Physicians Office Resource - August 2018

Physicians office Resource

2018 - Issue 8

™

Resources for You, Your Patients, & Your Practice

LASER LIPO FDA APPROVED NON-INVASIVE INSTANT INCH LOSS Pages 2 & 16

also in this issue Group A Streptococcal Pharyngitis Testing Guidelines & Procedural Limitations Pg 4 Laser Lipolysis: An FDA Approved Inch Loss Technology That’s Painless and Instant Pg 16 (sdLDL-C) Size Matters: The True Weight of Risk in Lipid Profiling Pg 34 1

2018 - Issue 8

PHYSICIANS office RESOURCE

Physicians office Resource

™

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

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Staff Writer Dylan J. Chadwick

ProductSpotlight

Laser Lipo - Non-Invasive Instant Inch Loss Results

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Group A Streptococcal Pharyngitis Testing...

Strep tests are used to determine if a person with a sore throat (pharyngitis) has strep throat, an infection of the throat and tonsils...

From Laser Lipo Ltd

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Size Matters: The True Weight of Risk in Lipid Profiling Cardiovascular disease is a leading cause of death worldwide, accounting for approximately 17.7million deaths per year, representing 31% of all deaths worldwide....

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2018 - Issue 8

PHYSICIANS office RESOURCE

GROUP A STREPTOCOCCAL PHARYNGITIS TESTING GUIDELINES AND PROCEDURAL LIMITATIONS

By Irwin Z. Rothenberg, MBA, MS, CLS(ASCP), Technical Writer / Quality Advisor, COLA Resources, Inc. Strep tests are used to determine if a person with a sore throat (pharyngitis) has strep throat, an infection of the throat and tonsils caused by the bacteria Streptococcus pyogenes, also called Group A Streptococcus (GAS), or if the sore throat is caused by a virus.

The majority of sore throats (70%-85%) are actually viral in nature, and will resolve without treatment within a few days.

However, it is important to determine when sore throats are caused by GAS, since this is the most common bacterial cause of acute pharyngitis, responsible for 5%–15% of sore throat visits in adults and 20%–30% in children. It is most common in children ages 5 to 15 years old (over 50 % of the cases occur within this age bracket); it is very contagious; and needs to be identified as soon as possible, and treated with antibiotics.

Accurate diagnosis of streptococcal pharyngitis followed by appropriate antimicrobial therapy is important for the prevention of acute rheumatic fever; for the prevention of suppurative complications (e.g. peritonsillar abscess, cervical lymphadenitis, mastoiditis, and, possibly, other invasive 4

infections); to improve clinical symptoms and signs; for the rapid decrease in contagiousness; for the reduction in transmission of GAS to family members, classmates, and other close contacts of the patient; to allow for the rapid resumption of usual activities; and for the minimization of potential adverse effects of inappropriate antimicrobial therapy.

Fortunately, most streptococcal infections are now routinely diagnosed and treated through rapid strep testing, these complications are rare in the United States, but they do still occur.

Establishing the Diagnosis of GAS Pharyngitis 1. Swabbing the throat and testing for GAS pharyngitis by rapid strep test and/or throat culture should be performed because clinical features alone do not reliably discriminate between GAS and viral pharyngitis except when overt viral features like runny nose, cough, oral ulceration, and/or hoarseness are present. In children and adolescents, negative rapid strep tests should be backed up by a throat culture; however, www.PhysiciansOfficeResource.com

positive rapid strep tests do not necessitate a back-up culture because they are highly specific.

1. The routine use of back-up throat cultures for those with a negative rapid strep test is not generally recommended for adults, because of the low incidence of GAS pharyngitis, and because the risk of subsequent acute rheumatic fever is exceptionally low. Physicians who wish to ensure they are achieving maximal sensitivity in diagnosis may (of course) continue to use conventional throat culture or back up negative rapid strep tests with a culture.

2. Anti-streptococcal antibody titers are not recommended in the routine diagnosis of acute pharyngitis as they reflect past but not current events.

Who Should Undergo Testing for GAS Pharyngitis?

1. Testing for GAS pharyngitis usually is not recommended for children or adults with acute pharyngitis with clinical and epidemiological features that strongly suggest a viral basis (e.g, cough, runny nose, hoarseness, and oral ulceration).

2. Diagnostic studies for GAS pharyngitis are not indicated for children under three years old because acute rheumatic fever is rare in children under three years old, and the incidence of streptococcal pharyngitis and the classic presentation of streptococcal pharyngitis are uncommon in this age group. Selected children under three years old who have other risk factors, such as an older sibling with GAS infection, may be considered for testing 3. Follow-up post treatment throat cultures or rapid strep testing are not recommended routinely but may be considered in special circumstances 4. Diagnostic testing or empiric treatment of asymptomatic household contacts of patients with acute streptococcal pharyngitis is not routinely recommended If the results of the rapid strep test are positive, further testing is not necessary, and treatment can be started immediately.

Testing Guidelines l. The Rapid Strep Test (RST) Description A major disadvantage of throat cultures is the delay (overnight or longer) in obtaining

“ Physicians who wish to ensure they are achieving maximal sensitivity in diagnosis may (of course) continue to use conventional throat culture or back up negative rapid strep tests with a culture.”

Irwin Z. Rothenberg, COLA Resources, Inc.

results. RSTs have been developed for the identification of GAS pharyngitis directly from throat swabs, with shorter turnaround time. Rapid identification and treatment of patients with GAS pharyngitis can reduce the risk of spread, allowing the patient to return to school or work sooner, and can reduce the acute associated morbidity. The use of RSTs for certain populations (e.g, patients in emergency departments) was reported to significantly increase the number of patients appropriately treated for streptococcal pharyngitis, compared with traditional throat cultures.

RSTs currently available are highly specific (approximately 95%) when compared with blood agar plate cultures.

False-positive test results are highly unusual, and therefore therapeutic decisions can be made with confidence on the basis of a positive test result.

Unfortunately, the sensitivity of most of these tests is 70%–90%, compared with blood agar plate culture.

The first RSTs used latex agglutination methods, were relatively insensitive, and had unclear end points. Newer tests based on enzyme immunoassay techniques offer increased sensitivity and a more sharply defined end point.

The practitioner should be aware that some of these rapid strep tests are not waived, and therefore, require proper certification or accreditation of the physician's laboratory. Neither conventional throat culture nor RSTs accurately

differentiate acutely infected persons from asymptomatic streptococcal carriers with viral pharyngitis. Nevertheless, they allow physicians to withhold antibiotics from the great majority of patients with sore throats for whom results of culture or RST are negative. This is of extreme importance, because nationally up to 70% of patients with sore throats seen in primary care settings receive prescriptions for antimicrobials, while only 20%–30% are likely to have GAS pharyngitis.

Since the sensitivities of the various RSTs are <90% in most studied populations of children and adolescents, and because the proportion of acute pharyngitis due to GAS in children and adolescents is sufficiently high (20%–30%), a negative RADT should be accompanied by a follow-up or back-up throat culture in children and adolescents, while this is not necessary in adults under usual circumstances, as noted above.

Procedure Obtaining a specimen is the same whether your doctor will do a throat culture or rapid test for strep. A cotton swab (similar to a Q-tip) is quickly rubbed over both tonsils as well as the back wall of the mouth (the posterior pharynx). It is important to avoid contact with other structures inside the mouth such as the tongue or cheeks. The swab is then placed in a specialized container and the rapid test performed. Many 5

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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)

PHYSICIANS office RESOURCE

2018 - Issue 8

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

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CLIA Waived Molecular Diagnostic Testing 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 with a simple test workflow that complements existing laboratory quality and regulatory compliance standards.

Two or four-module configurations save valuable bench space and reduce the need for multiple testing platforms.

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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.

View Brochures, Videos, & More at: POR.io Enter Number 5003 in the Search Area 6

www.PhysiciansOfficeResource.com

Many people find that obtaining the swab produces a gagging sensation.

However, since the entire swabbing process lasts less than five seconds this inconvenience is minimal.

Limitations 1. There are several manufactures of rapid strep tests. Each manufacturer has designed their test to respond only to the presence of the particular streptococcal bacteria (Group A) responsible for strep throat. Other bacteria which are less much less likely to cause sore throats are not identified by the rapid strep test.

2. The test will not detect viral causes of sore throat.

3. A positive test response occurs when a reaction occurs between a protein on the surface of strep bacteria and chemicals in the test materials. Either living or dead strep bacteria will produce a positive reaction. A positive culture requires antibiotics, nevertheless.

4. Most rapid strep tests have a sensitivity of 90%, meaning that the test will be positive in 90 of 100

patients who are documented to have strep throat via throat culture obtained at the same time. Since 10 of 100 patients with strep throat will be missed using a rapid strep test, all negative swab specimens should be sent for culture to confirm the absence of strep bacteria.

5. The rapid strep test has a 98% specificity. This means that 98 of 100 positive tests correctly indicate the presence specifically of Group A streptococcus bacteria; 2 of 100 positive results are "false positives" indicative of similarities between various surface proteins found on strep bacteria and other non-strep bacteria found in the mouth. ll. The Throat Culture Culture of a throat swab on a sheep-blood agar plate has historically been the standard for the documentation of the presence of GAS pharyngitis in the upper respiratory tract and for the confirmation of the clinical diagnosis of acute streptococcal pharyngitis. If performed correctly, culture of a single throat swab on

CONTINUEDFROMPAGE5 a blood agar plate is 90%–95% sensitive for detection of GAS pharyngitis. A major disadvantage of throat cultures is the delay (overnight or longer) in obtaining results.

This spurred the development and adoption of rapid strep testing directly from throat swabs, with shorter turnaround time.

Limitations Several variables affect the accuracy of throat culture results. For example, the manner in which the swab is obtained has an important impact on the yield of streptococci. Throat swab specimens should be obtained from the surface of either tonsils (or tonsillar fossae) and the posterior pharyngeal wall. Other areas of the oral pharynx and mouth are not acceptable sites. Healthcare professionals who try to obtain a throat swab from an uncooperative child without immobilizing the neck may obtain a specimen that is neither adequate nor representative...

Read more of this and other articles at www.PhysiciansOfficeNews.com

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 #5004

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! Confirming diagnostic interpretation ! Post bronchodilator comparison ! Fast, quiet internal printer ! Low cost disposables ! SPCS PC software optional

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BD Veritor™ Plus System From BD

Influenza A/B results in under 11 minutes so treatment can begin immediately. Our BD Veritor™ line of immunoassay products, the BD Veritor™ Plus System and the BD Veritor™ System give healthcare providers and laboratorians in near patient settings the objective, lab-quality tests results at the point of care within minutes. This assay system eliminates the subjectivity of visual interpretations of tests results and replaces it with an objective digital result.

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

View Brochures, Videos & More at: POR.io Enter Number 5005 in the Search Area #5006

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 5006 in the Search Area

#5007

OraQuick ADVANCE® Rapid HIV-1/2 Antibody Test From Orasure

The OraQuick ADVANCE® Rapid HIV-1/2 Antibody Test is an FDA-approved point of care screening test for use with oral fluid, fingerstick or venous whole blood and plasma. The test delivers lab accurate results within 20 minutes with less than 2 minutes of hands on time. This simple test is ideal for testing programs in both clinical and non-clinical settings, as well as outreach events.

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THE MOST COMMON TEST YOU ORDER IS NOW UNCOMMONLY CONVENIENT.

CBC 3

The Sysmex® XW-100 is the first, automated, CLIA-waived hematology analyzer to offer an accurate, same-visit CBC with differential—and a sample-to-result time of 3 minutes.

This breakthrough technology provides healthcare professionals with a report of 12 parameters in the same patient visit, increasing confidence in establishing a diagnosis and treatment plan.

Your patient recieved results in the same visit and everyone got a shot of confidence.

Faster answers. Earlier treatment.

Contact your McKesson rep today or visit CBCin3.com

#5008 © 2018 Sysmex America Inc.

9

#5009

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.

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

View Brochures, Videos, & More at: POR.io Enter Number 5009 in the Search Area

#5010

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 5010 in the Search Area

#5011

Brewer’s Flex™ Access Exam Table 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.

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R E A G E N T S #5012

SIZE MATTERS: THE TRUE WEIGHT OF RISK IN LIPID PROFILING LDL CHOLESTEROL = 110mg/dL LOWER RISK

HIGHER RISK

HEALTHY INDIVIDUAL sdLDL-C 20 mg/dL

CAD PATIENT sdLDL-C 70 mg/dL

Small-dense LDL Cholesterol (sdLDL-C), a subtype of LDL cholesterol, can more readily permeate the inner arterial wall making sdLDL-C particularly atherogenic. Research indicates that individuals with a predominance of sdLDL-C have a three-fold increased risk of myocardial infarction. Until recently, the primary methods of assessing a patients sdLDL-C were based on the laborious and time consuming ultracentrifugation and electrophoresis method. The Randox sdLDL-C assay utilizes the quantitative “Denka Seiken” method which facilitates faster patient diagnosis and treatment plan implementation, for use on a wide range of biochemistry analyzers.

Rapid analysis

Applications available

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Direct, automated test

+1 304 728 2890 | www.randox.com/sdldl-cholesterol | reagents@randox.com Randox Laboratories-US, Ltd. 515 Industrial Boulevard, Kearneysville, West Virginia, 25430

11

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

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

#5013

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

#5014

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 5014 in the Search Area #5015

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.

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12

www.PhysiciansOfficeResource.com

Molecular testing in the palm of your hand.

SILARIS™ INFLUENZA A&B TEST True molecular PCR technology in a rapid lateral flow format at the point-of-care.

For information please visit us at silaris.com or call 800-332-1042.

#5016

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.

13

2018 - Issue 8

PRODUCTFOCUS #5017

PHYSICIANS office RESOURCE

OraQuick® HCV Rapid Antibody Test From OraSure

The OraQuick® HCV Rapid Antibody Test is the FIRST and ONLY FDAapproved, point of care test for the detection of HCV antibodies. This CLIAwaived platform delivers an accurate diagnosis in 20 minutes. The test can be completed in 3 simple steps from fingerstick or venous whole blood with less than 2 minutes of hands on time. It is ideal for testing programs in both clinical and non-clinical settings, as well as outreach events.

View Brochures, Videos & More at: POR.io Enter Number 5017 in the Search Area

#5018

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 BeyondCareSM Quality Monitor, an innovative, web-based QC and calibration management program.

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#5019

AAFP-PT is the Right Choice for Proficiency Testing From AAFP

AAFP-Proficiency Testing (AAFP-PT) is a full-service proficiency testing program designed to assist physician office laboratories, clinics, and small hospitals maintain laboratory excellence and regulatory compliance. AAFPPT provides an easy to maintain program with only three shipments per year, technical support by experienced laboratorians, electronic reporting, and P.A.C.E continuing education credits. Rely on AAFP-PT to help you assure the accuracy of lab results, a critical component of quality patient care.

View Brochures, Videos & More at: POR.io Enter Number 5019 in the Search Area

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www.PhysiciansOfficeResource.com

Bionet CardioCare 2000: $1,255.00 Schiller AT-2 Plus: $2,275.00* *add Spirometry: $1,000.00 Burdick ELI 250c: $2,998.00 Welch Allyn CP150 w/ Interp: $3,186.00

#5020

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#5027

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

#5029 #5028

#5030

#5031

#5032 15

2018 - Issue 8

PHYSICIANS office RESOURCE

LASER LIPOLYSIS FDA APPROVED INCH LOSS TECHNOLOGY WITH PAINLESS AND INSTANT RESULTS

By Dr. Don Stokes

Laser Lipo, Ltd with headquarters in England has developed an advanced body contouring device which directly targets the adipocyte cells leaving the other cells unaffected. Laser diodes using a wavelength of 660 nm creates a photo-chemical reaction in the cell membrane stimulating the cells to temporarily open a pore, and very naturally releases water, glycerol, and free fatty acids. The fat cells then shrink in size. The excess fat is then removed safely through the lymphatic system and the bodyâ&#x20AC;&#x2122;s natural metabolic process, thus creating a similar reaction as if the person was exercising. This device allows practitioners to target the areas where patients want the fat gone without any discomfort or downtime.

16

Whatâ&#x20AC;&#x2122;s a visit like?

A certified treatment specialist measures and photographs the patient and then has them relax on the treatment table. 10 laser paddles (each having 6 laser diodes) are placed on each treatment area for 10 minutes. After treating 2 areas the paddles are then removed and a person spends 10 minutes on a whole body vibration (WBV) device. WBV assists in draining of the recently released fatty byproducts from the treatment and speeds up the lymph flow 2-3 times.

Immediately after the treatment the patient is measured again which shows the accomplishments achieved. The patient will need to do 20-30 minutes of cardio exercise within 12 hours of their laser lipo www.PhysiciansOfficeResource.com

treatment to assist the body in utilizing the water, glycerol and free fatty acids which have been released.

“ During the FDA study the average person lost 3.67 inches off their midsection after only 8, ten-minute treatments over a 30 day period.”

How Many Visits Does it Take?

A course of 6-10 Laser Lipo treatments is usually recommended. Depending on results required and body areas to be treated, the amount of treatments will probably vary by individual.

FDA Approved Device During the FDA study the average person lost 3.67 inches off their midsection after only 8, ten-minute treatments over a 30 day period.

That is great news for those looking to tighten and tone their abs, arms, thighs and other problem areas.

Why Does the Device Work so Well?

• The light triggers lipolysis in targeted adipocyte which allows fatty acids to be broken down and released. (Water, Gylcerol and Free Fatty Acids are released) • The light stimulates fibroblasts, strengthening the collagen and elastic fibers to tone and tighten skin.

• The Strawberry Laser Lipo is a cold, low level, red laser (Class 3B).

• It utilizes a semiconductor-driven diode to produce a continuous wavelength which is 660 nanometres (nm).

Dr. Don Stokes

• Coherent and stable laser energy is irradiated by using the treatment probes which lay on the patient’s skin during treatment.

• The laser energy safely penetrates the patient’s skin there are no known side effects and zero downtime.

• Normal activities, including cardio exercise, can be resumed immediately following Laser Lipo treatment.

What Contraindications are there to Treatment?

Contraindications to treatment include: Epilepsy, Active Cancer,

Currently Pregnant, Pacemaker, Compromised kidney or liver, over open lesions, uncontrolled hypertension, photosensitivity to sun or taking medications which causes photosensitivity.

Why Would a Physician Want to use this Laser Lipo Device?

Here are common reasons.

• This treatment can be done by a non-medical, trained technician.

• Increasing costs affect revenue negatively in many practices. This laser creates a cash income stream using your own patients.

• Many of our patients are overweight and are concerned about chronic diseases resulting from their high BMI. Laser Lipo results have motivated many to change their diets and strive to lead a healthier lifestyle.

For many offices which have added this laser they simply put up in the waiting room a poster to inform and educate their patients on a new way to lose inches.

Read this and other articles at www.PhysiciansOfficeNews.com 17

2018 - Issue 8

PRODUCTFOCUS

PHYSICIANS office RESOURCE

The Brewer Basic Exam Table #5033

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.

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#5034

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.

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#5035

Now Itâ&#x20AC;&#x2122;s More Than Just A Blood Test From Sysmex

With its simplified operation, the Sysmex XP-300â&#x201E;˘ 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 5035 in the Search Area

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www.PhysiciansOfficeResource.com

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#5038

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 8

PRODUCTFOCUS

View Brochures, Videos, & More at: POR.io Enter Number 5038 in the Search Area

#5039

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 5039 in the Search Area #5040

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 5040 in the Search Area

20

www.PhysiciansOfficeResource.com

Get Your Finger on the Pulse of the US Healthcare System

Join Physicians Office Resource as we conduct our first in a series of focus group surveys, designed to give a voice to providers. With your help we can better understand the current state of, and whatâ&#x20AC;&#x2122;s trending in, physician offices, laboratories, and healthcare facilities across America. Thousands of clinicians, laboratorians, nurses and caregivers coming together to improve office and laboratory proficiency, profitability, and patient care.

As a Thank You, we will 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.surveymonkey.com/r/JKW5LTW

21

#5041

Measure and Train the Brain – In Your Office From Evoke Neuroscience

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

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 5041 in the Search Area

#5042

CLIA-waived OSOM® iFOB From Sekisui Diagnostics

The CLIA-waived OSOM® iFOB test gives the physician and the patient a simpler, more compliant colon cancer screening option that is highly accurate and specific to human hemoglobin. With the ability of a convenient take home kit, patients can collect in the privacy of their own home with no dietary or drug restrictions in just one sample increasing the physician compliance for yearly screening.

View Brochures, Videos & More at: POR.io Enter Number 5042 in the Search Area

#5043

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 5043 in the Search Area 22

www.PhysiciansOfficeResource.com

#5044

23

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

24

www.PhysiciansOfficeResource.com

25

OSOM® Ultra Flu A&B #5045

From Sekisui Diagnostics

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

The OSOM® Ultra Flu A&B test is a rapid qualitative assay for the detection of Influenza A and Influenza B from multiple sample types. The OSOM® Ultra Flu A&B provided physicians with the ability to rapidly and accurately diagnosis influenza which enables a choice of antiviral therapy, helps avoid the overuse of antibiotics, and prevents healthcare costs related to unnecessary testing and treatment.

View Brochures, Videos & More at: POR.io Enter Number 5045 in the Search Area

#5046

The Brewer Century Series Stool From Brewer

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 5046 in the Search Area

#5047

Rad-97™ Pulse CO-Oximeter® From Masimo

Pulse with Integrated Noninvasive Blood Pressure (NIBP) in a Standalone Bedside Device > Upgradable rainbow SET™ Measurements allows for continuous monitoring of multiple additional parameters > Customizable display allows for quick assessment of patient status > Configurable patient profile settings for a variety of patient populations > Connectivity Solutions for electronic charting of patient data Rad-97™

CO-Oximeter®

View Brochures, Videos, & More at: POR.io Enter Number 5047 in the Search Area 26

www.PhysiciansOfficeResource.com

#5050

#5048

#5051

#5049

Exam Tables

#5052

#5053

#5055

#5054

Pediatric Tables

#5056

#5057

#5058

#5059

Power Tables

#5060

#5061

#5062

#5063

Cabinets and Stools

#5064

#5065

#5066

#5067

27

#5068

Fully Automated Quantitive Immunoassay Analyzer From Sekisui

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

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 5068 in the Search Area

#5069

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 5069 in the Search Area

#5070

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 5070 in the Search Area 28

www.PhysiciansOfficeResource.com

ABX Micros Range A new generation of Hematology analyzers based on the Micros concept, universally recognized for it’s reliability, robustness and high quality results.

• Easy to use • Low Maintenance #5071

• Robust design • Small counter top systems

NEW

ABX Micros ES 60

• Linux OS with color touch screen • Small sample size 10 uL / 50 samples per hour • Adult & Pediatric ( > one month ) sampling • LIS & EMR (HL7) connectivity options #5072

ABX Micros 60 CT • Using the ABX Minipack Reagent • Waste safely contained in reagent pack

#5073

ABX Micros 60 CT

Using Bottled Reagent

• EMR ready • Perfect Data Management for Physician Office and Clinic

Together... Let's build the Future Contact Us At: 888-280-1401 www.horiba.com/us/en/medical/ 29

2018 - Issue 8

PRODUCTFOCUS #5074

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 5074 in the Search Area

#5075

Hematology Testing Made Easy 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 5075 in the Search Area

#5076

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 5076 in the Search Area 30

www.PhysiciansOfficeResource.com

#5077

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#5082

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.

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

View Brochures, Videos & More at: POR.io Enter Number 5082 in the Search Area

Ramp® 200 Cardiac Test System

#5083

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 5083 in the Search Area

#5084

Ultra hCG Combo Test From Sekisui Diagnostics

The OSOM® Ultra hCG Combo test is a simple immunoassay for the qualitative detection of human chorionic gonadotropin (hCG) in serum or urine for the early confirmation of pregnancy.

Internal studies have confirmed that the OSOM® Ultra hCG Combo test does not have a false negative result from hCG variants providing physicians with an higher level of confidence.

View Brochures, Videos & More at: POR.io Enter Number 5084 in the Search Area

32

www.PhysiciansOfficeResource.com

Histofreezer

®

Cryosurgery at point-of-care

#1

years

selling product in the portable cryosurgical market1

as a market leader

Histofreezer® Portable Cryosurgical System is an easy and effective method to treat nine different types of skin lesions including: • • • •

common warts plantar warts genital warts benign skin lesions

Visit

www.Histofreezer.com

Learn more about reimbursement.

#5085

Contact your medical supplier for more information.

Portable Cryosurgical System

• • • • Data on file GHX 2014, 2015, 2016 ®Histofreezer is a registered trademark of OraSure Technologies, Inc. © 2017 OraSure Technologies, Inc. HISTO0383 Rev. 12/17

Clinically proven Patient-friendly Easy-to-use Trusted brand

1

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2018 - Issue 8

PHYSICIANS office RESOURCE

SMALL DENSE LDL CHOLESTEROL (sdLDL-C)

SIZE MATTERS: THE TRUE WEIGHT OF RISK IN LIPID PROFILING

By Emma Callaghan, Randox Laboratories Ltd Cardiovascular disease is a leading cause of death worldwide, accounting for approximately 17.7million deaths per year, representing 31% of all deaths worldwide. Globally, the mortality rate for cardiovascular disease (CVD) has dramatically declined over the past 20 years, however, in low and middle-income regions, the number of lives lost to CVD is increasing. This highlights the growing need for the assessment of CVD risk to include methods that account for uncertainty and heterogeneity (1) (2).

The current NICE guidelines for assessing cardiovascular risk The current UK National Institute for Health Care Excellent (NICE) (2014) guidelines states those at risk of developing CVD should be screened. Risk factors include: age, diet, smoking, alcohol consumption, kidney disease and diabetes.

34

NICE recommend testing the full lipid profile when testing for CVD and before starting a patient on lipid modification therapy which is the primary prevention method for CVD. The full lipid profile according to NICE encompasses: total Cholesterol, HDL Cholesterol, non-HDL Cholesterol and Triglycerides (3).

Clinical Significance of sdLDL-C LDL Cholesterol (LDL-C) is a low-density lipoprotein involved in cholesterol and triglycerides transfer from the liver to peripheral tissues. LDL-C consists of two parts: the bigger part with phenotypic pattern A is light and almost rich in cholesterol (Large Buoyant LDL Cholesterol (LBLDL-C)) and the smaller part with more special weight and phenotypic pattern B (sdLDL-C) composed of less cholesterol. The two www.PhysiciansOfficeResource.com

types of LDL-C vary in size through genetic determination and dietary lipid intake. All LDLs transport triglycerides and cholesterol to the tissues but their atherogenesis varies according to size. sdLDL-C is therefore a subtype of LDLC, and these smaller particles can more readily permeate the inner arterial wall and are more susceptible to oxidation (4).

R E A G E N T S

“ Research indicates

SIZE MATTERS: THE TRUE WEIGHT OF RISK IN LIPID PROFILING LDL CHOLESTEROL = 110mg/dL LOWER RISK

HIGHER RISK

HEALTHY INDIVIDUAL sdLDL-C 20 mg/dL

CAD PATIENT sdLDL-C 70 mg/dL

Small-dense LDL Cholesterol (sdLDL-C), a subtype of LDL cholesterol, can more readily permeate the inner arterial wall making sdLDL-C particularly atherogenic. Research indicates that individuals with a predominance of sdLDL-C have a three-fold increased risk of myocardial infarction. Until recently, the primary methods of assessing a patients sdLDL-C were based on the laborious and time consuming ultracentrifugation and electrophoresis method. The Randox sdLDL-C assay utilizes the quantitative “Denka Seiken” method which facilitates faster patient diagnosis and treatment plan implementation, for use on a wide range of biochemistry analyzers.

Rapid analysis

Applications available

Liquid ready-touse format

Excellent correlation

Direct, automated test

+1 304 728 2890 | www.randox.com/sdldl-cholesterol | reagents@randox.com

Figure one indicates that sdLDL-C has a lower affinity to the hepatic LDL-C receptor, and so it circulates in the blood longer that LDL-C. However, sdLDL-C has a stronger affinity to vessel wall heparin sulphate proteoglycans (HSPGs), resulting in sdLDL-C more readily permeating the arterial wall. sdLDL-C is also liable to oxidation from its physiochemical properties causing foam cell formations.

that individuals with a predominance of sdLDL-C have a 3-fold increased risk of myocardial infarction.

A sedentary lifestyle, a diet high in saturated fat, insulin resistance, pre-diabetes, and genetic disposition are all contributing factors to elevated sdLDL-C.” Emma Callaghan, Randox

Randox Laboratories-US, Ltd. 515 Industrial Boulevard, Kearneysville, West Virginia, 25430

are 140mg/dl in both patients, the patient with coronary artery disease (CAD) has 70mg/dl more sdLDL-C particles.

Therefore, there are more cholesterol particles in the body, increasing the CAD patients risk of myocardial infarction.

The Denka Seiken method for the accurate detection of sdLDL-C Until recently, the primary methods of sdLDL-C in Clinical Practice assessing a patients sdLDL-C levels were Research indicates that individuals with a based on the laborious and time-consuming predominance of sdLDL-C have a 3-fold increased risk of myocardial infarction (5). A ultracentrifugation and electrophoresis methods. The ‘Denka Seiken’ method sedentary lifestyle, a diet high in saturated produces results in as little as ten minutes, fat, insulin resistance, pre-diabetes, and facilitating faster patient diagnosis and genetic disposition are all contributing treatment plan implementation (6). factors to elevated sdLDL-C levels.

Studies have found that the use of the Measuring sdLDL-C levels enables the quantitative Denka Seiken method is more clinician to gain a more comprehensive informative in assessment, comparison, overview of lipid risk factors allowing and measurement of the effective treatment to be tailored accordingly. In parameters in obesity (4). This method addition, the high prevalence of sdLDL-C levels, are commonly observed in individuals consists of two main reaction steps which are based on the presence of surfactants with familial hyperlipidemia, non-insulin and enzymes that selectively react with a dependent diabetes mellitus, and central certain group of lipoproteins. obesity and insulin syndromes (3).

Figure three indicates that the Denka Seiken method correlates extremely well with the Size matters gold standard Ultracentrifugation method.

The diagram above highlights that although the overall LDL cholesterol levels For this study, 64 samples were used from

healthy individuals, coronary artery disease patients and diabetic patients (7).

Key benefits of the Randox sdLDL-C assay The Randox sdLDL-C assay utilizes the Denka Seiken method, providing accurate patent results. It was designed for use on automated biochemistry analyzers for efficiency and convenience. Applications are available detailing instrument-specific settings for the convenient use of the Randox sdLDL-C assay on a wide range of biochemistry analyzers. Dedicated sdLDL-C controls and calibrator are available providing a complete testing package. The Randox sdLDL-C assay is a nice product, meaning that Randox are one of the only manufacturers of this test in an automated format.

Read this and more articles plus references at www.PhysiciansOfficeNews.com 35

2018 - Issue 8

PRODUCTFOCUS #5086

Drugs of Abuse Testing and Routine Chemistry Panels on a Single Analyzer

PHYSICIANS office RESOURCE

From Carolina Liquid Chemistries

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 5086 in the Search Area

Lightweight Handheld Spirometer From Vitalograph

Vitalograph’s In2itive combines the benefits of full spirometry, data integration and mobility in a small lightweight handheld spirometer.

The In2itive features flow measurement with the robust, industry leading accuracy of the Fleisch pneumotach. The spirometer can store over 10,000 patients in memory, archive to a MicroSD memory card or synchronize seamlessly with the new Spirotrac V spirometry software. Printing is accomplished by quickly downloading to the included Vitalograph Reports software or via an optional accessory print cradle directly to standard office printers. The In2uitive has a color touchscreen featuring audible graphic incentives. Portability is enhanced with full day rechargeable battery life. A unique aspect of the product is a convertible flow head, which can either be mounted directly on the top of the device or separated to allow it to be held by the patient while the technician holds the device.

#5087

View Brochures, Videos & More at: POR.io Enter Number 5087 in the Search Area

#5088

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 5088 in the Search Area 36

www.PhysiciansOfficeResource.com

AMH Total βhCG (5th IS) DHEA-S Sensitive Estradiol Unconjugated Estriol hFSH

hLH

Inhibin A Progesterone Prolactin SHBG Testosterone

A COMPREHENSIVE MENU TO ANSWER LIFE’S REPRODUCTIVE CONCERNS Two new reproductive assays provide you with more options for testing.

Our comprehensive menu of reproductive immunoassays helps to support healthcare for men, women and children. Our newest reproductive health assays, Access AMH and Access Sensitive Estradiol, support global fertility assessment and hormone monitoring.

› Access AMH, the only automated AMH assay to use a human recombinant antigen, delivers consistent and dependable results for assessing ovarian reserve

› Access Sensitive Estradiol assay has the broadest measuring range, surpassing IVF guidelines for hyper-response, in addition to offering pediatric reference ranges

› Access 2 immunoassay system, a powerful and reliable benchtop analyzer, features a space-saving design and user-friendly features

Learn more at beckmancoulter.com/reproductive

#5089 © 2018 Beckman Coulter, Inc. All rights reserved. Beckman Coulter, the stylized logo and the Beckman Coulter product and service marks mentioned herein are trademarks or registered trademarks of Beckman Coulter, Inc. in the United States and other countries.

For more information, visit www.beckmancoulter.com/contact.

AD-103964 For distribution only in the following region(s): U.S.

37

#5090

Pronto® Pulse CO-Oximeter® From Masimo

PHYSICIANS office RESOURCE

2018 - Issue 8

PRODUCTFOCUS

Pronto® Pulse CO-Oximeter® with rainbow® Technology for Noninvasive Spot-Checking of Total Hemoglobin (SpHb®) and SpO2 in a Handheld device.

Featuring Masimo SET® Measure-through Motion and Low Perfusion™ Pulse Oximetry Technology: > Helps clinicians monitor more than 100 million patients a year1 > Used by the top 10 U.S. hospitals listed in the 2017-18 U.S. News and World Report Best Hospitals Honor Roll2 1 Estimate: Masimo data on file. 2 http://health.usnews.com/healthcare/best-hospitals/articles/best-hospitals-honor-roll-and-overview

View Brochures, Videos, & More at: POR.io Enter Number 5090 in the Search Area

#5091

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 5091 in the Search Area

#5092

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 5092 in the Search Area 38

www.PhysiciansOfficeResource.com

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AVA I L A

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#5093

#5094

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#5095

Gene Xpert Xpress

Fast, Easy, and Accurate Molecular Testing • •

CLIA waived tests for Influenza A/B, RSV and Strep A Confirmatory molecular test results

• •

Run multiple patient samples at the same time True walkaway system; load sample and go

For more information, call (888) 256-6990.

For in vitro diagnostic use.

904 Caribbean Drive | Sunnyvale, CA 94089 USA 40

A better way. www.PhysiciansOfficeResource.com

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