Balteau P R, Peluso F P, Coles G A, Michel C, Mignon F M, Tranaeus A P, Verger C, Zaruba K
Baxter R & D Europe, Nivelles, Belgium.
Perit Dial Int. 1991;11(2):131-6.
This paper describes the result of a miltidisciplinary approach to the design and evaluation of a new CAPD disconnect system: the Baxter Integrated Disconnect System (IDS). This system consists of a bag full of fresh Dianeal, an empty bag for the drainage of spent dialysate and tubings connecting the 2 in a Y fashion. With this system, the patient makes only one connection. The system is disposable. The major property that makes this unique is that all components are preassembled, and the whole system is steam-sterilized as 1 unit. In general, similar systems use different sterilization methods for the various components of the system. Those components are then assembled, under clean conditions by the manufacturer, without final sterilization of the unit. Assembly of the components is sometimes left to the patient. The concept of IDS, therefore, is unique and warrants lower rates of contamination. This system has been tested on patients for a total observation period of 765 patient months, and has proven to be simple, safe and effective. It yields a 63% probability of peritonitis-free patients at 24 months.
本文描述了一种多学科方法在设计和评估一种新型持续性非卧床腹膜透析（CAPD）断开连接系统——百特集成断开连接系统（IDS）中的成果。该系统由一袋装满新鲜腹透液的袋子、一个用于排出用过的透析液的空袋子以及以Y形连接这两者的管路组成。使用这个系统，患者只需进行一次连接。该系统为一次性使用。使其独具特色的主要特性是所有组件都已预先组装好，并且整个系统作为一个单元进行蒸汽灭菌。一般来说，类似的系统对系统的各个组件采用不同的灭菌方法。然后，这些组件由制造商在清洁条件下进行组装，而该单元没有进行最终灭菌。组件的组装有时留给患者来完成。因此，IDS的概念是独特的，并且有望降低污染率。该系统已在患者身上进行了总共765个患者月的观察期测试，并且已被证明是简单、安全且有效的。在24个月时，无腹膜炎患者的概率为63%。
