Hospital Glucose Monitoring System Hospital Glucose Meter Hospital Glucose Meter Confidential No. 260 StatStrip Glucose Rev 10/04/2012 Nova is the World Leader in Whole Blood Biosensors Nova BioSensor Firsts 1978 First biosensor for Ionized Calcium 1980 First biosensor to measure Chloride in blood 1984 First biosensor to measure Total Calcium 1985 First biosensor to measure Hematocrit by ISE/Conductivity 1987 First biosensor to directly measure whole blood Glucose 1988 First biosensor to measure Lithium 1990 First biosensor to measure BUN (urea) 1992 First biosensor to directly measure whole blood Lactate 1994 First biosensor to measure Ionized Magnesium 1996 First biosensor to measure Creatinine 1996 First biosensor to measure Total CO2 in whole blood 1997 First multi-wavelength fiber optic SO2% assay 1998 First fiber optic Hemoglobin assay 1998 First Ammonium biosensor 1999 First non-diluting direct Glutamine biosensor 1999 First non-diluting direct Glutamate biosensor 2001 First Acetate biosensor 2005 First Hematocrit corrected Glucose strip 2007 First calibration free Glucose strip 2007 First Creatinine strip and meter 2009 First calibration free Ketone strip 2009 First IgG assay on a biotechnology analyzer 2011 First Hematocrit corrected hospital Lactate meter and strip Confidential Nova Brand Products Stat Profile® pHOx Ultra Stat Profile® pHOx Nova BioProfile FLEX™ Nova Chemistry Analyzers Test Menu: pH, PCO2, PO2, SO2%, Hct, Test Menu: pH, PCO2, PO2, SO2%, Hct, Test Menu: Na+, K+, Cl-, TCO2, Ca++, Hb, Na+, K+, Cl-, Ca++, Mg++, TCO2, Glu, Hb, Na+, K+, Cl-, Ca++, Glu, Lac Mg++, Li+, TCa, Glu, BUN, Crea, Hct, pH BUN, Creat, Lac, HHb, O2Hb, Methb, COHb, O2Ct, O2Cap, tBil Samples: Whole blood, Serum, Plasma Samples: Whole blood, Serum, Plasma Samples: Whole blood, Serum, Plasma Test Menu: Gluc, Lac, Gln, Glu, NH4+, pH, PO2, PCO2, Na+, K+, Ca++, CD, CV, Osm, IgG, PO4 Samples: Cell Culture Media * Nova StatStrip ® Test Menu: Glucose Samples: Whole blood Nova StatStrip ® Test Menu: Glucose/Ketone Samples: Whole blood Nova StatStrip ® Test Menu: Lactate Samples: Whole blood Nova StatSensor ® Nova MAX Plus ® Test Menu: Creatinine Test Menu: Glucose/Ketone Samples: Whole blood Samples: Whole blood Nova MAX Link ® ® Test Menu: Glucose Samples: Whole blood Nova Lactate Plus * Currently Available outside the U.S. Confidential ® Test Menu: Lactate Samples: Whole blood Hospital Laboratory Instrument Platform Confidential Hospital Laboratory Instrument Platform Confidential Hospital Laboratory Platform Confidential Hospital Point-of-Care Glucose Meter Confidential Hospital Point-of-Care Lactate Meter Confidential Hospital Point-of-Care Creatinine Meter Confidential Nova Max Plus Home Glucose Monitor ® Nova Max Link Home Glucose Wireless Monitor ® ® Confidential Professional Lactate Meter Confidential Nova Handheld Point-of-Care Hospital Analyzers * Confidential Nova Multi-Well Technology Creates A New Level of Analytical Performance TM Hospital Glucose Meter Hospital Glucose Meter Confidential Hospital Glucose Meter The World’s Most Accurate Hospital Glucose Meter Proven in Over 60 Published Hospital Evaluations Worldwide Laboratory quality accuracy and precision from 10 to 600 mg/dL Measures and corrects interferences from: - Hematocrit - Electrochemical interferences including acetaminophen, ascorbic acid, and uric acid No maltose, galactose, xylose or oxygen interference Eliminates calibration codes Fastest results, 6 seconds Small sample, 1.2 µL whole blood Nova Connects™, Total POC Connectivity Solution StatStrip Hospital Connectivity Meter ® Confidential StatStrip Has Earned Worldwide Scientific Acclaim ® Confidential StatStrip Multi-Well Technology Correlation Study TM ® N=1703 INTERCEPT: -0.04 mmol/L INTERCEPT: -0.716 mg/dL SLOPE: 1.018 R2: 0.9950 Sy*x = 0.54 mmol/L Sy*x = 9.795 mg/dL (mmol/L) (mg/dL) 11.1 16.7 22.2 27.8 33.3 38.9 38.9 600 33.3 500 27.8 400 22.2 300 16.7 200 11.1 100 5.6 0 0 100 200 300 (mg/dL) 400 500 600 700 Plasma Glucose Reference Method Kost, G. et al AACC, July 07; Diabetes Technology, Oct 07 Confidential (mmol/L) 5.6 700 Abbott PCx Correlation Study INTERCEPT: 0.00 mmol/L INTERCEPT: 0.084 mg/dL SLOPE: 0.89 (mg/dL) 700 5.6 11.1 (mmol/L) 16.7 R2: 0.9499 22.2 27.8 Sy*x = 1.84 mmol/L Sy*x = 33.194 mg/dL 33.3 38.9 600 33.3 500 27.8 400 22.2 300 16.7 200 11.1 100 0 0 5.6 100 200 300 (mg/dL) 400 500 600 Plasma Glucose Reference Method Kost, G. et al AACC, July 07; Diabetes Technology, Oct 07 Confidential (mmol/L) N=559 Abbott PXP Correlation Study N=225 INTERCEPT: 1.05 mmol/L INTERCEPT: 18.886 mg/dL SLOPE: 0.820 R2: 0.97259 Sy*x = 1.8 mmol/L Sy*x = 33.15 mg/dL 5.6 (mg/dL) 600 11.1 16.7 22.2 27.8 33.3 33.3 500 27.8 400 22.2 300 16.7 200 11.1 100 5.6 0 0 100 200 300 400 500 600 (mg/dL) Plasma Glucose Reference Method Kost, G. et al AACC, July 07; Diabetes Technology, Oct 07 Confidential (mmol/L) (mmol/L) LifeScan SureStep Correlation Study INTERCEPT: - 0.08 mmol/L INTERCEPT: - 1.505 mg/dL SLOPE: 1.029 (mg/dL) 700 5.6 11.1 (mmol/L) 16.7 22.2 Sy*x = 0.86 mmol/L Sy*x = 15.532 mg/dL R2: 0.9869 27.8 33.3 38.9 600 33.3 500 27.8 400 22.2 300 16.7 200 11.1 100 5.6 0 0 100 200 300 (mg/dL) 400 500 600 Plasma Glucose Reference Method Kost, G. et al AACC, July 07; Diabetes Technology, Oct 07 Confidential (mmol/L) N=628 Roche Accu-Chek Correlation Study N=273 INTERCEPT: 0.28 mmol/L INTERCEPT: 5.002 mg/dL SLOPE: 1.036 Sy*x = 1.18 mmol/L Sy*x = 21.197 mg/dL R2: 0.9795 (mmol/L) (mg/dL) 11.1 16.7 22.2 27.8 33.3 38.9 600 33.3 500 27.8 400 22.2 300 16.7 200 11.1 100 5.6 0 0 100 200 300 (mg/dL) 400 500 600 Plasma Glucose Reference Method Kost, G. et al AACC, July 07; Diabetes Technology, Oct 07 Confidential (mmol/L) 5.6 700 StatStrip Correlation Study Comparison ® Summary N Nova Slope Intercept (mg/dL) R2 Sy*x (mg/dL) 1703 1.018 -0.716 0.995 9.795 Abbott PCx 559 0.89 0.084 0.9499 33.194 Abbott PXP 225 0.82 18.886 0.97259 33.15 Roche 273 1.036 5.002 0.9795 21.197 LifeScan 628 1.029 -1.505 0.9869 15.532 I Kost, G. et al AACC, July 07; Diabetes Technology, Oct 07* * Summary table did not appear in publication Confidential StatStrip Multi-Well Technology Measures and Corrects Hematocrit Interference ® TM Hematocrit Interference Effect Hematocrit Interference Effect % Hct 25 Glucose Results Artificially High Up to 25% % Hct 45 % Hct 65 Glucose Results Normal Glucose Results Artificially Low Up to 30% (Calibration Point) Confidential StatStrip Multi-Well Technology Measures and Corrects Hematocrit Interference ® TM Error % Due to Uncorrected Hematocrit 30% Glucose result uncorrected for Hct. Error from Hct 20% Glucose result. Hct measured and corrected. 10% 0% -10% -20% -30% 25% 45% 60% Hematocrit Low hematocrit causes erroneously high glucose results High hematocrit causes erroneously low glucose results Confidential StatStrip Multi-Well Technology Measures and Corrects Hematocrit Interference TM ® Hematocrit Interference Study Nova StatStrip vs. Current Technology Test Strips ® StatStrip Roche Inform Abbott Precision Lifescan SureStep Mean glucose difference (mg/dL) 15 Glucose = 54 mg/dL 10 5 True value 0 --5 --10 --15 --20 20 30 40 50 60 70 Hematocrit (%) Confidential Karon, B. et al, Diabetes Technology and Therapeutics, Apr 2008 StatStrip Multi-Well Technology Measures and Corrects Hematocrit Interference TM ® Hematocrit Interference Study Nova StatStrip vs. Current Technology Test Strips ® StatStrip StatStrip Roche GD Electrochemical Inform Abbott GD Electrochemical Precision Lifescan GO Photometric SureStep Mean glucose difference (%) 10 Glucose = 247 mg/dL 0 True value - 10 - 20 - 30 - 40 - 50 20 30 40 50 60 70 Hematocrit (%) Confidential Karon, B. et al, Diabetes Technology and Therapeutics, Apr 2008; StatStrip Multi-Well Technology Measures and Corrects Hematocrit Interference TM ® Hematocrit Interference Study Nova StatStrip vs. Current Technology Test Strips ® StatStrip Roche Inform Abbott Precision Mean glucose difference (%) 10 Lifescan SureStep Glucose = 486 mg/dL True value 0 -10 -20 -30 -40 - 50 20 30 40 50 60 70 Hematocrit(%) Confidential Karon, B. et al, Diabetes Technology and Therapeutics, Apr 2008 Severe hematocrit abnormalities are extremely common in hospitalized patients Up to 77% of ICU patients an have abnormally low hematocrit (<36%) during their ICU stay1,2 Average HCT at ICU admission: 33-34%2,3 29% have HCT<30%4 HCT declines by an average of 1.5 - 2.0% HCT per ICU day1 1. Von Ahsen N et. al., Important role of non-diagnostic blood loss and blunted erythropoietic response in the anemia of medical intensive care patients; Critical Care Medicine: 1999; 27(12); 2630-2639 2.Corwin HL et. al., The Crit Study: Anemia and blood transfusion in the critically ill; current practice in the United States;, Crit Care Med. 2004 Jan;32(1):30-52 3. T.S. Walsh et. al., Anemia during critical illness;, et. al., British Journal of Anaesthesia 2006, 97(3):278-291 4. Vincent JL, et al. Anemia and blood transfusion in critically ill patients. JAMA 2002 Sep 25; 288(12):1499-1507 Confidential Maltose Interference with Glucose Dehydrogenase (PQQ Mediator) Enzymes FDA issued two “Public Health Notices” regarding the dangers of GDH-PQQ glucose test strips. Between 2004 and 2009,thirteen deaths have been reported directly related to the use of GDHPQQ glucose strips. On August 13, 2009, the FDA clearly stated “Avoid using GDH-PQQ glucose test strips in healthcare facilities” Confidential http://www.fda.gov/MedicalDevices/Safety/Alert sandNotices/PublicHealthNotifications/ucm17699 2.htm Maltose Interference Studies Nova StatStrip vs Roche GDH-PQQ Method ® 290 Bed MA Hospital 150 Bed CT Hospital Maltose Interference Maltose Interference StatStrip Roche GDH Glucose (mg/dL) Glucose (mg/dL) StatStrip 163 108 54 180 120 54 0 100 200 0 100 Maltose (mg/dL) Maltose Interference GDH StatStrip Glucose (mg/dL) Glucose (mg/dL) StatStrip 200 Maltose (mg/dL) Maltose Interference 344 280 217 GDH 344 271 199 0 100 200 100 0 Maltose (mg/dL) Maltose Interference Roche GDH GDH StatStrip Glucose (mg/dL) StatStrip 540 460 380 0 100 Maltose (mg/dL) 200 Maltose (mg/dL) Maltose Interference Glucose (mg/dL) GDH 200 522 450 380 0 Confidential GDH 100 Maltose (mg/dL) 200 Nova StatStrip Multi-Well Technology Eliminates Calibration Codes TM ® StatStrip lots are interchangeable Eliminates need for lot change over studies Reduces operator steps Eliminates glucose errors due to miscoding Glucose errors as large as 43% can be caused by an incorrect cal code Baum JM et al. Diabet Technol & Ther 2006 Confidential Nova StatStrip Multi-Well Technology Offers Other Operational Advantages TM ® 24 month shelf-life from manufacturer 180 day open vial stability Manufacturing lot size up to 8 million strips Confidential Nova StatStrip Multi-Well Technology Creates Significant Performance Improvements TM ® Top Layer – Prevents biohazard exposure – Vent hole creates fast sample draw Capillary Layer – 1.2 µL sample fill – Design eliminates overfill errors Measurement Wells Layer Well 1: Interferences and glucose Well 2: Interferences Well 3: Hematocrit Well 4: Reference (and initiates analysis to eliminate short sampling errors) Gold Layer – Noble metal; superb electrochemical stability in all conditions – Classic electrochemical measuring surface – Excellent electrical properties Patent: US#6,287,451;6,837,976;EP#1 212 609;CA 2,375,092 Confidential Glucose Management of Hospitalized Patients Demands Improved Glucose Strip Performance JCAHO considers insulin to be one of the highest risk medicines in the inpatient setting “POCT glucose meters have now been employed for making therapeutically important insulin dosing decisions. It is essential that the accuracy of these measurements be comparable to those of laboratory analyzers..” Khan A.I. 2006 “Careful assessment of glucose measurement and how it may impact the targets selected in the hospital are critical safety issues in intensive management of hyperglycemia.” Dungan K. 2007 Khan AI et al. The Variability of Results Between Point-of-Care Testing Glucose Meters and the Central Laboratory Analyzer. Arch Pathol Lab Med, Vol 130, Oct 2006 Dungan K et al. Glucose Measurement: Confounding Issues in Setting Targets for Inpatient Management. Diabetes Care, Vol 30, Number 2, Februaly 2007 Confidential Glucose Management of Hospitalized Patients Demands Improved Glucose Strip Performance “The inaccuracies of glucose meters occur at the extremes of glucose reportable range (critical values), but in this region the most important and potentially life-threatening decisions concerning therapy must be made.” Vasquez, J. 2005 “Published reports and clinical experience suggest that glucose meters may not be the most accurate and could possibly result in inappropriate insulin dose titration and avoidable adverse events related to glycemic control.” Kanji, S. 2005 “The magnitude of the differences in the glucose values offered by the four different methods of glucose measurement led to frequent clinical disagreements regarding insulin dose titration in the context of an insulin infusion protocol for aggressive glucose control.” Kanji, S. 2005 Kanji S et al. Reliability of point-of-care testing for glucose measurement in critically ill adults. Crit Care Med , Vol.33, No 12, 2005 Vasquez, J et al. Investigating the reliability of POCT glucose meters, Clinical Chemistry, Vol. 51, No. 6, Supplement, 2005 Confidential Glucose Management of Hospitalized Patients Demands Improved Glucose Strip Performance Glucose Error Leads To Insulin Dosing Error1 Total Analytical Error 5% Insulin Dosage Error Rate 8-23% 10% 16-45% 15% >5% 2-Step Dosing Error 1. Boyd, JD and Bruns, DE. Quality Specifications for Glucose Meters: Assessment by Simulation Modeling of Errors in Insulin Dose. Clinical Chemistry, 47:2,209-214, 2001 Confidential 98% of Nova Results Satisfy a 10% Total Error Limit N=133 patient study at Mayo Clinic Nova StatStrip, Lifescan SureStep, Abbott Precision, Roche Inform Versus Reference Method % Bias (Error) ≤5% ADA ≤10% ≤15% ISO 15197 ≤20% ≤25% ≤30% StatStrip LifeScan Abbott Roche Cumulative % of patients Cumulative % of patients Cumulative % of patients Cumulative % of patients 75 98 100 35 71 94 100 26 56 76 93 100 35 67 80 96 98 100 Data analysis from Karon, B. et al, Diabetes Technology and Therapeutics, April 2008; not addressed in publication ADA Specification ISO 15197 Requirement Confidential Fast and Easy Glucose Testing at the Bedside Confidential Strip Port Bright, Easy-to-Read Color Touchscreen. Large Easy-to-Use Touchpad. Function Keys On/Off Button Bar Code Scanner Confidential Fastest Results, 6 seconds Sample Volume, 1.2 µL – Easier sample acquisition – Enables use of less painful lancets Fewest Operator Steps – No calibration codes or calibration chips – Strip lot entered automatically by default setting – Built-in 1D or 2D barcode scanner StatStrip Connectivity Meter ® Confidential Color Touch Screen Prompts Operator Through Steps MED4 MED4 Confidential Operator ID Entered by Scan or Touch Screen MED4 Confidential Meter Then Goes Directly to Patient Test Screen MED4 Confidential Strip Lot Scanned or Entered Automatically By Default Setting MED4 35475932 Confidential Patient ID (or MRN) Entered by Scan or Touch Screen MED4 194546646 Confidential StatStrip Confirms Valid Patient ID ® MED4 194546646 Confidential Operator Prompted To Final Step MED4 Confidential Results In Only 6 Seconds MED4 Confidential Results screen displays all information – Patient ID – Strip Lot – Time – Operator ID Color, symbols and text allow easy recognition of normal, abnormal and critical ranges Operator can reject results at the meter – Repeat testing – Optional set-up Confidential MED4 MED4 Operator selects comments from a pull-down list or enters via free text Comments pull-down list customized by: – Meter location – QC, test or sample type MED4 Meters can be configured for mandatory comments Multiple comments can be entered for each result Comments can be designated as chartable or non-chartable Confidential Manual Test Entry Enables electronic capture of non-connected POC tests using StatStrip infrastructure (ie urinalysis, pregnancy…) Undefined number of manual tests configurable Manual tests are configurable by hospital – – – pre-configured list for results Numeric, +/- Captures QC for manual tests Validate lot numbers Confidential StatStrip Docking Station ® Provides network connection for data downloading and meter configuration Charges batteries Confidential Comprehensive features for infection control StatStrip’s durable case has passed the FDA’s rigorous disinfection testing protocol validate with 10,950 cleaning cycles using commercially available cleaning materials including bleach. StatStrip’s disposable, protective bags are available for infection control. Patient barcode scanning and meter operation can be performed with the meter inside the protective bag. Software workflow and operating steps are optimized for infection control: Operator ID and strip lot number are scanned and test strips pre-loaded into the meter outside the patient room The carrying case and extra testing supplies remain outside the patient room per CMS recommendation. Confidential StatStrip Installation Examples ® Nova StatStrip Healthcare Systems Include: ® Intermountain Health Care System, UT (900+ meters) Manitoba Regional Healthcare, CN (855 meters) William Beaumont Medical Center, MI (379 meters) Johns Hopkins, MD (310 meters) Baptist Health South Florida, FL (250 meters) Northshore University Health System, IL (250 meters) Scripps Health, CA (400 meters) ROi, MO (1000 meters) Yale New Haven Health System, CT (500 meters) Duke University Health System, NC (400 meters) Kaiser Health, USA (2500 meters) Confidential StatStrip Installation Examples ® Largest Healthcare System Implementation Intermountain Healthcare System, UT - 21 Hospitals - 60+ clinics - 900+ meters - 8,000+ operators trained Confidential Reimbursement Confidential StatStrip CPT Code ® Confidential StatStrip Reimbursement ® StatStrip is the only glucose test strip developed specifically for professional use in the hospital, and cleared by the FDA for that intended use. The reimbursement code for StatStrip® is 82947. Two CPT codes for glucose: 82947 – Quantitative; glucose, blood 82962 – Glucose; blood by monitoring device (FDA cleared specifically for home use) Additional reimbursement for CPT Code #82947 $5.62 (StatStrip ) other -$3.27 (All glucose strips) ® $2.35 At an outpatient usage of 5%, hospital revenues would increase by the following amounts over a 5 year contract Five Year Strip Usage 2 million 4 million 6 million 8 million Approximate Meters in Use 80 160 240 320 Confidential Increased Total Hospital Revenue $235,000 $470,000 $705,000 $940,000 Connectivity Overview Confidential Comprehensive, Cost Effective POC Connectivity Scalable connectivity from single hospital to multi-hospital systems Provides a single connectivity solution for all POC device types - Both wired and wireless connections - Manual test entry of off line tests Comprehensive data management and reporting tools Single device-type fee for StatStrip and StatSensor meters StatStrip and StatSensor meters eliminate the need for costly terminal server devices (Lantronix, Dawning). Confidential Enter Patient ID Op: 8636 13:42 Meter Name: NICU-1 _________________________ 194546646 1 2 4 5 3 6 7 8 9 Scan 0 ABC.. . Clear Accept OK List Meters Meter Data Lab/Hospital Configuration Management Information Systems Nova Connects Confidential Control of point-of-care devices, operators and usage for compliance with point-of-care program requirements Capture of point-of-care data for analyzing, reporting and sharing Connect point-of-care testing to multiple data receivers including LIS, HIS and EMR Compatible with all “Open Connectivity” to all middleware providers Confidential Management and Control of Bedside Glucose Testing NovaNet Instrument Manager StatStrip meters can be customized by location ® – Assign operators and privileges – Assign normal, abnormal and critical ranges – Assign mandatory fields – Establish download/docking requirements – Establish QC requirements • Pass/fail or numeric option, • QC frequency, lockout or prompting – Flag results for Tight Glycemic Control – Reject results for repeat testing – Structure patient ID or MRN Confidential Management and Control of Bedside Glucose Testing NovaNet Instrument Manager Program coordinator can send a text message to specific operator or group of operators with an optional “I read this message” acknowledgment Multiple options for appending comments to patient or QC results – By meter location – By QC or test type – Preset or free text – Chartable or non-chartable Confidential NovaConnects: Manual Test Entry Manual test results can be entered through the StatStrip touch screen interface. Data is captured through NovaConnects infrastructure Manual tests are configurable by the hospital - Manual tests can be quantitative or qualitative - QC is also captured An unlimited number of manual tests can be configured Confidential Integrated Management and Control of Bedside Testing Nova has worked with virtually all LIS and HIS vendors to provide fully integrated connectivity solutions that include: Complete data management and reporting Operator certification management Electronic (EDI) or scripted interfacing Full support for unsolicited result reporting to the LIS Hospital defined rules for result exception management Consolidated interface for all connected POC device types Confidential Capture all data for patient, device, operator and regulatory records Create standard or customized reports from a large report library Results exceptions Interface exceptions Results repository QA statistics Levy-Jennings Program utilization Operator Certifications Turnaround Time Results Reports Protocol Reports Program Summary Device Summary: Active devices, device location assignment, last upload Operations reports including; Operator recertification due, Daily workload, Device error events, Overdue device docking, Reporting exceptions. Confidential Flexible network connections meet variable needs throughout hospital Confidential Nova Wireless Connectivity Options Wireless Bridge - Wireless connection from docking station provides access to Wifi network. - Cost effective vs. installing new network drops - Uses Cisco Linksys WET-200, or other off-the-shelf components - Not Portable Nova Wireless Tote - Integrated docking station and transmitter in tote - “Always On” connection - Portable - No meter connectivity reconfiguration - Rechargeable battery Confidential Non-proprietary, Open Connectivity Enables connections to all POC devices, regardless of manufacture Eliminates connectivity lock-out which limits POC device choice. Allows hospitals to make POC device decisions based on device needs and benefits Removes cost of middleware conversion as a barrier to acquiring new POC devices Confidential Nova Connects and Telcor, Inc. or Alere Informatics TM Proven success with virtually every LIS and HIS vendor Electronic Data Interface (EDI) or Script-in enables unsolicited results reporting into LIS or HIS Provides a single interface for virtually all POC devices from all vendors Manages data flow by hospital-specific exceptions rules Confidential QML provides Telcor QML - Complete data management - ADT data messaging to NovaNet for positive patient ID at the meter - Hospital defined rules for result exception management - Consolidated interface for all connected POC device types Confidential Alere Informatics-RALS RALS provides - Complete data management - ADT data messaging for positive patient ID at the meter - Hospital defined rules for results exception management - Consolidated interface for all connected POC device types Confidential StatStrip Multi-Well Technology Creates A New Level of Analytical Performance ® TM “The StatStrip glucose meter correlated best with a plasma hexokinase reference method over a wide range of glucose concentrations and was least significantly impacted by sample hematocrit and other interfering substances. This should allow for better management of critically ill patients on intensive insulin therapy resulting in better glycemic control with improved outcomes and patient safety..” Karon, B. et al, Diabetes Technology and Therapeutics, Apr 2008; Confidential Hospital Glucose Monitoring System Hospital Glucose Meter Hospital Glucose Meter Thank You Confidential