i-STAT 1 is the POC portable blood analyzer produced by Abbott.The refurbished i-STAT professionally processed by PoctDiamedix is almost the same as brand new one in appearance and function, but the price is much cheaper.
To make perfect refurbished Abbott i-STAT 1 Point of Care handheld blood analyzer, PoctDiamedix invested $ 200000 to buy advanced refurbishment facilities and built a professional team of 20 staffs, all undergraduate and above, 10 engineers, of which 5 have a master's degree, with an average age of 30.
In the past 10 years, PoctDiamedix refurbished more than thousands 1000 Abbott Point of Care I-STAT 1 and sold them to the countries where used medical devices and refurbished medical devices are legal,such as Kenya, Bolivia, Latvia, Russia, France, Ukraine, Malaysia, India and Indonesia.
Refurbishment work done by PoctDiamedix
1.Clean the shell and sterilize it to ensure that its appearance looks like brand new one.
2.Clean and check internal mechanical parts to keep them neat and tidy.
3.Clean and check all sensors to ensure them tidy and work normally.
4.Clean and inspect the board circuit to make it in perfect condition.
5.Check, clean and fix all the contact points,include PIN,FPC and FFC, to make sure that all the contact points are perfect in their position.
6.Check barcode gun and make sure it works perfectly.
7.Check Charger and charging, make sure that the power system works properly.
8.Replace the old battery with a new quality battery with the same parameter.
9. Quality control team does a full set of quality tests to make sure the machine is refurbished correctly.
10.Take human blood to test the accuracy and repeatability in real condition.
The i-STAT System incorporates comprehensive components needed to perform blood analysis at the point of care. The System consists of the following primary components:
Analyzers (handhelds) can be the i-STAT Portable Clinical Analyzer or the i-STAT 1 Analyzer. When a sample-filled i-STAT cartridge is inserted into a handheld for analysis, the handheld automatically controls all functions of the testing cycle including fluid movement within the cartridge, calibration and continuous quality monitoring.
A PCx Plus Glucose Test Strip is scanned and inserted into the i-STAT 1 Analyzer (Model Number 300) and a drop of whole blood is applied to the target area of the test strip. (N/A at UAMS)
ACT cartridge: to detection of end point - up to 1000 seconds (16.7 min.)
PT/INR cartridge: to detection of end point – up to 300 seconds (5 min.)
cTnI and BNP cartridges: 600 seconds (10 min.)
CK-MB Cartridge: 300 seconds (5 min.)
Other cartridges: typically 130 to 200 seconds
MediSense Precision PCx or PCx Plus Glucose Test Strip: 20 seconds
A single-use disposable cartridge contains microfabricated sensors, a calibrant solution, fluidics system, and a waste chamber. Sensors for analysis of pH, PCO2, PO2, TCO2, sodium, potassium, chloride, ionized calcium, glucose, lactate, creatinine, ureanitrogen (BUN) and hematocrit are available in a variety of panel configurations. Cartridges are also available for Celite-ACT, Kaolin-ACT, PT/INR, Troponin I/cTnI, CK-MB and BNP (Table 1). A whole blood sample of approximately 1 to 3 drops is dispensed into the cartridge sample well, and the sample well is sealed before inserting it into the analyzer.
Glucose Test Strips (NA/at UAMS)
The i-STAT Analyzer (handheld) Model Number (MN) 300 has the capability to run the Precision PCx Plus glucose test strip, while the i-STAT Analyzer MN 300-G does not have this same capability. The MN number for the handheld is found on a label located on the underside of the handheld near the top where the battery compartment is located.
Central Data Station or Data Manager
A dedicated desktop computer with the i-STAT Central Data application provides the primary information management capabilities for the i-STAT System. IR Links for Portable Clinical Analyzers and Downloaders and Downloader/Rechargers for the i-STAT 1 Analyzers allow for transmission of the patient records from a widely distributed network of handhelds to the Central Data Station application. Data can be stored, organized, edited, and transferred to a laboratory information system or other computer system. Cartridge usage and efficiency reports can be generated for management of the System.
SUPPLIES and STORAGE REQUIREMENTS
Cartridges are sealed in individual pouches or portion packs. Store the main supply of cartridges at a temperature between 2 to 8°C (35 to 46°F). Do not allow cartridges to freeze. Cartridges may be stored at room temperature (18 to 30°C or 64 to 86°F) for the time frame indicated on the cartridge box. Cartridges should not be returned to the refrigerator once they have been at room temperature, and should not be exposed to temperatures above 30°C (86°F). If the pouch has been punctured, the cartridge should not be used. Write the date on the cartridge box or individual cartridge pouches to indicate the room temperature expiration date. Cartridges should remain in pouches until time of use. Do not use after the labeled expiration date.
Glucose Test Strips (N/A at UAMS)
Test strips are sealed in individual foil packets. Store the strips at a temperature between 4 and 30 C (39 and 86 F). When stored properly, the unopened test strips remain stable until the expiration date printed on the barcode label. Do not freeze and keep out of direct sunlight.
i-STAT Controls for blood gases, electrolytes, and chemistries.
Store at 2 to 8°C (35° to 46°F). Controls may be stored at room temperature (18 to 30°C or 64 to 86°F) for five days. Do not use after expiration date on the box and ampules.
i-STAT Controls for ACT and PT/INR
Store at 2 to 8°C (35° to 46°F). Do not use after expiration date on the box and vials. Controls should be used immediately after reconstitution.
i-STAT Controls for cTnI and BNP
Store at ≤ -18°C (-1°F) in a non-defrosting freezer. After thawing, the opened or unopened 1.0 mL vial is stable for 4 hours when capped and stored at 2 to 8°C (35° to 46°F). Do not refreeze.
CLINIQA Liquid Cardiac Marker Control for CK-MB (N/A at UAMS)
This control requires no reconstitution or frozen storage. It is stable until the expiration date on the vial label when stored unopened at 2 to 8°C. Once opened, CLINIQA Liquid Cardiac Marker Control is stable for 30 days when stored tightly capped at 2 to 8°C.
RNA Medical Hematocrit Control
RNA Medical Hematocrit Control is stable until the expiration date stated on the ampule when stored at temperatures of 2 to 25°C. Do not freeze or expose ampules to temperatures greater than 30°C. If stored refrigerated, the control material should be equilibrated to room temperature for at least 4 hours prior to testing.
Store at room temperature and protect contact pads from contamination by replacing the plastic cap and placing the Electronic Simulator in its protective case after use.
MediSense Precision Glucose Control Solutions for test strips( N/A at UAMS)
Store the controls at temperatures between 4 and 30 C (39 and 86 F). Do not freeze. Each bottle of control solution is stable for 90 days after opening. Write the date of opening on the bottle label. Always make sure the cap is returned to the correct bottle and tightly closed immediately after use.
Blood Collection Equipment
Cartridges for Blood Gas/Electrolytes/Chemistries/Hematocrit
Skin puncture: lancet and capillary collection tube (plain, lithium heparin, or balanced heparin for electrolytes and blood gases)
Venipuncture: lithium or sodium heparin collection tubes and disposable transfer device.
Arterial puncture: Plain syringe or blood gas syringe with heparin and labeled for the assays performed or with the least amount of heparin to prevent clotting (10 U heparin/mL of blood)
Cartridges for ACT
Skin puncture: not recommended
Venipuncture and arterial puncture: plain plastic syringe without anticoagulant Glucose Test Strips( N/A at UAMS)
Skin puncture: lancet and capillary collection tube with lithium heparin, sodium heparin, or EDTA or direct application of sample to test strip
Venipuncture and arterial puncture: collection tube or syringe with lithium heparin, sodium heparin, or EDTA Cartridges for PT/INR (N/A at UAMS)
Skin puncture: lancet only needed. Cartridge can be filled directly from the finger.
Venipuncture: plain plastic syringe without anticoagulant.
Cartridges for Troponin I/ cTnI and CK-MB
Skin puncture: not recommended.
Venipuncture: lithium or sodium heparin collection tubes and disposable transfer device (e.g. 1 cc syringe and a. Alternately, a plain syringe or plain collection tube and disposable transfer device can be used if the sample is tested within one minute of patient draw. Cartridges for BNP-(N/A at UAMS)
Skin puncture: not recommended.
Venipuncture: plastic EDTA collection tubes and disposable transfer device or plastic EDTA syringe.
See Table 1 below for cartridge volumes. For the glucose test strip, sufficient sample to cover target area - approximately one drop, is required.
Suitable Specimens for Cartridges for Blood Gases, Electrolytes, Chemistries, and Hematocrit
Fresh whole blood collected in a plain capillary collection tube or capillary collection tube with balanced heparin.
Fresh whole blood collected in a collection tube with lithium or sodium heparin anticoagulant. Fill collection tubes to capacity.
Fresh whole blood collected in a plain plastic syringe or in a blood gas syringe labeled for the assays to be performed. Fill syringes for correct blood-to-heparin ratio.
Suitable Specimens for ACT
Fresh whole blood without anticoagulant collected in a plastic syringe. If from an indwelling line, flush the line with 5mL saline and discard the first 5mL of blood or six dead space volumes of the catheter.
Fresh whole blood collected in a plastic tube without anticoagulant, clot activators, or serum separators. Device used to transfer sample to cartridge must be plastic.
Suitable Specimens for PT/INR (N/A at UAMS)
Fresh whole blood without anticoagulant collected in a plastic syringe or plastic evacuated tube without clot activators or serum separators. Device used to transfer sample to cartridge must be plastic.
Fresh capillary whole blood dispensed directly into the cartridge from the finger.
Suitable Specimens for Glucose Test Strip (N/A at UAMS)
Fresh capillary whole blood collected in a capillary collection tube containing sodium heparin, lithium heparin, or EDTA. Test immediately.
Fresh venous whole blood collected in a collection tube containing sodium heparin, lithium heparin, or EDTA.
Test within 30 minutes of collection.
Fresh arterial whole blood collected in a syringe containing sodium heparin, lithium heparin, or EDTA. Test within 30 minutes of collection.
Suitable Specimens for Troponin I/cTnI and CK-MB
Fresh heparinized whole blood or plasma samples collected in syringes or evacuated tubes containing lithium or sodium heparin. Collection tubes must be filled at least half full.
Non heparinized whole blood samples tested within one minute of patient draw collected into a plastic syringe or plastic evacuated tube containing no additives.
Suitable Specimens for BNP (N/A at UAMS)
EDTA whole blood plasma samples collected in plastic syringes or evacuates tubes containing EDTA. Collection tubes must be filled at least half full.
Unless the specimen is analyzed immediately after collection and then discarded, the specimen container must be labeled with the following information: (Verify the patients name and date of birth before collection by asking patient to tell you their name and birthdate and checking the armband.)
Patient name, sex, age Patient ID number
Time and date of collection-(stored in meter)
Phlebotomist ID (stored in meter)
Specimen Collection and Handling
Back flush line with sufficient amount of blood to remove the intravenous solution, heparin, or medications that may contaminate the sample. Recommendation: five to six times the volume of the catheter, connectors, and needle. If collecting sample for ACT, clear the line first with 5mL saline and discard the first 5mL of blood or six dead space volumes of the catheter.
For cartridge testing of blood gases, electrolytes, chemistries, and hematocrit, fill a plain syringe or fill a blood gas syringe, labeled for the assays to be performed, to the recommended capacity, or use the least amount of liquid heparin anticoagulant that will prevent clotting. Under-filling syringes containing liquid heparin will decrease results due to dilution and will decrease ionized calcium results due to binding. For ionized calcium, balanced or low volume heparin blood gas syringes should be used. Do not expose sample to air or PCO2 may decrease, pH may increase and PO2 may decrease if the value is above or increase if the value is below the PO2 of room air (approximately 150 mmHg).
For cartridge testing of ACT, use only a plain, plastic syringe without anticoagulant.
For glucose test strips, fill to capacity a syringe or collection tube containing lithium heparin, sodium heparin, or EDTA.( N/A at UAMS).
Mix blood and anticoagulant by rolling syringe between palms for at least 5 seconds each in two different directions, then invert the syringe repeatedly for at least 5 seconds. Discard the first two drops of blood. For blood gas testing, avoid or remove immediately any air drawn into syringe to maintain anaerobic conditions.
Test samples collected without anticoagulant immediately. Test samples for ACT and lactate immediately. For pH, blood gases, TCO2 and ionized calcium, test within 10 minutes of collection. If not tested immediately, remix the sample and discard the first two drops of blood from a syringe before testing. Note that it may be difficult to properly remix a sample in a 1.0 cc syringe. For the glucose test strip and other cartridge tests, test sample within 30 minutes of collection.
For cartridge testing of electrolytes, chemistries, and hematocrit, collect sample into an evacuated blood collection tube or a syringe containing sodium, lithium, or balanced heparin anticoagulant. For ionized calcium measurements, balanced heparin or 10 U of sodium or lithium heparin/mL of blood is recommended. Fill tubes to capacity; fill syringes for correct heparin-to-blood ratio. Incomplete filling causes higher heparin-to-blood ratio, which will decrease ionized calcium results and may affect other results. The use of partial – draw tubes (evacuated tubes that are adjusted to draw less than the tube volume, e.g. a 5 mL tube with enough vacuum to draw only 3 mL) is not recommended for blood gas or CHEM8+ cartridges because of the potential for decreased PCO2, HCO3 and TCO2 values.
For cartridge testing of ACT or PT/INR, use only a plain, plastic syringe or collection tube containing no anticoagulant. Use a plastic capillary tube, pipette, or syringe to transfer the sample from a tube to a cartridge.
For glucose strip or glucose cartridge testing, EDTA is also an acceptable anticoagulant. EDTA is the only acceptable anticoagulant for BNP Cartridge testing.
Mix blood and anticoagulant by inverting a tube gently at least ten times. Roll a syringe vigorously between the palms for at least 5 seconds each in two different directions, then invert the syringe repeatedly for at least 5 seconds, then discard the first two drops of blood. Note that it may be difficult to properly mix a sample in a 1 cc syringe.
Test Sample collected without anticoagulant immediately. Test samples for ACT, lactate and PT/INR immediately. Test samples for pH, PCO2, TCO2 and ionized calcium within 10 minutes of sample draw. If not tested immediately, remix the sample before testing and discard the first two drops of blood from a syringe before testing. For the glucose test strip and other cartridge tests, test sample within 30 minutes of collection.
Finger and Heelstick Specimens
For tests other than PT/INR, wipe away the first drop of blood, which contains excess tissue fluid which can increase the potassium result and decrease other test results. Avoid drawing air into the capillary tube. Use balanced heparin or plain capillary tubes for ionized calcium. Test samples immediately to avoid clotting (especially in neonates). Capillary samples are NOT recommended for ACT, Troponin I/cTnI, CK-MB and BNP.
For more information,user manual, training video for i-STAT 1 , Please click below links.
Drivers / Software
Documents / Manuals