Siemens Healthcare epoc Firmware update

epoc® Blood Analysis System
Resource Guide

2
Table of Contents
System Overview ....................................3
Sample Processing ..................................9
Quality Assurance (QA) .........................20
As Needed Maintenance........................23
Troubleshooting....................................26
T20001.001 | Effective date: 02/15/2021
02-2021 | © Siemens Healthcare Diagnostics Inc., 2021

3
System Overview
Hardware Overview
epoc® Reader
1. Test Card Slot
• Internal barcode scanner located within card slot
• Scans test cards for serial number, lot number,
expiration date and card type
2. Battery Status Indicator
• Amber: Fully charged
• Blinking Amber: Charging
3. Test Status Indicator
• Green: Ready for use
• Blinking Green: Processing
• Red: Error
4. Power Button
• Green: Reader is on
5. Docking Pivot
• Insert Host cradle blade to connect to the reader
6. Power Jack / AC adapter
• Located at the back of the reader

4
System Overview
Hardware Overview
epoc® Host
1. Barcode Scanner
• Located at the top of the Host
2. Barcode Scan LED
• Red: Barcode scanning active
• Blinking Green: Successful scan
3. Charging/Battery LED
• Amber: Fully charged
• Blinking Amber: Battery charging
4. Scan Buttons
• Activates barcode scanner
5. Touch Screen
6. Manual Keypad
7. Power Button
8. Cradle Blade
• Insert into Docking Pivot to connect to the Reader

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System Overview
Hardware Overview
epoc® Test Card (Bottom)
1. Sensor Module Contact Surface
2. Test Panel Type
3. Barcode
4. Lot Number and Expiration Date
epoc® Test Card (Top)
5. Measurement Region
6. Sealed Valve
7. Blood Waste Chamber
8. Calibrator Reservoir
9. Sample Entry Port
Note:
Test Card shipping cartons include two Temperature Monitors,
which turn red when the shipping temperature is < 2° C or > 30°C
Test Cards are stored at room temperature
Test cards are single use only

6
System Overview
Software Overview
1. Page Tabs
2. Screen Tabs
3. Toolbar

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System Overview
Software Overview
1. Test Results
Displays test progress and results once testing is complete
2. Test Information
Allows for user input of additional information
3. Test Selection
Allows selection of which analytes will be tested
4. Print
Sends test results to a printer connected to the Host
5. Save
Saves information entered after a test is completed
6. Exit/Cancel
Cancels testing and closes the connection to the current reader
7. Reader Battery Level
8. Reader
Displays a menu when selected
9. Onscreen Keyboard

8
System Overview
Software Overview
epoc Readers Tab
1. Logout
2. Data Manager Synchronization - If configured
Used to exchange information (test results, configuration
information) between Host and Data Manager
3. Discovery
Select to locate additional Readers
Select and hold a Reader shown in the epoc
Readers tab to display the following options
4. Run blood test
5. Run QA test (not available to all operators)
6. Status
Reader reports to Host with Reader status information
7. Page
Reader beeps five times in order to locate it’s position
8. Run Thermal QA (not available to all operators) Note:
Dedicated Readers are listed with a Lock icon

9
Sample Processing
Sample Processing
Logging In
1. Enter a User ID manually or scan a valid ID badge
2. Enter Password (if applicable)
3. Select Login. After a successful login, the epoc Host
will search for available readers
Note:
The login screen appears when an operator powers
on the Host, after any Reset, or after an operator
logs out of the epoc Host Application

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System Overview
Sample Processing
Running a Blood Test
Option 1
1. Upon login, if the epoc Host is already configured to
connect with a single dedicated epoc Reader, the epoc Host
will automatically connect to that epoc Reader to run a
blood test.
Option 2
1. Upon login, if the system administrator has configured the
system for use with multiple epoc Readers, all epoc Readers
available for connection are listed.
2. Select and hold the desired Reader
3. Select Run blood test.

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System Overview
Sample Processing
Inserting a Test Card
1. When the Host displays the message “Insert test card to
begin test,” open a test card pouch
2. Position the test card with the sample port facing upwards
3. Insert the test card. Upon successful insertion, the epoc
reader will beep once and calibration will begin. The reader
must remain on a flat surface throughout testing
4. After calibration is complete, the message “Inject Sample”
will appear on the Test Results page tab
Note:
Calibration takes approximately 165 seconds
After calibration is complete, the Host will display
a status bar indicating the time remaining to
inject a sample (450 seconds)

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System Overview
Sample Processing
Entering Test Information
1. Select Test Information
2. Enter or scan patient ID and secondary ID (if applicable)
in the Pat ID and ID2 fields
3. Select Yes or No next to Hemodilution (if configured) to
select the hemodilution correction factor for Hematocrit
4. Select Sample to select a sample type from the drop-down
menu
5. Enter the patient’s body temperature in the Temp field to
obtain corrected values for pH, pCO2 and pO2
6. Enter any test related comments in the Comments field
7. Select the green arrow on the right side of the Host screen
to continue
Note:
Select the Reject test box (if configured) if it is desired to
not send results to the Lab Information System
Note:
Hemodilution is used to correct hematocrit results for
patients undergoing cardiopulmonary bypass, ECMO,
or patients receiving large amounts of IV fluids. Please
see section 12.13 in the epoc System Manual for more
information.

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System Overview
Sample Processing
Entering Test Information (continued)
8. Enter respiratory parameters (Optional)
9. Select the green arrow on the right side of the Host
screen to continue
10. Enter additional respirator parameters (Optional)
11. Select the green arrow on the right side of the Host
screen to continue
12. Enter patient age in the Age field
13. Select Gender to select a patient gender using the drop
down menu
14. Enter patient height in the Height field
Note:
Respiratory parameters entered are for reference
purposes only. Values entered do not impact test results.

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System Overview
Sample Processing
Test Selection
1. Select Test Selection to edit tests to perform during
analysis
2. Select the check box next to the desired test to include
or exclude results from analysis. Use Select all, Clear
All, Gases, Electrolytes and eMP for quick selection of
desired tests

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System Overview
Sample Processing
Sample Injection (Syringe)
1. When ready for sample injection, the Host will display
the message Inject sample on the Test Results page tab
2. Once sample is obtained, discard a drop of blood as
volume permits
3. Hold the syringe barrel vertically between fingertips
and thumb and perpendicular to the test card
4. Using slight downward pressure, secure the syringe’s
tip into the sample entry port of the test card. Rotate
the syringe clockwise ¼ turn to ensure a good seal
5. While maintaining downward pressure, use the index
finger of the other hand to steadily depress the syringe
plunger with one continuous motion until the Reader
provides an audible beep and the Test Status Indicator
flashes green indicating enough sample was received.
The Host will display the message Analyzing sample
on the Test Results page tab

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System Overview
Sample Processing
Sample Injection (Care-Fill™ Capillary Tube)
1. Once the sample has been collected, hold the capped tube by the
blue band and point the end of the capped tube upwards
2. Slide the adapter towards the end of the capped tube and insert
the tube into the adapter
3. Gently push the capped tube into the adapter end and gently push
until it clicks and locks in place
4. Hold the capped tube by the large end of the adapter and insert
into the sample entry port of the test card. Rotate the capillary
tube clockwise ¼ turn to ensure a good seal
5. While maintaining downward pressure, use the index finger of the
other hand to steadily depress the plunger with one continuous
motion until the Reader provides an audible beep and the Test
Status Indicator flashes green indicating enough sample was
received. The Host will display the message Analyzing sample on
the Test Results page tab

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System Overview
Sample Processing
Reviewing Results
1. Once analysis is complete, test results will display on the
Test Results page tab
• If the prompt “To view results: Enter patient ID” appears, enter the
patient ID number. Select Save
2. Select Gases+ to view blood gas results
3. Select Chem+ to view chemistry results
4. Select Meta+ to view metabolite results
5. If a test was not selected prior to sample analysis and is needed, select
Test Selection; select the check box for the desired test, select Save
6. If needed, select the test information page tab to enter additional
patient information, select Save
7. Select the Additional Documentation icon (if configured) to display
additional options
8. Remove the used test card and dispose in a biohazard receptacle
9. Insert a new test card and repeat previous sample processing steps
if desired
10. When all testing with the Reader is complete, close testing by selecting
the Red X at the top right to close the Reader Screen for that Reader.
Note:
Sample analysis takes
approximately 35
seconds to complete
Note:
After disconnecting all Readers from running
tests, test results can be sent to a data manager by
pressing the data manager synchronization button.
Note:
The Administrator may configure the epoc Host to synchronize upon closing
a test. In this configuration, synchronization with the data manager occurs
immediately after the Reader Screen is closed at the end of a test.

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System Overview
Sample Processing
Reviewing Critical Results
1. After analysis is complete, any results outside of
critical range will appear in red with a critical-range
indicator. The Critical Actions button is displayed on
the right side of the Host screen
2. Select the Critical Actions icon to display
additional options (if configured)
3. Select the Action drop down menu to select the
healthcare professional notified
4. Enter the name of the healthcare professional in
the Notify field
5. Select Yes or No if the results were read back to the
operator
6. If needed, select Change to enter the appropriate
Time and Date
7. Select Save
8. Remove the used test card and dispose in a
biohazard receptacle
9. Insert a new test card and repeat previous sample
processing steps if desired
10. When all testing with the Reader is complete, close
testing by selecting the Red X at the top right to
close the Reader Screen for that Reader.
Note:
After disconnecting all Readers from
running tests, test results can be sent to a
data manager by pressing the data manager
synchronization button.
Note:
The Administrator may configure the epoc
Host to synchronize upon closing a test. In
this configuration, synchronization with the
data manager occurs immediately after the
Reader Screen is closed at the end of a test.

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System Overview
Sample Processing
Viewing Historic Results
1. Select the icon on the toolbar
2. Select View Test
3. Select the Filter icon to narrow test result
search parameters. Toggle between Simple
and Advanced filter modes for more options
4. Select Apply
5. Select and hold the desired record
6. Select View this test, or Print this test to
view or print the record
7. Use the page tabs at the top of the displayed
test record to view test details
8. Select the icon on the toolbar
9. Select Run Test to return to testing mode

20
Quality
Assurance (QA)
Electronic Quality Control (EQC)
Performing Electronic Quality Control
Every time a Host and Reader connect, or when a Host and
Reader have been connected continuously for 8 hours or
more, the Reader begins a two-level Electronic QC Test.
Configuration data is sent by the Host to the Reader, and
preparations begin for a test. No operator interaction is
required to run EQC.
Viewing Electronic Quality Control
1. Select the icon on the toolbar
2. Select View EQC
3. Press and hold the desired record
4. Select View this record
5. Refresh the list by selecting the icon if required
6. Select the icon on the toolbar
7. Select Run Test to return to testing mode
Note:
Unlike Test Records, Electronic QC Records are
removed from the Host after each synchronization