Abstract: PO0915
Utilization of the Tablo Hemodialysis System's Data Platform: An Analysis of 100,000 Acute Dialysis Treatments
Session Information
- Leveraging Technology and Innovation to Predict Events and Improve Dialysis Delivery
November 04, 2021 | Location: On-Demand, Virtual Only
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 701 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Schumacher, Josh, Outset Medical, Inc., San Jose, California, United States
- Lim, Brittany, Outset Medical, Inc., San Jose, California, United States
- Aragon, Michael A., Outset Medical, Inc., San Jose, California, United States
Background
The Tablo® Hemodialysis System (Tablo) is an all in one, easy-to-learn device featuring integrated water purification, on demand dialysate production and two-way wireless data transmission capable of providing therapy up to 24 hours in a hospital setting.
Limited connectivity of traditional hemodialysis systems constrains the ability to drive improvement in quality and efficiency of dialysis care. Tablo’s cloud-based data platform expedites care delivery in real time and informs on dialysis program metrics to facilitate quality improvement.
The objective was to demonstrate Tablo’s automated wireless data capabilities through analysis of 100,000 Tablo acute treatments.
Methods
Tablo data were collected through real-time transmission via a cloud-based, HIPAA compliant platform. Analysis was performed by combining prescribed and achieved data on consecutive treatments. Treatments were divided into groups based on treatment time of less than 6 hours (conventional therapy) or greater than 6 hours (extended therapy).
Results
A total of 100,000 treatments between April 2020 and May 2021 were analyzed. Treatments ranged from 2-24 hours. Treatment time success, defined as achieved within 10% of prescribed time, was 90.7% across the population. The most common reason for early termination was “User ended” (8.6%), with 0.7% due to “Device Directed”.
Mean total number of alarms per treatment was 2.5 across the population with no difference in alarm frequency (0.7 alarms per hour) between treatment groups. The most frequent clinically significant alarms were high and low venous pressures. Mean time to alarm resolution was 14 seconds with shorter alarm resolution time demonstrated in the IHD group (13 vs 22 secs).
Conclusion
With high utilization across a wide range of treatment times in the acute setting, Tablo successfully achieved treatment goals. The few observed alarms were quickly resolved by clinical users. Tablo’s robust data reporting capability enables the identification of treatment trends that can be used to drive quality improvement.
Summary of Tablo Treatment Parameters
| Treatment Group | Treatment Parameters | Clinically Significant Alarms | |||||||
| Treatments Performed | Prescribed time (hours) | Actual Time (hours) | Actual Fluid Removal (L) | Alarms per treatment (mean) | Time to Alarm Resolution (seconds) | High Venous Pressure | Low Venous Pressure | Air Venous Bloodline | |
| IHD (≤6 hrs) | 94603 | 3.4 ± 0.6 (2.0 – 6.0) | 3.3 ± 0.7 | 1.7 ± 1.1 | 2.3 ± 5.5 | 12.8 ± 32.1 | 1.7 ± 5.1 | 0.6 ± 1.6 | 0.1 ± 1.0 |
| Extended (6< to ≤24 hrs) | 5397 | 11.8 ± 3.4 (6.1 – 24.0) | 9.7 ± 3.9 | 1.9 ± 1.7 | 6.7 ± 16.8 | 22.3 ± 55.9 | 5.0 ± 14.7 | 0.9 ± 2.6 | 0.1 ± 2.2 |
| Overall: | 100,000 | 3.8 ± 2.1 (2.0 – 24.0) | 3.6 ± 1.8 | 1.7 ± 1.2 | 2.5 ± 6.7 | 14.2 ± 36.6 | 1.8 ± 5.9 | 0.6 ± 1.7 | 0.1 ± 1.1 |
Funding
- Commercial Support – Outset Medical, Inc.