explanation for an improvising professor. That's all fine and good. Where buzzwords become problematic is when they require clarification and explanation in order to be truly useful to those who hear them. If you think about it in a The Tibetan Book of Living and Dying kind of way, all the time you’d save inventing new term, even those which sidestep medical jargon, you’ll lose explaining to the next few generations what that buzzword even means. 33


The Doctors Guide to Eliminating Debt From Dr. Cory S. Fawcett

PHYSICIANS office RESOURCE

2018 - Issue 11

PRODUCTFOCUS

#5372

The Doctors Guide to Eliminating Debt can show you how to pay off debt faster than you imagined—including your house. Too many doctors are carrying perpetual debt and giving away a large chunk of each paycheck as interest to the bank. Don’t give away your future to the bank, you earned it, you keep it. Get your cure for Debtabetic Neuropathy and Alzheimer’s Debtmentia before it’s too late.

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Histofreezer® Portable Cryosurgical System From OraSure - Histofreezer

#5373

Histofreezer® Portable Cryosurgical System offers medical professionals an easy and effective method to treat nine different types of skin lesions, including common, plantar and genital warts and other common benign skin lesions. Medical professionals in primary care, internal medicine, podiatry, ob/gyn and dermatology areas of care have either added Histofreezer® to their practice offering or replaced more invasive and less tolerated procedures with Histofreezer®.

View Brochures, Videos & More at: POR.io Enter Number 5373 in the Search Area

#5374

SPOTCHEM™ EZ Chemistry Analyzer From Jant Pharmacal

SPOTCHEM™ EZ chemistry analyzer is a small bench top chemistry analyzer that utilizes dry chemistry technology to test whole blood. Results are available on the SPOTCHEM™ printer or downloaded via LIS. SPOTCHEM™ is ideally suited for small laboratories and physician offices that desire an easy-to-use analyzer with a small footprint. Maximum throughput is 48 tests per hour. Test menu includes 21 tests and 3 panels. Tests whole blood, serum or plasma with rapid results within 4 – 15 minutes. Extensive CLIA-waived menu, includes lipid panel, creatinine, AST, ALT, glucose, and 2 chemistry panels. Automatic calibration.

View Brochures, Videos, & More at: POR.io Enter Number 5374 in the Search Area 34

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CONTINUEDFROMPAGE33 Don’t get me wrong, buzzwords are describe the moment in arc of great fun, in any capacity. Who doesn’t television show when it begins a love bemoaning a once lauded TVdecline in quality; based on a scene program's fall from greatness by saying from a fifth-season episode of the they “jumped the shark?” Buzzwords sitcom Happy Days when the simply don't contain much substance character Fonzie jumps over a shark terms of long term value. During their while on water-skis). relatively small window of So, to the gatekeepers and contemporary relevance, buzzwords provide some enhancement to our

dispensers of medical information, be responsible with buzzwords and use

language (think "Brangelina" from a them sparingly, especially when it few years back), but it’s a gimmick that comes to medicine. In the meantime, will quickly devolve into more aqueous think about how you'll be explaining terms which float, unconnected to their original intended function,

flip phones to your grandkids.

begging to be explained and contextualized by those old or cultured enough to know. (Here's where I

Read the rest of this and other articles at www.PhysiciansOfficeNews.com

References Bavle, Radhika M. "ORPHAN ANNIEEYE NUCLEI." Journal of Oral and Maxillofacial Pathology, Summer 2013. Web. 14 Nov. 2015. Biemer, John, MD. "Is It Time to Update Antiquated Medical Buzzwords?" KevinMD.com. KevinMD, 10 Nov. 2015. Web. 14 Nov. 2015. Khan A, Haque S, Shah SQ , Irfan J. “Orphan annie eyes: From Comics to Clinics.” International Journal of Pathology, 2011;9:47–8. McFedries, Paul. The Complete Idiot's Guide to Weird Word Origins. Indianapolis, IN: Alpha, 2008. Print.

explain to those who don't know: "Jumping the shark" is an idiom used to

MicroLab Spirometer Easy to Use, Affordable, Complete Spirometry The MicroLab spirometer with integral printer and touch screen color display offers easy to use, complete spirometry in an affordable, portable package. ! Touch screen color display ! Choice of child incentives #5375

! ATS/ERS standards compliant ! On-screen test quality prompts ! Confirming diagnostic interpretation ! Post bronchodilator comparison ! Fast, quiet internal printer ! Low cost disposables ! SPCS PC software optional

www.mdspiro.com Micro Direct, Inc.

803 Webster St., Lewiston, ME

800-588-3381

Fax 207-786-7280

Email sales@mdspiro.com 35


2018 - Issue 11

PRODUCTFOCUS

Win a FREE iPad Mini!

PHYSICIANS office RESOURCE

As a Thank You for taking part in our brief survey you will be entered in our periodic drawing to win a FREE Apple iPad mini, which you may gift to someone or keep for yourself. The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

www.survey.por.io Additional details on page 25

#5376

CO Check Pro from Micro Direct has received FDA 510k Approval From Micro Direct

Carbon Monoxide breath testing is a great and invaluable tool in assisting smokers to quit. The CO Check Pro with its clear display of a smokers exhaled CO levels in ppm and %COHb levels along with visual colored lights on the levels of breath CO recorded, act as a great motivational tool in smoking cessation. The CO Check Pro is easy to use and ensures the test can be performed quickly and efficiently assisting busy health care professionals in their role as smoking cessation advisers.

View Brochures, Videos, & More at: POR.io Enter Number 5376 in the Search Area

#5377

First Ever CLIA Waived Hematology Analyzer From Sysmex

Faster test results, clinical decisions and greater practice efficiency are coming to physicians’ offices with the first CLIA-waived CBC analyzer. Hematology diagnostics leader Sysmex is bringing more lab testing to the point of care. One of the most common blood tests can be conducted reliably and accurately on-site, in as few as three minutes. The device’s ease of use and innovative technology means in-house staff can operate it in just a few easy steps, without lengthy certification and training. The new Sysmex XW-100 will improve health care efficiency and patient care.

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ADVANCING BIOCHEMISTRY TESTING WITH RANDOX THIRD PARTY REAGENTS

Extensive range of reagents covering over 100 disease markers with 115 reagents, including Adiponectin, Cystatin C and sLDL Cholesterol

Excellent quality and stability producing accurate and precise results whilst reducing the risk of errors and lowering costs

A wide range of kit sizes including Easy Read and Easy Fit options, helping to improve efficiency and cost savings for your laboratory

Automated applications with specialty assays for 195 of the most common clinical chemistry analyzers

Superior methodologies with excellent correlation against gold standard methods, our reagents come in a wide range of formats and methods for any laboratory size

#5378

Not all products are available for diagnostic use in all countries. Contact us for more information. +13047282890 | TOLL FREE 866 472 6369 www.randox.com | reagents@randox.com Randox Laboratories-US Ltd, 515 Industrial Boulevard, 37 Kearneysville, West Virginia, 25430,


#5379

Drugs of Abuse Testing and Routine Chemistry Panels on a Single Analyzer From Carolina Liquid Chemistries

PHYSICIANS office RESOURCE

2018 - Issue 11

PRODUCTFOCUS

Carolina Liquid Chemistries Corp. announces the successful launch of Medica Corporation’s high-speed benchtop analyzer, the EasyRA®. The updated analyzer now operates at a photometric rate of up to 240 tests per hour or up to 480 tests per hour with ISE. The EasyRA urine drug screening and general chemistry reagents are CLIA categorized as moderately complex. This all-in-one system allows clinical laboratories to screen for drugs of abuse in urine while also allowing healthcare providers to assess routine chemistry panels on a single analyzer.

View Brochures, Videos & More at: POR.io Enter Number 5379 in the Search Area

#5380

The NanoEnTek FREND Immunoassay System From NanoEnTek

The NanoEnTek FREND Immunoassay System provides Vitamin D, TSH, fT4, PSA, and Testosterone results in minutes with a nocost placement program. Complete all 5 tests in less than 20 minutes for same visit patient consultation. PSA and TSH results are available in 3 minutes or less. Imagine having a new source of revenue with improved practice efficiency and patient satisfaction. Thoughtfully designed, with your practice in mind.

View Brochures, Videos & More at: POR.io Enter Number 5380 in the Search Area

#5381

Rapid, Accurate Screening Method for UTIs From Jant Pharmacal

Accutest® Uriscreen™ is a rapid screening test that combines the detection of both bacteriuria and pyuria (the presence of somatic cells in urine), by detecting catalase activity (an enzyme present in many eukaryotic cells). This easy to use test provides physicians’ offices, clinics, hospitals, labs and long term care facilities with a rapid and accurate screening method for urinary tract infections. CLIA-waived; Requires no instrumentation

View Brochures, Videos & More at: POR.io Enter Number 5381 in the Search Area 38

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Bionet CardioCare 2000: $1,255.00 Schiller AT-2 Plus: $2,275.00* *add Spirometry: $1,000.00 Burdick ELI 250c: $3,188.00 Welch Allyn CP150 w/ Interp: $3,258.00

#5382

#5383

The Adview 2 is still the only truly modular diagnostic station that grows with your needs. Start with blood pressure and choose temperature or pulse oximetry option at the time of purchase.

#5385

#5384

#5387 #5386

#5388

#5389

Coaxial Ophth, Fiber Optic Oto, Speucla Dispenser, Aneroid BP, Wall Transformer & Wall Board without Thermometer: $850.00 with Thermometer: $1,117.00

#5390 #5391

#5392

#5393

#5394 39


Nail it with one swab. Syndromic respiratory infection testing now CLIA-waived The BioFire® FilmArray® Respiratory Panel (RP) EZ uses a molecular syndromic approach to accurately detect and identify a wide range of pathogens—not just Flu A and B. As a healthcare provider, this means

#5395

leading to higher patient satisfaction and lower costs. And as the name 1

1 test. 14 respiratory pathogens. All in about an hour.

biofiredx.com

CLIA

BioFire RP EZ Pathogens Viruses Adenovirus Coronavirus Human Metapneumovirus Human Rhinovirus/Enterovirus

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40

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