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1、 常见问题处理方法及技巧 张建强 Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 显示屏显示屏控制面板控制面板离心机离心机溶液袋支架
2、溶液袋支架抗凝剂空气监测器抗凝剂空气监测器(ACAD)抗凝剂抗凝剂(AC )泵泵输送泵输送泵血液泵血液泵阀门阀门电源开关电源开关献血员管路空气监测器献血员管路空气监测器(DLAD1)献血员管路空气监测器献血员管路空气监测器(DLAD2)献血员压力监测献血员压力监测器器(DPM)血液容器支架环血液容器支架环内循环容器支架环内循环容器支架环固定挂销固定挂销阀门阀门袖袋袖袋(背后背后)系统压力监测器系统压力监测器(SPM)程序卡插入门程序卡插入门献血员流量指示灯献血员流量指示灯 (側面側面)称重器称重器管线光线监测器管线光线监测器( line sensor)血液管道空气监测器血液管道空气监测器(BL
3、AD)献血员流量指示灯献血员流量指示灯Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 一:显示屏.操作面板Copyright 200
4、7 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 二: 离心机Copyright 2007 Haemonetics Corporation. Haemoneti
5、cs, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 三:阀门Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, Or
6、thoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 四:泵血液泵血液泵复合泵识别窗复合泵识别窗传输泵传输泵抗凝剂抗凝剂(AC) 泵泵Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, Orth
7、oPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 五:称重臂Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harm
8、ony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 六:压力监测器献血员压力监测器献血员压力监测器(DPM)系统压力监测器系统压力监测器(SPM)Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction
9、 Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 七:管道空气监测器血液管路空气监测器血液管路空气监测器(BLAD)献血员管路空气监测器献血员管路空气监测器(DLAD)抗凝剂管路空气监测器抗凝剂管路空气监测器(ALAD)AC 滴注监测器滴注监测器Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, car
10、dioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 八:光学监测器杯光电杯光电(O.S)管路监测器管路监测器(L.S)Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, C
11、ell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 九:耗材Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, Sma
12、rtSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 开机死机 屏幕只显示“MCS+”就停止原因原因: 经常发生在需要更换不同程序卡经常发生在需要更换不同程序卡.由于前一次程序结束由于前一次程序结束后未自检就关机后未自检就关机.处理处理: 换回前一次采集程序卡换回前一次采集程序卡,重新启动机器重新启动机器,等机器自检通等机器自检通过结束过结束.Copyrigh
13、t 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 开机自检失败原因原因: 开机之前已预先安装了耗材开机之前已预先安装了耗材.处理处理: 拔掉拔掉DPM
14、,SPM.取下各监测器和阀门内的管道及称重取下各监测器和阀门内的管道及称重器上的血浆袋器上的血浆袋.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, o
15、r both. 开机出现“The power has been off for a short time” 提示.不自检.(code 375)原因原因: 由于停电或非正常终止采集程序由于停电或非正常终止采集程序(例例:漏液漏液,献血员不适献血员不适)关闭电源关闭电源.操作人员在重新安装一套新耗材后操作人员在重新安装一套新耗材后,没有仔细认真的阅读屏幕上显示的没有仔细认真的阅读屏幕上显示的内容内容,习惯地按习惯地按“ YES”,选择了选择了“恢复原操作程序恢复原操作程序”,使程序无法进行使程序无法进行处理处理: 重新开机重新开机,开机自检后屏幕将提示你选择开机自检后屏幕将提示你选择: 1.按按“
16、NO”键键, 已更换了新的耗材已更换了新的耗材. 2.按按“YES”键键, 原耗材未被取下原耗材未被取下,需要继续原有采集程序需要继续原有采集程序.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the
17、 USA, other countries, or both. 离心舱清理原因原因:1.漏液监测器经常报警漏液监测器经常报警. 2.离心杯安装不到位离心杯安装不到位. 漏液监测器漏液监测器 机械卡爪机械卡爪处理处理:1.用清洁干布擦拭漏液监测器用清洁干布擦拭漏液监测器. 2.清理卡盘上的六个机械卡爪清理卡盘上的六个机械卡爪.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and Sm
18、artSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 离心机噪音大或不运转原因原因: 1. 卡盘上六个机械卡爪由于曾经发生漏液被粘住卡盘上六个机械卡爪由于曾经发生漏液被粘住,造成离心造成离心杯未安装到位杯未安装到位 . 2.离心杯颈部转动部位卡死离心杯颈部转动部位卡死.处理处理: 1.取出离心杯取出离心杯.确保废液袋在最低位置确保废液袋在最低位置,用注射器吸取蒸馏水用注射器吸取蒸馏水,反复冲洗六个机械卡爪反复
19、冲洗六个机械卡爪,直到机械卡爪恢复弹性直到机械卡爪恢复弹性.冲洗过程中冲洗过程中,随时用随时用清洁的干毛巾吸干从爪槽内流出的水清洁的干毛巾吸干从爪槽内流出的水.同时同时,转动离心机甩出内部的转动离心机甩出内部的水水,直到废液管内流出清水为止直到废液管内流出清水为止. 2.更换耗材更换耗材,记录耗材型号记录耗材型号,批号批号.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and Sm
20、artSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 预冲阶段提示“探测到空气”(Code 5)原因原因: 1.抗凝剂空气探测器抗凝剂空气探测器(ACAD)内管道未装好内管道未装好. 2.选择了选择了“盐水补偿盐水补偿”却未连接盐水管道却未连接盐水管道.处理处理: 1.重新安装抗凝剂空气探测器重新安装抗凝剂空气探测器(ACAD)中的管道中的管道. 2.重新启动机器重新启动机器,关闭关闭“盐水补偿盐水补偿”选项
21、选项.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 滴液监测器报警(Code 104)原因原因:滴注器内抗凝剂液面水平错误滴注器内
22、抗凝剂液面水平错误. 液面液面处理处理: 1.液面太高液面太高,监测器检测不到滴液状态监测器检测不到滴液状态.应将抗凝剂袋取下倒转应将抗凝剂袋取下倒转,挤压滴注器挤压滴注器,把一些把一些抗凝剂挤回抗凝剂袋抗凝剂挤回抗凝剂袋. 2.液面太低液面太低,滴液会溅起水珠滴液会溅起水珠,引发监测器检测滴液计数太多的错误引发监测器检测滴液计数太多的错误.应挤压滴注器应挤压滴注器,升高液面至滴注器升高液面至滴注器1/3处处.同时横放转动同时横放转动,去掉壶壁上的液滴去掉壶壁上的液滴.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, c
23、ardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 采集过程中,按了“STOP”键.离心机刹车. 屏幕显示“READY”.原因原因: 1.献血员不适应献血员不适应.需要终止程序需要终止程序. 2. 操作操作.处理处理: STOP STOP No Yes 按按“Y
24、ES”,还输杯内容物还输杯内容物(不还输血浆不还输血浆)后结束后结束 按按”NO”,立即终止程序立即终止程序当离心杯中全血量超过当离心杯中全血量超过1/3时时: 1.按按“RETURN”键键.使杯全血还输给献血员使杯全血还输给献血员. 2.要继续采集程序要继续采集程序, 因此刻离心机已停转因此刻离心机已停转,杯中已无分层杯中已无分层.如按如按“DRAW”键后会同时启动采血泵键后会同时启动采血泵和离心机和离心机,全血进入杯中推出未分层的全血全血进入杯中推出未分层的全血,造成成品污染造成成品污染.此时应立即按此时应立即按“PUMP STOP”键键,待杯中全待杯中全血充分分层后再按血充分分层后再按“
25、PUMP START”键继续采集键继续采集.STOPCopyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 采集(DRAW)过程中按了回输(
26、RETURN)键如果采集循环中按了回输键如果采集循环中按了回输键, 屏幕显示以下信息屏幕显示以下信息:此状态下此状态下,离心机保持运转离心机保持运转. 离心机的工作状态取决于操作人员的决定离心机的工作状态取决于操作人员的决定: 1.按按“Return”启动回输程序启动回输程序(回输结束后继续下一循环采集回输结束后继续下一循环采集,除非此时已处于最后的循环除非此时已处于最后的循环.2:按按“Save” 键把杯中物回输并结束程序键把杯中物回输并结束程序.3:按按“Draw”键恢复采集程序键恢复采集程序.Copyright 2007 Haemonetics Corporation. Haemonet
27、ics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 避免采血针头的堵塞原因原因: 采血针头至三通是没有抗凝剂的采血针头至三通是没有抗凝剂的处理处理: 在采集过程中如遇到机器故障或操作故障时在采集过程中如遇到机器故障或操作故障时,应先
28、夹应先夹闭三通至空气监测器之间的全血管道闭三通至空气监测器之间的全血管道,再顺时针手动旋转抗再顺时针手动旋转抗凝剂凝剂(AC)泵泵,让抗凝剂进入针头部位让抗凝剂进入针头部位.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corpo
29、ration in the USA, other countries, or both. 堵针的处理原因原因: 各种因素造成的堵塞针头各种因素造成的堵塞针头.处理处理: 按按“PUMP STOP”键键,停止采血泵停止采血泵,但离心机不停但离心机不停,这样这样不会影响全血在杯中的离心分层不会影响全血在杯中的离心分层.待处理完针头堵塞问题后待处理完针头堵塞问题后,再按再按“PUMP START”继续程序继续程序. “PUMP STOP”不应超过不应超过23分钟分钟.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardi
30、oPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 液流不畅,造成DPM报警原因原因: 1.针头贴壁针头贴壁. 2.穿刺失败穿刺失败. 3.管道扭压管道扭压. 4.针头是否堵塞，产生血肿针头是否堵塞，产生血肿. 5.袖带有无充气，是否打折袖带有无充气，是否打折.处理处理
31、: 1.检查采血管道是否存在扭曲或夹闭检查采血管道是否存在扭曲或夹闭. 2.重新穿刺重新穿刺.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or b
32、oth. SPM报警原因原因: 离心杯出口至成品袋之间管道闭塞离心杯出口至成品袋之间管道闭塞.扭曲或被夹闭扭曲或被夹闭.未正确安装管未正确安装管道道.处理处理: SPM高压报警高压报警 1.检查离心杯出口至成品袋管道有无闭塞检查离心杯出口至成品袋管道有无闭塞.扭曲或夹闭扭曲或夹闭. 2.检查阀门内的管道是否颜色相符检查阀门内的管道是否颜色相符. 3.如如SPM滤器被打湿滤器被打湿,则产品保存期为则产品保存期为24小时小时. SPM低压报警低压报警 1.检查管道是否闭塞检查管道是否闭塞.扭曲或夹闭扭曲或夹闭. 2.检查透明阀门内是否装载空气采集袋管道检查透明阀门内是否装载空气采集袋管道. 3.检
33、查采集袋是否有瘪缩检查采集袋是否有瘪缩.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 溶液袋监测(Code 394)原因原因: 机
34、器监测所使用的溶液量机器监测所使用的溶液量,并随时与操作人员输入的溶液容量比并随时与操作人员输入的溶液容量比对对.处理处理: 操作人员根据需要和可能操作人员根据需要和可能,按按“Return” 继续或按继续或按“HELP”键进键进入入Haemo Update菜单菜单,修改溶液容量参数修改溶液容量参数.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction S
35、olo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 血小板峰值太低PPTS(Code386)原因原因: 采前血小板计数低采前血小板计数低150*10e3/ul.则可能有血小板聚集则可能有血小板聚集,在白膜层不能有效分离在白膜层不能有效分离血小板血小板.处理处理: 按按“NO”键终止程序键终止程序. 按按“YES”键继续采集键继续采集,此时机器停止自动监控此时机器停止自动监控,必须采用全程人工监控和操必须采用全程人工监控和操作作(D
36、RAW,RETURN),增加循环数增加循环数,防止红细胞溢出防止红细胞溢出.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 血小板峰
37、值太低PPTS 信息 This message is displayed when the optical sensor of the device detected a significant decrease in the platelet yield extracted in one pass.ACTION检查检查LS中管路是否正确安装中管路是否正确安装.通常献血员通常献血员PLT计数太低和计数太低和HCT太高太高,会发生这种情况会发生这种情况. 在这种情况下在这种情况下.降低采集降低采集(DRAW)泵速泵速,持续保持监测避免红细胞溢出持续保持监测避免红细胞溢出.如果如果PPTS 信息出
38、现在信息出现在1-7循环循环, 推荐继续完成程序推荐继续完成程序 (press YES). PPTS报警会重复出现在以后的循环报警会重复出现在以后的循环, 操作人员必须随时监测程序过程操作人员必须随时监测程序过程 (press YES) 或或 终止程序终止程序 (press NO).如果如果 PPTS 信息出现在第信息出现在第8个个或最后或最后循环循环,终止程序终止程序 (press NO).随时监测避免红细胞溢出随时监测避免红细胞溢出.BackNextMenuCopyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardi
39、oPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 造成PPTS的可能原因正常浓度和计数的血小板在经过正常浓度和计数的血小板在经过LS时会造成很多散射光时会造成很多散射光 LS接接收的信号会急剧下降收的信号会急剧下降Copyright 2007 Haemonetics
40、Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 造成PPTS的可能原因PLT计数小或随计数小或随PLT的逐渐降低的逐渐降低,经过经过LS管路的散射光就越少管路的散射光就越少 LS接收的光
41、信号就越强接收的光信号就越强Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 造成PPTS的可能原因PLT正常计数正常计数,但有但有P
42、LT聚集也会造成聚集也会造成经过经过LS管路的散射光减少管路的散射光减少 LS接收的光信号就越强接收的光信号就越强Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other count
43、ries, or both. PPTS 可能会造成红细胞溢出01020304050607080901001101201301401501601701801902002102202302402500500100015002000250029123012311232123312Time sBlood + recirc pump rate ml/min0102030405060708090100110120B.O. & L.S output (%)Platelet peak too small Condition“Pink” terminationCopyright 2007 Haemonetics
44、 Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 疑有红细胞溢出(Code 387)原因原因: 1.献血员的筛选献血员的筛选.采集之前应注意献血员的血常规数据采集之前应注意献血员的血常规
45、数据. PLT (血小板血小板)计数计数1.5*10e11. MPV(血小板平均体积血小板平均体积)7.58.5fl.观察观察PLT直方图直方图,是否单峰左移是否单峰左移.异常形态异常形态PLT会造成采集失败会造成采集失败(量少量少) HCT( 红细胞压积红细胞压积) 36%45%. RDW(红细胞体积分布宽度红细胞体积分布宽度)8%15%, MCV(红细胞平均体积红细胞平均体积)80100fl. MCH(平均红细胞血红蛋白含量平均红细胞血红蛋白含量)2734pg, MCHC(平均红细胞血红蛋白浓度平均红细胞血红蛋白浓度)300360g/l. Hb(血红蛋白血红蛋白) 120g/l160g/l
46、献血员近期是否献过全血献血员近期是否献过全血. 采集过程中注意观察是否存在乳糜浆和血小板聚集采集过程中注意观察是否存在乳糜浆和血小板聚集Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA,
47、other countries, or both. 疑有红细胞溢出(Code 387)原因原因: 2.采集的环境因素采集的环境因素. 3.机器的工作环境机器的工作环境. 4.耗材安装的因素耗材安装的因素. 5.机器的保养机器的保养. 6.操作的因素操作的因素.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or
48、 registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 疑有红细胞溢出(Code 387)处理处理: 1.献血员血小板计数献血员血小板计数1.5*10e11,应判断决定应判断决定“继续继续或终止或终止”采集步骤采集步骤.如继续如继续,则增加循环数则增加循环数.降低血小板的输降低血小板的输入参数入参数.同时观察白膜层同时观察白膜层(Buffy Coat)的宽窄的宽窄. 2.红细胞压积红细胞压积(HCT)高会减少处理量高会减少处理量,应在采集前多饮应在采集前多饮水水,降低血液黏稠
49、度降低血液黏稠度. 3.幼小红细胞幼小红细胞.会混入或接近血小板层会混入或接近血小板层,使管线监测器使管线监测器难以辨别难以辨别.Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, oth
50、er countries, or both. 疑有红细胞溢出(Code 387)处理处理: 4.血小板聚集血小板聚集.适当增加抗凝剂比例适当增加抗凝剂比例,注意观察注意观察.5.发生乳糜浆时发生乳糜浆时,应停止程序应停止程序. 6.舒适的采集环境舒适的采集环境,人性化的临床护理人性化的临床护理,能有效缓解献血能有效缓解献血员的紧张心理员的紧张心理,避免因紧张而引起的成份分离不充分避免因紧张而引起的成份分离不充分.7.机器的工作环境要求机器的工作环境要求. 环境温度环境温度:+18 27 . 储藏环境湿度储藏环境湿度:90%5%.无凝露无凝露Copyright 2007 Haemonetics
51、Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 疑有红细胞溢出(Code 387)处理处理: 8.管路探测器管路探测器(Line sensor)内管道应正确安装内管道应正确安装. 9.管
52、路探测器和杯光电探测器需要清洁和保养管路探测器和杯光电探测器需要清洁和保养.10.操作人员在按了操作人员在按了“STOP”键后键后,应按照正确的操作步骤重启应按照正确的操作步骤重启采集程序采集程序. 按按“RETURN”键回输完成后键回输完成后,再按再按“DRAW”键继续下一个循环键继续下一个循环. 或按或按“DRAW”键后键后,立即按立即按“PUMP STOP”键键,让离心杯中全血让离心杯中全血充分离心分层充分离心分层,再按再按“PUMP START”键继续程序键继续程序.机器的日常保养及维护机器的日常保养及维护Copyright 2007 Haemonetics Corporation.
53、Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 保养及维护1.MCS+1.MCS+机器的操作和存储机器的操作和存储, ,应遵循以下环境条件应遵循以下环境条件: :条件条件 值值操作环境温度操作环境温度 18-27
54、 18-27 摄氏度摄氏度实验存储温度实验存储温度 0-40 0-40 摄氏度摄氏度2.MCS+2.MCS+机器操作的电气规格如下机器操作的电气规格如下: :特性特性 值值( (与输入电压相应与输入电压相应) )输入电压输入电压 230V 230V 交流电交流电 +_10%+_10%操作电流操作电流 1.9 A1.9 A保险丝额定值保险丝额定值 F2.5F2.5安培安培注注: :针对以上的电气要求针对以上的电气要求, ,建议机器配备稳压电源建议机器配备稳压电源Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardio
55、PAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 保养及维护保养安排保养安排 保养内容保养内容如何做保养如何做保养每天一次每天一次 机器外观机器外观 用清洁液清洁机器外壳，阀，键和显示屏用清洁液清洁机器外壳，阀，键和显示屏 DPM&SPM 1.压低和固定白环压低和固定白
56、环 2.仅用温水擦净银杆仅用温水擦净银杆 3.待银杆干燥后，放松对环的压力待银杆干燥后，放松对环的压力每周一次每周一次 清洁空气监测器清洁空气监测器 用用70%酒精和无棉绒纱布清洁凹槽，保持干燥酒精和无棉绒纱布清洁凹槽，保持干燥.应保持应保持凹槽内无任何颗粒凹槽内无任何颗粒. 清洁管路光学感知器清洁管路光学感知器 仅用水和无棉绒沙布清洁能干透镜仅用水和无棉绒沙布清洁能干透镜 抗凝剂滴注监测器抗凝剂滴注监测器 仅用水和无棉绒沙布清洁后干燥仅用水和无棉绒沙布清洁后干燥 漏液监测漏液监测 70%酒精沾湿的棉签清洁酒精沾湿的棉签清洁 复式泵识别窗复式泵识别窗 仅用水和无棉绒沙布清洁后干燥仅用水和无棉绒
57、沙布清洁后干燥Copyright 2007 Haemonetics Corporation. Haemonetics, Infonal, cardioPAT, Cell Saver, OrthoPAT, SmartSuction, SmartSuction Harmony, and SmartSuction Solo are trademarks or registered trademarks of Haemonetics Corporation in the USA, other countries, or both. 保养及维护 离心机部分离心机部分(除杯光电和漏液监测器除杯光电和漏液监
58、测器) 清洁液和无棉绒常规清洁清洁液和无棉绒常规清洁每月一次每月一次 清洗泵转子和泵槽清洗泵转子和泵槽 1.用六角扳手拧松泵螺钉用六角扳手拧松泵螺钉,从泵壳中取出转子从泵壳中取出转子 2.用温水和无棉绒布或紗布擦洗转子用温水和无棉绒布或紗布擦洗转子,清除滚柱上所有清除滚柱上所有碎屑碎屑 3.用无棉绒布擦干用无棉绒布擦干 4.用同样的方法清洁泵槽用同样的方法清洁泵槽 5.确认所有滚柱自由旋转确认所有滚柱自由旋转,把泵转子放回泵槽中把泵转子放回泵槽中,把转子把转子中的插槽对准泵轴中的插槽对准泵轴 6.把六角螺钉放回原处把六角螺钉放回原处,拧紧拧紧每季度一次每季度一次 清洁滤网清洁滤网 1.用流水冲洗滤网用流水冲洗滤网-不可使用任何清洁剂不可使用任何清洁剂 2.轻轻挤压滤网轻轻挤压滤网,除去剩余水份除去剩余水份 3.确认在充分干燥后确认在充分干燥后,安装回原处安装回原处Thanks!Any Questions? 张建强
