Cov lus qhia rau cov reprocessing ntawm hemodialyzers
Cov txheej txheem ntawm kev siv ntshav hemodialyzer, xws li rinsing, kev kho kom zoo ib yam, rau tib tus neeg mob lim ntshav ntawm hemodiahlzer siv.
Vim tias cov kev pheej hmoo txaus ntshai koom nrog kev rov ua haujlwm, uas yuav ua rau muaj kev nyab xeeb rau cov neeg mob, muaj cov kev cai ua haujlwm nruj rau cov ntshav hemodialyzers. Cov neeg ua haujlwm yuav tsum yauv nrhiav kev kawm thiab ua raws li cov txheej txheem ua haujlwm thaum lub sijhawm rov ua dua tshiab.
Dej Kho Mob
Kev rov qab siv dua yuav tsum siv cov dej otmosis dej rov qab, uas yuav tsum tau ntsib cov qauv roj ntsha rau cov dej ua haujlwm zoo thiab ua tiav cov khoom siv ua haujlwm thaum lub sijhawm ua haujlwm. Cov kev ua qias tuaj tshwm sim los ntawm cov kab mob thiab cov kua ntses hauv cov dej ro dej yuav tsum tau sim ua ntu zus. Kev tshuaj xyuas dej yuav tsum tau ua nyob rau ntawm lossis ze ntawm kev sib koom tes ntawm cov ntshav ntawm cov ntshav thiab cov txheej txheem reprocessing. Cov kab mob theem tsis tuaj yeem tsis dhau 200 cfu / ml, nrog kev cuam tshuam txwv ntawm 50 cfu / mL; Endotoxin qib tsis tuaj yeem hla dhau 2 EU / ml, nrog kev cuam tshuam txwv ntawm 1 EU / ML. Thaum cov kev cuam tshuam kev cuam tshuam tau mus txog, txuas ntxiv siv cov dej kho kom zoo siv tau. Txawm li cas los xij, kev ntsuas yuav tsum tau ua (xws li tua cov dej kho dej) tiv thaiv kom tsis txhob muaj kev paug. Yuav tsum tau xeem cov dej num ib zaug ib zaug, thiab tom qab ob qho kev xeem sib law liag, thiab tom qab kev sim tshuaj ib hlis ib zaug, thiab endotoxological yuav tsum tau ua yam tsawg ib zaug txhua 3 lub hlis.
Reprocessing system
Lub tshuab rov ua dua tshiab yuav tsum ua kom cov haujlwm lim dej hauv qab no: Tso cov dialyzer hauv lub xeev ntxiv huab ullyzer rau kev rov ua kom cov ntshav thiab lim xyeem Chamber; Kev ua tau zoo thiab Membrane cov kev xeem ncaj qha rau ntawm lub voos; Tu cov Chamber ntshav thiab lim ntshav hauv cov tshuaj tua kab mob ntawm tsawg kawg 3 zaug ntawm cov hlab ntshav hauv cov ntshav nrog cov tshuaj lom dej ntshav nrog cov tshuaj tua kab mob ntshav.
Wesley cov dialyzer reprocesser tshuab - hom W-F-F168-A / B yog cov kev siv hluav taws xob ua kom huv, thiab cov kev yuav siv TCV, thiab cov kev yuav siv TCV, thiab luam tawm ntawm lub TCV (tag nrho cov xov tooj (tag nrho cov xovtooj ntawm lub ntsuas) kuaj tawm. Lub lim dej tsis siv neeg reprocesser reprocessing tshuab yooj yim ua haujlwm ntawm cov neeg ua haujlwm thiab ua kom muaj kev nyab xeeb thiab ua haujlwm tau zoo ntawm kev siv ntshav checkzers.
W-f168-b
Kev tiv thaiv tus kheej
Txhua tus neeg ua haujlwm uas tuaj yeem kov cov neeg mob cov ntshav yuav tsum tau ceev faj. Hauv kev soj yaj ntaws rov qab, cov neeg ua haujlwm yuav tsum hnav cov hnab looj tes tiv thaiv thiab ris tsho thiab ua yeeb yam los ntawm cov qauv tiv thaiv kev tiv thaiv kab mob. Thaum koom nrog hauv cov txheej txheem ntawm cov txheej txheem ntawm cov paub los yog tsaus ua rau muaj kev sib tw lossis kev daws teeb meem, cov neeg ua haujlwm yuav tsum hnav lub ntsej muag thiab ua pa.
Nyob rau hauv chav ua haujlwm, lub qhov muag kub ceev-ntxuav yuav tsum tau teeb tsa kom paub tseeb thiab ua kom tiav thaum tus neeg ua haujlwm txaws ntawm cov khoom siv.
Qhov yuav tsum muaj rau ntshav ditlyzers reprocessing
Tom qab lim ntshav, cov voos voos yuav tsum tau thauj nyob hauv ib puag ncig huv thiab tuav tam sim ntawd. Yog tias muaj cov xwm txheej tshwj xeeb, cov ntshav hemodialyzers uas tsis tau kho hauv 2 teev tom qab yaug ntshav rau cov ntshav dialyzer yuav tsum ua tiav hauv 24 teev.
● Rinsing thiab tu: Siv cov qauv dej Rins thiab ntxuav cov ntshav thiab lim ntshav ntawm cov ntshav hemodialyzer, suav nrog rov qab-yaug. Diluuted peroxide, sodium hypochlorite, peracetic acid, thiab lwm yam tshuaj lom neeg tuaj yeem siv tau ua cov tshuaj tiv thaiv rau cov voos. Tab sis, ua ntej ntxiv cov tshuaj, cov tshuaj dhau los yuav tsum raug muab tshem tawm. Sodium hypochlorite yuav tsum tau muab tshem tawm los ntawm kev ntxuav tu ua ntej ntxiv formatin thiab tsis sib xyaw nrog peracetic acid.
Kev sim TCV Kuaj ntawm Daj Devlyzer: TCV ntawm cov ntshav txiav yuav tsum muaj ntau dua los yog sib npaug rau 80% ntawm tus thawj TCV tom qab reprocessing.
● Limhysis membrane Kev kuaj mob ncaj ncees, xws li kuaj cov cua siab, yuav tsum tau ua thaum rov ua haujlwm ntawm cov ntshav hemodialyzer.
● Dialyzer disinfection thiab kom tsis muaj menyuam: tus neeg npau taws kom huv: ua rau cov tshuaj tua kab mob kom tiv thaiv kom tiv thaiv cov microbial paug. Yuav tsum muaj cov pa roj ntshav thiab cov lim ntshav kom huv, thiab cov tshuaj txiav hnyav, nrog rau kev siv tshuaj tua kab mob, nrog kev sib haum xeeb ncav cuag li 90% ntawm cov kev cai. Cov ntshav hauv cov ntshav thiab qhov hluav taws xob thiab cov lim dej hauv qhov hluav taws xob thiab qhov hluav taws xob ntawm cov voos voos yuav tsum tau tua kab mob thiab tom qab ntawd cov kaus mom lossis cov kaus mom tshiab.
● Plhaub ntawm cov kev kho mob dialyzer: xws li 0.05% Sodium hypochlorite) uas yuav tsum tau siv los so kom cov ntshav thiab av ntawm lub plhaub.
● Cia: cov chraryzers ua tiav yuav tsum tau muab cia rau hauv thaj chaw uas tau xaiv los cais los ntawm cov kab mob uas tsis muaj kuab lom thiab siv tsis tau.
Sab Nraud Pom Tom Qab Kev Rov Ua Dua
(1) tsis muaj ntshav lossis lwm cov khoom sab nraud
(2) tsis muaj cranny nyob hauv lub plhaub thiab qhov chaw nres nkoj lossis lim dej
(3) Tsis muaj txhaws thiab dub fiber ntau nyob saum npoo ntawm lub hollow fiber
(4) Tsis muaj kev quaj ntawm ob lub terminals ntawm cov voos ntshav fiber
(5) Siv cov kaus mom ntawm cov inlet thiab qhov hluav taws xob ntawm cov ntshav thiab lim dej thiab nco ntsoov tsis muaj huab cua xau.
(6) Daim ntawv lo ntawm tus neeg mob cov ntaub ntawv thiab dialyzer reprocessing cov ntaub ntawv yog qhov yog thiab meej.
Npaj ua ntej rau tom ntej diassis
● yaug cov tshuaj tua kab mob: cov voos voos yuav tsum tau sau thiab yaug qhov txaus nrog saline ib txwm ua ntej siv.
● Cov kab mob tsis zoo rau kev kuaj ntshav: Residual cov tshuaj tua kab mob hauv kev ua txhaum: Formalin <5 papetic acid <1 ppm (renalin <3 ppm (3 μg / l)
Lub sij hawm Post: Lub Yim Hli 26-2024