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PATHFAST™ high sensitivity troponin I

PATHFAST™ high sensitivity troponin I

PATHFAST™ high sensitivity troponin I

Product catalog summary
Introduction
The document discusses the PATHFASTTM hs-cTnI assay, a high-sensitivity cardiac troponin I test used for the rapid diagnosis of myocardial infarction (MI) in emergency settings. It highlights the assay's compliance with IFCC and ESC guidelines and its ability to deliver results in less than 17 minutes.

Specifications
The PATHFASTTM hs-cTnI assay is a chemiluminescent enzyme immunoassay (CLEIA) designed for point-of-care testing (POCT) using whole blood or plasma. It offers high accuracy and precision comparable to central lab analyzers. The assay can process up to six tests simultaneously and requires a sample volume of 100 µL.

Clinical Application
The assay is used for early detection and rule-in/rule-out of acute myocardial infarction (AMI) in emergency departments. It measures low troponin levels with high sensitivity, allowing for early diagnosis and differentiation between acute and chronic myocardial injury.

Performance and Guidelines
The PATHFASTTM hs-cTnI assay meets the criteria for high-sensitivity troponin assays, with a 99th percentile upper reference limit of 29.0 ng/L and an imprecision of 6.1%. The ESC guidelines recommend using a 0 h/1 h rule-in/rule-out algorithm for suspected NSTEMI patients, which the assay supports.

Gender-Specific Data
Gender-specific 99th percentile values were determined, with males at 29.7 ng/L and females at 20.3 ng/L. The assay's performance was validated in clinical studies, showing comparable results to established laboratory-based assays.

Diagnostic Algorithms
The document outlines rule-in and rule-out algorithms for NSTEMI using the PATHFASTTM hs-cTnI assay. Rule-out is possible with a baseline concentration below a specific cut-off and a delta change within one hour. Rule-in is determined by a higher baseline concentration or a significant delta change.

Technical Specifications
The PATHFASTTM system is a desktop immunoassay analyzer with a measuring time of less than 17 minutes. It uses chemiluminescence enzyme immunoassay technology and Magtration® technology, with data storage capabilities and various interface options.

Conclusion
The PATHFASTTM hs-cTnI assay provides a rapid, reliable, and sensitive method for diagnosing myocardial infarction in emergency settings, aligning with international guidelines and offering significant clinical benefits.
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Catalog excerpts

PATHFAST™ high sensitivity troponin I-1

high sensitivity troponin I

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PATHFAST™ high sensitivity troponin I-2

PATHFAST TM hs-cTnI: early and immediate diagnosis of MI in the emergency department (ED) PATHFASTTM hs-cTnI is a chemiluminescent enzyme immunoassay (CLEIA) for quantitative measurement of cardiac troponin I (cTnI) concentration in whole blood or plasma at the point of care (POC). Low concentrations of cTnI can be analysed by using high sensitivity cardiac troponin (hs-cTnI) assays which meet the criteria defined by IFCC and ESC (1,2). PATHFAST TM provides high accuracy and precision of test results similar to central lab analyser, combined with the flexibility of a POCT assay within 17 minutes...

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PATHFAST™ high sensitivity troponin I-3

Criteria for a high sensitivity cTn assay Fig. 2A: omparison ROC of PATHFASTTM and one central C LAB assay for NSTEMI patients at admission Recommendation from IFCC (1) 99th percentile of hs-assays should be measured with an analytical imprecision of <10% CV hs-cTn assays should measure cTn above the limit of detection (LOD) in 50% of healthy individuals Gender specific 99th percentile values should be established for men and women Recommendation from ESC guideline (2,3) rule-out or a 0 h /1 h rule-in/rule-out algorithm by using high sensitivity troponin assays as an alternative to the For PATHFAST...

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PATHFAST™ high sensitivity troponin I-4

0 h / 1h Rule-out algorithm of NSTEMI for PATHFASTTM hs-cTnI A rule-out of NSTEMI is possible by the combination of a baseline concentration below a cut off level B and the delta from 0 h to 1 h < C (Fig. 3). 2015 ESC Guidelines recommend that in large validation cohorts the NPVs for rule-out of NSTEMI should exceed 98% (2). A diagnostic algorithm for a high-sensitive troponin I point of care assay was developed in a derivation dataset with 669 patients and validated in additional 610 patients. For PATHFAST TM hs-cTnI wide range of the combination was tested for 1.221 patients with suspected...

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PATHFAST™ high sensitivity troponin I-5

PATHFAST TM Test Principle PATHFAST TM Technical Specifications Instrument type Throughput Measuring time Sampling material Measuring principle Reaction temperature Sample volume Data storage Datatransfer Weight El. requirements Power consumption Monitor/keyboard Printer PC Interface Calibration 24-h operation (stand-by) Desktop Immunoassay Analyzer Up to 6 samples or parameters per run <17 minutes for 6 samples using emergency markers or PATHFASTTM Presepsin Whole blood, plasma, serum Chemiluminescence enzyme immunoassay technology (CLEIA) and Magtration® technology. 37 °C 100 µl Patient data:...

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PATHFAST™ high sensitivity troponin I-6

Product List PATHFAST TM for critical care and sepsis diagnostics Item number Pack size PATHFAST TM pipette tips PATHFAST TM B.R. A.H.M.S PCT control set PATHFAST TM Presepsin control set SYSTEM PATHFAST TM Immunoanalyser Analyzer for the detection of cardiac and other emergency parameters and sepsis CONSUMABLES AND ACCESSORIES REAGENT KITS FOR CRITICAL CARE DIAGNOSTICS PHC Europe B.V. Nijverheidsweg 120, 4879 AZ Etten-Leur, The Netherlands Phone: + 31 76 543 38 33 email: [email protected] REAGENT KITS FOR SEPSIS DIAGNOSTICS

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