Has anyone with the B Braun machine run into issues with bacterial problems that cannot be resolved in dialysate? ro is clear, Loop is clear, bicarb supply is clear. inlet water lines are clear. Anyone have this isssue???
<old parr>
Posted
Techman I had that problem before with 11 B-braun dialog+ machines. Well this 11 machines were sitting in a warehouse for 7 months, when my clinic bought them. Then when I start to make cultures, I began to have issues wuth this machines. In order for my to resolved the problem, I had to installed DF filters on each machines. As you know DF filters are desigh to removed endotoxin and bacteria.
<NewestGuy>
Posted
Where are you taking your sample? What kind of machine disinfections are you doing?( Citric acid, bleach?)
Also, are you disinfecting the water inlet line on the machine regularly(we do ours every 3 months). As far as technique, we culture in between treatments while the machine is priming. What are you doing when you draw your cultures? Do you have a set up that you reuse which could be contaminated?????
Originally posted by old parr: Techman I had that problem before with 11 B-braun dialog+ machines. Well this 11 machines were sitting in a warehouse for 7 months, when my clinic bought them. Then when I start to make cultures, I began to have issues wuth this machines. In order for my to resolved the problem, I had to installed DF filters on each machines. As you know DF filters are desigh to removed endotoxin and bacteria.
Thank you old parr.
<techman>
Posted
quote:
Originally posted by NewestGuy: Where are you taking your sample? What kind of machine disinfections are you doing?( Citric acid, bleach?)
Puncture pad.
<techman>
Posted
quote:
Originally posted by Joey: Also, are you disinfecting the water inlet line on the machine regularly(we do ours every 3 months). As far as technique, we culture in between treatments while the machine is priming. What are you doing when you draw your cultures? Do you have a set up that you reuse which could be contaminated?????
I disinfect inlet water line monthly by pulling in from loop during a system disinfect and have moved to weekly with Minncare and alternate with bleach(hard on the machine)and heat citric during the day. I have replaced the inlet water line and DMV and cultures are pulled at prime setup from puncture pad as well as hansen just to rule out and we have no reuse.
Originally posted by Joey: Is it one machine or multiple?
Every machine in the unit, 16
<techman>
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quote:
Originally posted by Westside: Did you replaced your dia-cap filter?
No diacap in place I am trying to solve this issue not mask it.
<NewestGuy>
Posted
The puncture pad you refer to: Is that the sample port thats located on the dialysate line to the blue dialyzer connector/Hanson? What condition are they in?
<Chuck W.>
Posted
The puncture pads are actually part of the hanson connectors and the pad part is replaceable. I have never been a fan of them and much prefer the sample ports that you install in the line itself.
