Cov Lus Qhia rau Kev Rov Ua Dua ntawm Hemodialyzers
Cov txheej txheem ntawm kev rov qab siv cov ntshav hemodialyzer, tom qab cov txheej txheem ntau lawm, xws li yaug, ntxuav, thiab tshuaj tua kab mob kom tau raws li qhov xav tau, rau tib tus neeg mob txoj kev kho ntshav lim ntshav hu ua hemodialyzer rov qab siv.
Vim tias muaj feem cuam tshuam nrog kev rov ua dua tshiab, uas yuav ua rau muaj kev nyab xeeb rau cov neeg mob, muaj cov kev cai nruj heev rau kev rov siv cov ntshav hemodialyzers. Cov neeg ua haujlwm yuav tsum tau txais kev cob qhia zoo thiab ua raws li cov lus qhia ua haujlwm thaum rov ua dua.
Kev kho dej
Reprocessing yuav tsum siv cov dej rov qab osmosis, uas yuav tsum ua kom tau raws li cov qauv kev lom neeg rau cov dej zoo thiab ua tau raws li qhov xav tau ntawm cov khoom siv ua haujlwm thaum lub sijhawm ua haujlwm siab. Qhov luaj li cas ntawm cov pa phem los ntawm cov kab mob thiab endotoxins hauv RO dej yuav tsum tau kuaj tsis tu ncua. Kev tshuaj xyuas dej yuav tsum tau ua ntawm lossis ze ntawm qhov sib koom ua ke ntawm cov ntshav dialyzer thiab cov txheej txheem rov ua dua. Cov kab mob tsis tuaj yeem dhau 200 CFU / ml, nrog rau kev txwv tsis pub dhau 50 CFU / ml; Qib endotoxin tsis tuaj yeem siab dua 2 EU / ml, nrog rau kev txwv kev txwv ntawm 1 EU / ml. Thaum qhov kev txwv tsis pub dhau mus, kev siv txuas ntxiv ntawm kev kho dej tuaj yeem txais tau. Txawm li cas los xij, yuav tsum tau ntsuas (xws li tshuaj tua kab mob hauv dej) txhawm rau tiv thaiv kev kis kab mob ntxiv. Kev kuaj kab mob thiab endotoxin ntawm cov dej zoo yuav tsum tau ua ib zaug hauv ib lub lis piam, thiab tom qab ob qhov kev ntsuam xyuas sib law liag, kev kuaj kab mob yuav tsum tau ua txhua hli, thiab kuaj endotoxin yuav tsum tau ua tsawg kawg ib zaug txhua 3 lub hlis.
Reprocessing System
Lub tshuab reprocessing yuav tsum xyuas kom meej cov hauj lwm hauv qab no: muab lub dialyzer nyob rau hauv lub rov qab ultrafiltration xeev rau rov rinsing ntawm cov ntshav chamber thiab dialysate chamber; ua qhov kev ua tau zoo thiab kev ntsuam xyuas ntawm daim nyias nyias ntawm lub dialyzer; ntxuav cov ntshav chamber thiab dialysate chamber nrog cov tshuaj tua kab mob tsawg kawg yog 3 zaug ntawm cov ntshav chamber ntim, thiab tom qab ntawd sau cov dialyzer nrog cov tshuaj tua kab mob zoo.
Wesley's dialyzer reprocessing tshuab - hom W-F168-A / B yog thawj lub tshuab lim dej tsis siv neeg puv tshuab hauv lub ntiaj teb, nrog cov txheej txheem tsis siv neeg yaug, ntxuav, kuaj, thiab affuse cov kev pab cuam, uas tuaj yeem ua tiav cov tshuaj lim dej, tshuaj tua kab mob, tshuaj tua kab mob, kev sim, thiab infusion nyob rau hauv txog 12 feeb ntawm cov txheej txheem luam tawm, TCV (Tag nrho Cell Volume) test result out. Tsis siv neeg dialyzer reprocessing tshuab ua kom yooj yim rau kev ua haujlwm ntawm cov neeg ua haujlwm thiab ua kom muaj kev nyab xeeb thiab ua haujlwm ntawm cov ntshav dialyzers rov qab siv dua.
W-F168-B
Kev Tiv Thaiv Tus Kheej
Txhua tus neeg ua haujlwm uas yuav kov cov neeg mob ntshav yuav tsum ceev faj. Hauv kev ua cov tshuab lim dej, cov neeg ua haujlwm yuav tsum hnav hnab looj tes tiv thaiv thiab khaub ncaws thiab ua raws li cov qauv kev tiv thaiv kab mob. Thaum koom nrog cov txheej txheem ntawm kev paub lossis tsis txaus ntseeg lossis kev daws teeb meem, cov neeg ua haujlwm yuav tsum hnav lub qhov ncauj qhov ntswg thiab lub tshuab ua pa.
Hauv chav ua haujlwm, yuav tsum tau teeb tsa lub qhov muag ntxuav dej kom zoo thiab ntxuav kom raws sijhawm thaum tus neeg ua haujlwm raug mob los ntawm cov khoom siv tshuaj txau.
Qhov yuav tsum tau ua rau ntshav Dialyzers Reprocessing
Tom qab kev lim ntshav, lub tshuab lim dej yuav tsum tau thauj mus rau hauv qhov chaw huv si thiab ua haujlwm tam sim ntawd. Thaum muaj xwm txheej tshwj xeeb, cov ntshav hemodialyzers uas tsis kho hauv 2 teev tuaj yeem tso rau hauv tub yees tom qab yaug, thiab cov txheej txheem tshuaj tua kab mob thiab ua kom tsis muaj menyuam rau cov ntshav dialyzer yuav tsum ua tiav hauv 24 teev.
● Kev yaug thiab ntxuav: Siv cov dej RO txheem los yaug thiab ntxuav cov ntshav thiab dialysate chamber ntawm cov ntshav hemodialyzer, suav nrog rov qab yaug. Diluted hydrogen peroxide, sodium hypochlorite, peracetic acid, thiab lwm yam tshuaj reagents tuaj yeem siv los ua cov tshuaj ntxuav tes rau lub tshuab lim dej. Tab sis, ua ntej ntxiv cov tshuaj, cov tshuaj yav dhau los yuav tsum tau muab tshem tawm. Sodium hypochlorite yuav tsum tau muab tshem tawm los ntawm kev ntxuav ua ntej ntxiv formalin thiab tsis tov nrog peracetic acid.
●TCV ntawm lub tshuab lim dej: TCV ntawm cov ntshav dialyzer yuav tsum ntau dua lossis sib npaug li 80% ntawm TCV qub tom qab rov ua dua.
● Dialysis membrane integrity test: Ib qho kev ntsuam xyuas ntawm daim nyias nyias, xws li kev ntsuas cua siab, yuav tsum tau ua thaum rov ua cov ntshav hemodialyzer.
●Dialyzer tshuaj tua kab mob thiab ua kom tsis muaj menyuam: Cov ntshav ntxuav hemodialyzer yuav tsum tau muab tshuaj tua kab mob kom tsis txhob muaj kab mob microbial. Ob chav ntshav thiab dialysate chamber yuav tsum tsis muaj menyuam lossis nyob rau hauv lub xeev uas muaj tshuaj tua kab mob heev, thiab lub tshuab lim dej yuav tsum tau ntim cov tshuaj tua kab mob, nrog rau cov concentration txog li 90% ntawm cov kev cai. Cov ntshav nkag thiab qhov hluav taws xob thiab cov dialysate inlet thiab qhov hluav taws xob ntawm lub tshuab lim dej yuav tsum tau muab tshuaj tua kab mob thiab muab cov kaus mom tshiab lossis tshuaj tua kab mob.
● Lub plhaub ntawm lub tshuab lim dej: Cov tshuaj tua kab mob qis qis (xws li 0.05% sodium hypochlorite) uas tau hloov kho rau cov ntaub ntawv ntawm lub plhaub yuav tsum tau siv los ntub lossis ntxuav cov ntshav thiab cov av ntawm lub plhaub.
● Kev khaws cia: Cov tshuab lim dej ua tiav yuav tsum muab khaws cia rau hauv ib cheeb tsam kom cais tawm ntawm cov tshuab lim dej uas tsis tau ua tiav thaum muaj kuab paug thiab siv tsis raug.
External Appearance Checking tom qab Reprocessing
(1) Tsis muaj ntshav lossis lwm yam stains sab nraud
(2) Tsis muaj cranny nyob rau hauv lub plhaub thiab qhov chaw nres nkoj ntawm cov ntshav los yog dialysate
(3) Tsis muaj kab mob thiab cov kab mob dub rau ntawm qhov chaw ntawm lub hollow fiber
(4) Tsis muaj kev co co ntawm ob lub terminals ntawm lub dialyzer fiber ntau
(5) Siv lub kaus mom rau ntawm qhov nkag thiab qhov hluav taws xob ntawm cov ntshav thiab dialysate thiab xyuas kom tsis txhob muaj cua nkag.
(6) Daim ntawv lo ntawm tus neeg mob cov ntaub ntawv thiab dialyzer reprocessing cov ntaub ntawv yog raug thiab meej.
Kev Npaj ua ntej The Next Dialysis
● Ntxuav cov tshuaj tua kab mob: lub tshuab lim dej yuav tsum tau ntim thiab yaug kom txaus nrog cov kua qaub ua ntej siv.
●Disinfectant residue test: residual disinfectant level in dialyzer: formalin <5 ppm (5 μg/L), peracetic acid <1 ppm (1 μg/L), Renalin <3 ppm (3 μg/L)
Post lub sij hawm: Aug-26-2024
