- under construction -
Used Injection Needle Melting Device E-70
by SOFTIC
Japan Co., Ltd.
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Designed
for use of diverse needle types. Removes unpleasant odor. |
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Directions 2. Carefully insert the syringe with the needle vertically in the slot. 3. Push the plate by using the syringe until it reaches the bottom. A spark of electricity from the electrode can be seen during the melt down through the plate. 4. Take out the syringe slowly after the process is completed. 5. Allow approximately 30 seconds before turning off the switch. |
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●Replacing the Dust box Please replace the dust box when needle scrapings pile up to the red line marked In side the box. The box is to be discarded as medical waste. Fact concerning Needle stick Injuries at a Healthcare facilities. Numerous medical accidents pass unnoticed. Incidents involving syringe needles deserve special attention, According to a survey conducted by the Ministry of Health, Labor and Welfare, the number of reported cases of needle stick injuries in 1996 was 3,867. Among them, cases resulting in virus infection were 3386. Although official data is not available in Japan, needle stick injuries in the United States have numbered from 800,000 〜1,000,000 cases. From the previously collected data in Japan including hospitals, Clinics and dental offices, only 174 hospitals among 150,000 healthcare facilities have officially been reported. As the above official report indicates, 3,867cases of needle sticking juries have been identified, among which 3,386 (90%) are related to virus infection. * actual cases may approximately total 400,000〜500,000 in Japan,from our estimation. Type and examples of Infectious waste Blood, blood product Blood serum, plasma, body fluid (semen, tissue fluid), Blood product (blood derivatives, constituents) Pathological waste left from operation Internal organ, body tissue Pointed object with bloodstain Syringe needles, surgical knives, test tubes, remains In laboratory dishes Equipment and medium used in experiments Test tubes, medium, and laboratory dishes used in experiment and screening associated with pathogenic microbe. and screening Dialysis apparatus Tubes, filters, etc. Other articles that contain blood residue Disposable item such as surgical gloves, absorbent cotton, gauze, bandage ,etc. Health care institution must appropriately disposed of waste resulting from medical practices under its initiative. 0bjective To understand, analyze and identify
the issue under the current state of needle stick injuries. Subject Method Results Terms of 287 applicants among the official members of the Association of Clinical engineer. Sent the Questionnaire on needle stick accidents with are turn envelope .Received 112 responses; recovery rate being 39% Questionnaire consisted of 18 sections. Period July15〜August20 Employed institutions Year so Experience in the Profession 72% of the survey respondents worked at private hospitals, followed by 12% at national hospitals, The ratio of private vs national hospitals is 83% to 17% respectively. Private hospitals・・72% Clinics・・12% Private University Hospital・・1% number of respond In the above is apart of the questionnaire Prevention of Needle stick incident is not only the hospitals’ concern but has to do with the well being of our community Patients experience needle stick injuries at hospital specializing in the treatment of AlDS-Mainichi Shinbun, April 19 th2000) Among the nation wide hospitals specializing in the treatment of AlDS, there were a number of cases in which doctors and nurses in advertently pricked a needle point used after treating AlD Sorhepatitispatients. From1996to1998, total of 15,119 Cases were reported among which 28 cases consisted of instance contracting Hepatitis (HBV), according to a study by AlDS research division of the Health and Welfare Ministry. This revealed the lack of sufficient preventive measures even among the assigned hospitals, Assumed to be highly versed in infectious disease treatment. The research division reported that 88 cases involved needles treated on HlV patients, 1,862 cases for HBV patients and ,708casesforHCV patients. Although no neofthedoctorsand nurses contracted HlV, 28 have transmitted HCV. Highest number were cases occurred in hospital room(4,557), followed by nurse station and corridor (1,920) and surgical department (1,857). lt also Included instance during medical treatment (3,665), putting a needle cap (3,001) and during the period between treatment and disposa l (2,476). “Among the health care sectors in Japan, we tend to relegate the cause of incident to a mere 'carelessness, 'and that is probably why such accidents do not disappear! 'says a doctor who asks not to be named、“l suggest introducing a syringe needle with protection cover which is put after use." It is our priority to help protect the environment while doctors strive to save the lives of the Patients. Healthcare institutions must appropriately dispose the waste resulting from medical practices under its initiative. What will you do when you accidentally prick yourself with a needle treated on chronic hepatitis B or C patient The needle Point is tainted with hepatitis B=C virus and the injured person's(doctor, nurse)blood test has not yet been conducted. In what follows, we'll refer to the necessary procedure to be taken and some use full measures to cope under such situation. ●HBVHBV(hepatitis B virus) Wash with running water and extract the blood from the needle stick area. This is an essential procedure and be sure to inform the doctor/nurse's colleague or relatives about this. This should be done if patient has past infections of HB or recognized as carrier of the virus. If the injured HBs antibody is tested positive (「6 fold with PHA Method), or carry Bs antigen this will not be the case. 1. Administer HBs antibody containing immune globulin (HBIG) within 48 hours is the latest. 2. Deliver additional HB Vaccine→lf the source of contagions diagnosed as HBs antigen positive after giving HBIG, development of hepatitis in the injured person may not be prevented in case of needle stick injury, it is preferable to impartactivejmmunizationwith1n4monthsperiod. 3-General hepatic function study should also be conducted. ※ When requesting the examination for HBs antigen and antibody, one should urge the examiner to promptly return the screening result.(treatment policy is decided according to the result) ※ Make sure HBIG is in stock.(All that has to be done is to return the product if it isn't necessary) Administer the second round of HB Vaccine after one month and give the third after three months. We recommend patients to take hepatic function test at least for the duration of 6 months. Hepatitis B can be effectively prevented by taking HB vaccine in advance. Accidents do occur and disasters come in three. Be very careful. Prepare report on accident. ●HCV (hepatitis virus) HCV differs from HBV in that preventive method for passive or active immunization is not available. However, amount of HCV in the blood is generally considered less than tha to fHBV. Regardless of whether the cause is from a needle stick injury, acute hepatitis C can easily lead to a chronic one. Wash with running water and extract the blood from the needle stick area. This is an essential procedure and be sure to inform the doctor/nurse's colleague or relatives about this. A) No. interferon is not a virus neutralizing antibody. Delivering interferon immediately after needle stick injury seems less effective for preventing hepatitis. It also has side effects. (It works well, however, incase of acute hepatitis C) Check the injured (doctors, nurse) patient’s HCV antibody. Check the patient's (who is under genera 1 hepaticfunction test) Level of HCV antibody. Has the RNA Examination for virus infection been conducted? HCVAb positive patients include those who did not become a carrier (as with those with past infections),despite having acute hepatitis C ? This can be determined by the strength of HCVAb (high;2×10^12 or 「3,low12×10^7). Patient may have a history of infection if the level is low. It depends on the PCR method delivered on a patient to identify RNA virus. Person should receive HCVAb level examination and hepatic function test once a month for at least 6 months. These tests are prerequisite. Further treatment in the test will be adjusted according to the terms of workers, accident compensation insurance. Decision to use interfere on should be made after the diagnosis of symptom of hepatitis. Some medical insurance do not cover the delivering of interfere on for acute hepatitis C caused by needle stick injury. But plans under workers' accident Compensation grant such case. it is therefore advice able to prepare a report of accident to apply for official recognition. Again, there is never two without a third, so be sure to handle the equipment with care |