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| Name of device/First year sold/Number of analyzers sold in 2011 | GEM Premier 4000/2006/— |
| Number of devices sold in U.S./outside U.S./List price | >4,300 worldwide/$50,000 |
| Dimensions (H x W x D)/Weight | 18 × 12 × 15 inches/44 pounds |
| Analytes measured on device | pH, pCO2, pO2, Hct, Na, K, Cl, iCa, lactate, glucose, tHb, O2Hb, COHb, MetHb, HHb, tBili |
| Parameters calculated on device | Hct, TCO2, BEecf (in vivo), BE(B) (in vivo), tHb(c), Ca++ (7.4), anion gap, P/F ratio, pAO2,CaO2, CvO2, P50, O2cap, sO2, sO2(c), HCO3-std, HCO3-(c), others |
| Barometric pressure | — |
| Analytical method(s) or technologies employed | pH, pCO2: potentiometry; pO2, glucose, lactate: amperometry; Hct: conductivity; Hb, tBili: spectrophotometric; Na, Cl, iCa, K: potentiometric ion-selective electrode |
| Device is part of a series of related models | yes |
| Device warranty/Loaner devices provided | 5 years/yes |
| Average life expectancy of device | 7–10 years |
| Open or closed system/External gas tanks required | closed/no |
| Categorized for point-of-care testing or laboratory | point-of-care testing and laboratory |
| Point of care: | |
| Disposable prepackaged system used for analysis | multi-use cartridge |
| No. of disposable reagent system units in standard package | 1 |
| No. of samples analyzed per one disposable reagent, electrode system | cartidges available: 75, 150, 300, 450, 600 |
| Reagent unit storage requirements | room temperature |
| Shelf life of disposable units | 6 months |
| Laboratory: | |
| No. of different disposable reagents required to maintain device | 1 |
| Max. No. of analyte reagents that can reside in device at once | 1 multi-use cartridge |
| Shelf life of components | 6 months (cartridge) |
| Cost per test/Reagent cost per test | varies with cartridge size and menu/— |
| Calibrations required | automated continuous with Intelligent Quality Management (iQM) |
| Calibration frequency | automated continuous with iQM |
| Internal QC program recommended | internal, automated, continuous quality management included |
| QC features/Capabilities of QC features | onboard iQM/monthly report includes number of measurements, mean, maximum, and minimum delta values |
| Remote control of device from laboratory | yes |
| System can use LOINC to transmit results to LIS | no |
| Specimen types suitable for device | whole blood, capillary, mixed venous, arterial, venous |
| Acceptable anticoagulants/Sampling technique | heparin/aspiration |
| Sample size for complete panel of analyte results | 150 µL, 95 µL (electrochemical only), 65 µL micro mode (electrochemical only) |
| Sample size differs with number of analytes selected | yes |
| Time from sample introduction to result availability | 70 seconds for electrochemical; 25 additional seconds for CO-ox |
| Maximum No. of patient samples per hour/Maximum No. measured results per hour | 20/300 |
| Optimal throughput when analyzer calibrated, awaiting specimens | 20 samples per hour |
| Calibration can be interrupted to perform stat sample | yes |
| Known interferences | interfering substance detected, operator notified |
| Sampler has self-wiping probe | yes |
| Time required for maintenance by lab personnel | none |
| Service center performs diagnostics through modem | no (but can through VPN) |
| Method of analyst ID in system | wireless bar-code gun or manual virtual keyboard entry |
| Instrument response for: | |
| • hardware failure/software failure | operator warning, sampling lockout |
| • QC failure | iQM disables analyte channel; no result reported |
| • calibration failure | system automatically performs checks before samples can be analyzed |
| For what bar-code scanning is provided | operator and patient IDs, cartridge lot number and expiration date |
| Built-in printer/Data port | yes/4 RS-232, 1 parallel port, 1 Ethernet port, 4 USB ports |
| Information listed on hard copy report | patient demographics, hospital information, results, result flags and legend, reference and critical ranges (optional), comments, notification information |
| Analyzer connections | LIS/HIS via direct interface or GEMweb Plus Custom Connectivity; vendor-neutral or Web-based systems |
| Interface standards supported | ASTM 1394, HL7 |
| How analyzer connects to external system to upload patient and QC results | direct serial, hospital network, real-time wireless |
| Information included in transmission from analyzer to external system | device identifier, operator and patient IDs, results, QC ID |
| Hardware and software for data management system | GEMweb Plus |
| No. of different management reports system produces | 4 |
| Contents downloaded from data management system to analyzer | most configuration information, including valid operator IDs, QC lots, and ranges |
| System connected (live installations) to which LISs, HISs | major HIS/LIS vendors |
| Use a third-party interfacing tool, engine for LIS, HIS interfaces | MAS RALS, Telcor |
| Distinguishing features (provided by company) | iQM detects, corrects, documents instrument errors, reducing error detection time to minutes; single component, multi-use cartridge includes all testing components, is changed every 30 days, requires no refrigeration or maintenance; GEMweb Plus software allows access and control from any networked PC or GEM Premier 4000 analyzer; Plus Technology offers faster touchscreen response, wireless communication to HIS/LIS, and remote service capabilities |
| Note: a dash in lieu of an answer means company did not answer question or question is not applicable | |
| Tabulation does not represent an endorsement by the College of American Pathologists. |