POCT
Vim li cas thiaj xaiv REALY?
Pab neeg tshaj lij
REALY muaj ib lub chaw tsim kho mob siab rau kev txhim kho IVD reagents. Peb cov neeg ua haujlwm technical yog lub luag haujlwm rau kev txhim kho txheej txheem, kev txhim kho txheej txheem, thiab kev tsim qauv.
Quality Assurance
Peb muaj daim ntawv pov thawj CE, ISO 13485 daim ntawv pov thawj zoo, Daim ntawv tso cai tsim khoom, thiab kev tso cai ua lag luam hauv lub tebchaws. Peb tseem tab tom npaj FDA thiab lwm daim ntawv pov thawj.
Kev Tswj Xyuas Zoo
Tswj nruj tswj xyuas kom zoo thaum lub sijhawm ua haujlwm. Peb cov khoom muaj kev nyab xeeb raug kuaj xyuas los ntawm kev sim ntau, kuaj thiab kuaj xyuas cov txheej txheem kom ua tau raws li cov khoom lag luam kawg.
Muag rau ntiaj teb
Peb koom nrog kev nthuav qhia kho mob hauv ntau lub tebchaws xws li Medlab, Medica, thiab AACC txhua xyoo. Kev muag khoom network tau npog ntau dua 80 lub teb chaws thiab cheeb tsam, faib cov khoom zoo ntawm cov nqi sib tw heev.
Point-of-care testing (POCT), tseem hu ua kev kuaj neeg mob nyob ze lossis kev sim pw hauv txaj, txhais tau tias yog kev kuaj mob kuaj mob ntawm lossis ze ntawm qhov chaw saib xyuas - uas yog, thaum lub sijhawm thiab qhov chaw ntawm kev saib xyuas neeg mob.
POCT feem ntau ua tiav los ntawm kev siv cov khoom siv thauj khoom, nqa tau yooj yim, thiab tuav tau (piv txwv li, cov ntsuas ntshav qabzib, cov khoom siv hauv cov hlab ntsha) thiab cov khoom siv kuaj (xws li, CRP, HBA1C, Homocysteine, HIV salivary assay, thiab lwm yam). Lub rooj zaum me me los yog cov cuab yeej ruaj khov kuj tseem siv tau thaum lub cuab yeej siv tsis tau - lub hom phiaj yog khaws cov qauv thiab tau txais cov txiaj ntsig hauv lub sijhawm luv luv ntawm lossis ze ntawm qhov chaw ntawm tus neeg mob kom txoj kev kho mob tuaj yeem. raug kho raws li qhov tsim nyog ua ntej tus neeg mob tawm mus.

Cov yam ntxwv ntawm POCT
- POCT yuav tsum yooj yim siv.
- Reagents thiab consumables yuav tsum muaj kev ruaj khov thaum lub sij hawm cia thiab siv.
- POCT cov txiaj ntsig yuav tsum ua raws li cov txheej txheem kuaj tau tsim.
- POCT yuav tsum ua kom muaj kev nyab xeeb thaum kuaj.
Cov txiaj ntsig tseem ceeb ntawm Kev Ntsuas Kev Kho Mob
POCT yog nrawm dua li kev sim kuaj
Lub peev xwm los ua cov kev ntsuam xyuas thiab tau txais cov txiaj ntsig tam sim nyob ze ntawm tus neeg mob yog qhov txiaj ntsig tseem ceeb ntawm kev ntsuas qhov ntsuas. Cov txiaj ntsig tau tsuas yog siv sijhawm li ob peb feeb kom tau txais, ua rau nws nrawm dua li kev sim hauv chav kuaj.
POCT tuaj yeem ua tiav txhua qhov chaw thiab txhua lub sijhawm
Ib qho ntawm cov ntsiab lus tseem ceeb ntawm kev kuaj xyuas qhov ntsuas yog tias nws tuaj yeem ua tau nyob txhua qhov chaw. Vim nws txoj kev txav tau yooj yim, kev kuaj xyuas qhov taw qhia tuaj yeem kuaj xyuas cov kab mob sib kis hauv thaj chaw deb lossis thaj chaw muaj kev txwv uas tsis muaj kev nkag mus rau cov chaw kuaj mob loj hauv nroog.
POCT tuaj yeem ua tau los ntawm Txhua tus kws kho mob
Tam sim no cov cuab yeej kho mob tam sim no tau sib zog thiab siv tau yooj yim dua; txawm tias cov neeg ua haujlwm uas tsis muaj kev cob qhia tshwj xeeb hauv cov chaw kuaj mob tuaj yeem siv tau.
POCT muaj txiaj ntsig zoo hauv Cov xwm txheej kub ntxhov
Point-of-care tuaj yeem pab daws cov neeg coob coob hauv chav xwm txheej ceev los ntawm kev txo lub sijhawm nws siv los kho cov neeg mob. Nws kuj tseem tuaj yeem siv los tsom rau kev tiv thaiv, tshawb pom ntxov, thiab saib xyuas cov mob ntev.
POCT yog pheej yig dua li kev sim kuaj
Cov cuab yeej ntsuas kev saib xyuas feem ntau yog me dua thiab tuaj yeem nqa mus rau qhov twg. Lawv kuj tseem pheej yig piv rau cov cuab yeej kuaj mob ib txwm siv los ntawm lub chaw soj nstuam.
Hom Point of Care Test
Hom POCT: Inflamation
Kev kuaj tam sim rau tag nrho cov txheej txheem C-reactive protein (hsCRP + pa CRP)
Kev kuaj tam sim rau procalcitonin (PCT).
Hom POCT: Cardiac
Kev kuaj tam sim rau N-terminal pro-brain natriuretic peptide (NT-proBNP)
Kev kuaj tam sim rau lub plawv troponin I (cTnl), myoglobin (MYO), thiab creatine kinase isoenzyme (CK-MB).
Hom kev tshawb nrhiav tam sim: Tumor
Alpha-fetoprotein (AFP) kev tshawb nrhiav tam sim
Prostate-specific antigen (PSA) instant detection.
Hom POCT Devices
Me Me Handheld POCT Devices
Muaj ntau yam khoom siv POCT me me ntawm kev ua lag luam, xws li cov ntsuas ntshav qabzib yooj yim mus rau, rau kev soj ntsuam cov roj ntshav, cov khoom siv me me uas muaj suab nrov. Cov khoom siv no yog cov khoom siv tau tiag tiag thiab feem ntau siv los ntawm tus neeg mob lawv tus kheej lossis los ntawm tus kws kho mob nyob ze tus neeg mob, xws li ntawm lub txaj, hauv tsev kho mob, lossis hauv tus neeg mob lub tsev.
Loj dua Benchtop POCT Devices
Cov cuab yeej no zoo sib xws hauv kev tsim qauv rau qee cov cuab yeej siv hauv cov chaw sim hauv nruab nrab. Lawv feem ntau yog variations ntawm cov cuab yeej siv nyob rau hauv ib txwm kuaj. Lawv muaj peev xwm ua tau siab thiab raug siab. Cov cuab yeej ntsuas kev saib xyuas no tuaj yeem txav mus rau cov chaw kho mob sab nraud, tsev kho mob thiab chaw saib xyuas kev noj qab haus huv hauv zej zog los muab kev pabcuam xws li kuaj mob thiab saib xyuas.

Muaj cov khoom siv POCT
Ntshav roj thiab electrolytes analyzers
Coagulation
Ntshav Chemistry, ex. Glucose, cholesterol, uric acid
Kev siv tshuaj yeeb
Kev kuaj cev xeeb tub
Cardiac markers
Hemoglobin thiab Hematocrit
Thaum twg Yuav Siv Point of Care (POC) Tests?
Txawm hais tias qhov kev xaiv ntawm qhov ntsuas qhov ntsuas saib xyuas tau dav dav rau ntau yam kev noj qab haus huv xws li cev xeeb tub mus rau kev siv yeeb tshuaj, qhov kev ntsuam xyuas point-of-care (POC) tau ua pov thawj tias muaj txiaj ntsig tshwj xeeb rau cov hauv qab no:
1
Kev soj ntsuam tas li ntawm cov neeg muaj kab mob ntev.
2
Kev tshuaj xyuas sai ntawm cov kab mob kis tau yooj yim.
3
Cov xwm txheej kub ntxhov uas txiav txim siab tam sim ntawd yog kev txiav txim siab.
4
Tej thaj chaw deb, peev txheej txwv, lossis kev puas tsuaj-tso chaw.

POCT rau Hematology
- Prothrombin time analyzers, ntsuas ntshav txhaws.
- Kev kuaj APTT, rau kev ntsuam xyuas hemostatic.
- Kev kuaj D-dimer, kom txiav txim siab pulmonary embolism lossis DVT.
- Viscoelastic assays, rau kev raug mob thiab obstetrics.
- Ua kom lub sijhawm ua kom ntshav txhaws, txhawm rau saib xyuas qib heparin.
- Kev kuaj kab mob malaria, rau kev kuaj mob malaria.
POCT rau Kev Kho Mob thiab Kev Tshawb Fawb
- Txheeb xyuas cov neeg koom nrog anemia.
- Txheeb xyuas cov neeg koom nrog cov ntshav tsis txaus.
- Kev tshuaj ntsuam kab mob.
- Saib xyuas cov neeg mob cov tshuaj tiv thaiv rau cov tshuaj sim tshuaj (tus khub diagnostics).
POCT siv tau qhov twg?
Siv hauv tsev, kuaj tus kheej
Tsev muag tshuaj
Kev pab kho mob, tsheb thauj neeg mob
Lub tsev laus lossis chaw saib xyuas neeg laus
Kev kho mob dav dav, kev saib xyuas thawj zaug (US terminology: POL, Physicians office laboratory)
Lub tsev kho mob nyob deb nroog lossis chaw kho mob
Cov chaw kho mob tseem ceeb hauv tsev kho mob loj (ED, ICU, CCU, thiab lwm yam)
Tsev kho mob hauv tsev kho mob lossis tsev kho mob
Chaw kho mob kis las
Kev tshuaj xyuas tshuaj hauv chaw ua haujlwm.
Cov khoom siv ntawm POCT
Txhua pob khoom muaj:
Antibody test card nyob rau hauv ib lub hnab kaw nrog desiccant
Qauv diluent
Cov neeg siv phau ntawv: 1 pcs / box.
Daim Npav Test muaj:
Lub plhaub yas thiab ib lub reagent sawb uas yog tsim los ntawm ib tug qauv ncoo, ib tug colloidal kub ncoo, nitrocellulose membrane nrog ob txoj kab xeem (ob kab no yog coated nrog anti-tib neeg IgM thiab IgG antibody raws li), cov kab tswj, absorbent daim ntawv thiab liner.
Qauv Diluent Composition:
Phosphate buffered saline, proteins, detergent, preservative, stabilizer.
Cov txheej txheem xeem POCT
Ib qho qauv tau txais rau kev tshuaj xyuas
Qhov no tuaj yeem yog cov ntshav poob rau cov ntshav qabzib concentration ntawm glucometer lossis tso zis rau beta-hCG. Ntau yam kev xav tau hais txog tus neeg mob lub xeev, tus qauv kuaj lub xeev, thiab kev npaj tsim nyog rau kev kuaj kom raug muaj nyob.
Tus qauv yog siv rau POCT Device
Tam sim ntawd ua ntej cov kauj ruam no, ib tug reagent yuav pab tau kom raug kuaj. Qhov no tso cai rau kev faib cov antigen thoob plaws hauv kev daws teeb meem thiab ua kom qhov tseeb ntawm qhov ntsuas. Hauv qee hom POCT, cov qauv tuaj yeem siv ncaj qha rau lub cuab yeej, uas feem ntau suav nrog cov ntawv pov tseg pov tseg rau kev tshuaj xyuas cov tshuaj ntsuam xyuas. Cov cartridge pov tseg no tuaj yeem muab pov tseg tom qab siv, txo qhov kev pheej hmoo ntawm kev sib kis.
Nyeem Ntawv Xeem
Thaum qhov kev sim ua tiav lawm, cov txiaj ntsig tau txais thiab tuaj yeem xa ncaj qha mus rau tus neeg mob cov ntaub ntawv kho mob hluav taws xob (EMR) yog tias POCT cov cuab yeej koom ua ke lossis cuam tshuam nrog EMR system.
- Cov khoom siv ntsuas tuaj yeem khaws cia rau hauv chav tsev kub, tsuav qhov kub tsis tshaj 30 degree C. Qhov ntsuas kub yuav tsum tau taug qab txhua hnub thiab thaj tsam ntawm 2-30 degree C.
- Qhov ntsuas kub uas siv rau ntawm qhov chaw yuav tsum sau qhov kub thiab txias txhua hnub nrog rau qhov ntsuas kub tam sim no. Qhov ntsuas kub no yuav tsum tau taug qab txhua hnub. Ib daim qauv rau kev soj ntsuam ib puag ncig yog muab rau lub hom phiaj no.
- Yog tias qhov ntsuas kub sab nraud 2-30 degree raug kaw, kev tswj xyuas zoo ntawm tag nrho cov khoom siv khaws cia yuav tsum tau ua, ua ntej cov neeg siv khoom tuaj yeem kuaj ntxiv mus ntxiv.

Peb daim ntawv pov thawj
Peb tau dhau ntau daim ntawv pov thawj xws li CE thiab ISO, thiab cov khoom peb muab muaj kev ruaj ntseg zoo.





Cov teeb meem tshwm sim ntawm POCT
Raws li ib qho ntawm cov kws tshaj lij poct tuam ntxhab thiab cov muag khoom hauv Suav teb, peb tau tshwj xeeb los ntawm cov khoom zoo thiab cov kev pabcuam zoo. Thov so assured mus ua lag luam wholesale pheej yig poct los ntawm peb lub hoobkas. Tiv tauj peb kom paub meej ntxiv.













