2月5日，药监局接到卫生健康委通报，上海新兴医药股份有限公司（以下简称“上海新兴”）生产的一批次静注人免疫球蛋白（批号：20180610Z）艾滋病病毒抗体检测为阳性。优质一次性使用医用吸痰管药监局立即要求上海市药监局对上海新兴开展现场检查，组织对同批原料血浆生产的产品和相邻批次产品进行检验，并派出督导检查组抵达上海、江西，督促指导地方药监部门开展调查处置工作。一次性使用医用吸痰管厂家药监局、卫生健康委联(lian)合下发通知，要求立(li)即暂停使用(yong)该(gai)企业(ye)(ye)生产的(de)相(xiang)关产品(pin)，并及(ji)时采(cai)取封存等控制措施。上(shang)海方面对(dui)涉事批次静注人免疫(yi)球蛋白(bai)进行的(de)艾(ai)滋病(bing)(bing)、乙肝、丙肝三种病(bing)(bing)毒(du)核酸检测，结(jie)果均为阴性；江(jiang)西方面对(dui)患者的(de)艾(ai)滋病(bing)(bing)病(bing)(bing)毒(du)核酸检测，结(jie)果为阴性。对(dui)企业(ye)(ye)现场核查等有关工作正在进一步进行中。

导(dao)尿设备在(zai)(zai)(zai)医疗当中也是(shi)(shi)(shi)(shi)(shi)经(jing)常使(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)一(yi)(yi)种(zhong)产品(pin)(pin)(pin)(pin),在(zai)(zai)(zai)泌尿肛肠等医疗科(ke)室经(jing)常用(yong)(yong)(yong)到导(dao)尿设备一(yi)(yi)般都是(shi)(shi)(shi)(shi)(shi)一(yi)(yi)次(ci)(ci)(ci)(ci)性(xing)使(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)。下面介(jie)绍的(de)(de)(de)(de)(de)这(zhei)种(zhong)-次(ci)(ci)(ci)(ci)性(xing)的(de)(de)(de)(de)(de)无莹(ying)导(dao)尿产品(pin)(pin)(pin)(pin)就是(shi)(shi)(shi)(shi)(shi)同类产品(pin)(pin)(pin)(pin)中性(xing)能(neng)非(fei)(fei)常优越的(de)(de)(de)(de)(de)一(yi)(yi)种(zhong)。产品(pin)(pin)(pin)(pin)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)途和(he)性(xing)能(neng),这(zhei)种(zhong)-次(ci)(ci)(ci)(ci)性(xing)的(de)(de)(de)(de)(de)无菌导(dao)尿包(bao)(bao)主要是(shi)(shi)(shi)(shi)(shi)给(ji)临床上(shang)的(de)(de)(de)(de)(de)患者导(dao)尿之用(yong)(yong)(yong)，这(zhei)种(zhong)产品(pin)(pin)(pin)(pin)是(shi)(shi)(shi)(shi)(shi)经(jing)过(guo)了环氧乙烷灭(mie)(mie)莹(ying),非(fei)(fei)常的(de)(de)(de)(de)(de)卫(wei)生(sheng)和(he)安(an)全，使(shi)(shi)用(yong)(yong)(yong)起(qi)来也非(fei)(fei)常方便。该产品(pin)(pin)(pin)(pin)是(shi)(shi)(shi)(shi)(shi)由洞巾,布(bu)和(he)一(yi)(yi)次(ci)(ci)(ci)(ci)性(xing)使(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)导(dao)尿管、橡(xiang)胶医用(yong)(yong)(yong)手套、海绵刷(shua)、纱布(bu)块、石(shi)蜡棉球(qiu)物品(pin)(pin)(pin)(pin)盒和(he)一(yi)(yi)次(ci)(ci)(ci)(ci)性(xing)的(de)(de)(de)(de)(de)引流袋(dai)等几部分(fen)组成。这(zhei)种(zhong)- -次(ci)(ci)(ci)(ci)性(xing)产品(pin)(pin)(pin)(pin)使(shi)(shi)用(yong)(yong)(yong)起(qi)来也非(fei)(fei)常方便。这(zhei)种(zhong)产品(pin)(pin)(pin)(pin)使(shi)(shi)用(yong)(yong)(yong)起(qi)来也比(bi)较简单,首先,在(zai)(zai)(zai)使(shi)(shi)用(yong)(yong)(yong)前要检查单包(bao)(bao)装是(shi)(shi)(shi)(shi)(shi)不是(shi)(shi)(shi)(shi)(shi)没有(you)(you)损(sun)(sun)坏,灭(mie)(mie)菌的(de)(de)(de)(de)(de)有(you)(you)效(xiao)期(qi)(qi)(qi)是(shi)(shi)(shi)(shi)(shi)不是(shi)(shi)(shi)(shi)(shi)正常;其(qi)次(ci)(ci)(ci)(ci),在(zai)(zai)(zai)使(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)时候,先打(da)开包(bao)(bao)装,在(zai)(zai)(zai)将包(bao)(bao)布(bu)打(da)开,再(zai)戴上(shang)手套,然后(hou);按照常规的(de)(de)(de)(de)(de)方法来使(shi)(shi)用(yong)(yong)(yong)导(dao)尿包(bao)(bao)里的(de)(de)(de)(de)(de)组件;其(qi)三,-般的(de)(de)(de)(de)(de)产品(pin)(pin)(pin)(pin)的(de)(de)(de)(de)(de)有(you)(you)效(xiao)期(qi)(qi)(qi)是(shi)(shi)(shi)(shi)(shi)两年 ,如果产品(pin)(pin)(pin)(pin)已经(jing)过(guo)了有(you)(you)效(xiao)期(qi)(qi)(qi),绝对不能(neng)使(shi)(shi)用(yong)(yong)(yong);四,如果包(bao)(bao)装破损(sun)(sun)了也不能(neng)使(shi)(shi)用(yong)(yong)(yong);五,这(zhei)是(shi)(shi)(shi)(shi)(shi)-次(ci)(ci)(ci)(ci)性(xing)的(de)(de)(de)(de)(de)使(shi)(shi)用(yong)(yong)(yong)产品(pin)(pin)(pin)(pin)，禁止重(zhong)复使(shi)(shi)用(yong)(yong)(yong),在(zai)(zai)(zai)使(shi)(shi)用(yong)(yong)(yong)完后(hou)要销毁,生(sheng)产日(ri)期(qi)(qi)(qi)般在(zai)(zai)(zai)包(bao)(bao)装封口处。

导(dao)(dao)(dao)尿(niao)(niao)包(bao)(bao)使(shi)(shi)用(yong)(yong)过(guo)程(cheng)中的禁(jin)忌症(zheng)及注意事项1 本品(pin)(pin)(pin)请(qing)在医(yi)生(sheng)(sheng)处方后(hou)使(shi)(shi)用(yong)(yong)，使(shi)(shi)用(yong)(yong)前(qian)请(qing)阅读说明书。2本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)在操作(zuo)过(guo)程(cheng)中应(ying)(ying)按(an)无(wu)菌操作(zuo)技术规范进行(xing)。3 导(dao)(dao)(dao)尿(niao)(niao)包(bao)(bao)的使(shi)(shi)用(yong)(yong)和(he)导(dao)(dao)(dao)尿(niao)(niao)的操作(zuo)应(ying)(ying)由(you)受过(guo)专业培训的医(yi)护人(ren)员进行(xing)。4、插入(ru)(ru)导(dao)(dao)(dao)尿(niao)(niao)管时应(ying)(ying)让(rang)患(huan)(huan)者保持(chi)正确(que)体(ti)位，插管动(dong)作(zuo)轻柔，避(bi)免(mian)损伤尿(niao)(niao)道(dao)粘膜(mo)。女性患(huan)(huan)者如导(dao)(dao)(dao)尿(niao)(niao)管误入(ru)(ru)阴道(dao)应(ying)(ying)换管重新插入(ru)(ru)。男(nan)性患(huan)(huan)者插入(ru)(ru)导(dao)(dao)(dao)尿(niao)(niao)管时应(ying)(ying)保障阴茎与腹壁成60度角(jiao)。5、患(huan)(huan)有(you)尿(niao)(niao)道(dao)疾(ji)病及橡胶(jiao)过(guo)敏者请(qing)慎重使(shi)(shi)用(yong)(yong)！6 使(shi)(shi)用(yong)(yong)本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)的过(guo)程(cheng)中，如发(fa)现瘙(sao)痒、皮肤发(fa)红(hong)、荨麻疹、水肿(zhong)等过(guo)敏症(zheng)状应(ying)(ying)立即停止使(shi)(shi)用(yong)(yong)，并请(qing)医(yi)生(sheng)(sheng)进行(xing)处置。7、本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)为(wei)环氧乙烷灭菌产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)。产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)有(you)效期(qi)两年。8、生(sheng)(sheng)产(chan)(chan)(chan)(chan)日(ri)期(qi)见产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)封(feng)口、消(xiao)毒(du)日(ri)期(qi)见外包(bao)(bao)装箱。9本产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)仅限(xian)于一(yi)次性使(shi)(shi)用(yong)(yong)，失效日(ri)期(qi)见产(chan)(chan)(chan)(chan)品(pin)(pin)(pin)外包(bao)(bao)装。

一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)操(cao)作方法(fa)(1)检查吸(xi)(xi)(xi)引器(qi)各(ge)(ge)部(bu)(bu)连(lian)接是(shi)否完善(shan)，有无漏气(qi)。接通(tong)电源，打开开关，检查吸(xi)(xi)(xi)引器(qi)性(xing)能(neng)，调节负压。一(yi)般成人吸(xi)(xi)(xi)痰(tan)负压约40-50 kPa，小儿吸(xi)(xi)(xi)痰(tan)约13-30kPa，将(jiang)(jiang)一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)置于水(shui)中(zhong)，试验吸(xi)(xi)(xi)引力(li)，并(bing)冲洗(xi)皮管(guan)(guan)(guan)。(2)将(jiang)(jiang)病人头部(bu)(bu)转向护士(shi)，铺治疗(liao)巾于颌下。(3)插(cha)(cha)入一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)，其顺序是(shi)由口腔(qiang)前(qian)庭→颊部(bu)(bu)→咽(yan)部(bu)(bu)，将(jiang)(jiang)各(ge)(ge)部(bu)(bu)吸(xi)(xi)(xi)尽(jin)。如口腔(qiang)吸(xi)(xi)(xi)痰(tan)有困(kun)难时(shi)，可(ke)由鼻(bi)(bi)腔(qiang)插(cha)(cha)入(颅底骨折患者禁(jin)用(yong)(yong))，其顺序由鼻(bi)(bi)腔(qiang)前(qian)庭→下鼻(bi)(bi)道→鼻(bi)(bi)后孔→咽(yan)部(bu)(bu)→气(qi)管(guan)(guan)(guan)(约20-25cm)，将(jiang)(jiang)分泌物逐段吸(xi)(xi)(xi)尽(jin)。若有气(qi)管(guan)(guan)(guan)插(cha)(cha)管(guan)(guan)(guan)或(huo)(huo)气(qi)管(guan)(guan)(guan)切(qie)开时(shi)，可(ke)由插(cha)(cha)管(guan)(guan)(guan)或(huo)(huo)套管(guan)(guan)(guan)内插(cha)(cha)入，将(jiang)(jiang)痰(tan)液吸(xi)(xi)(xi)出。昏迷病人可(ke)用(yong)(yong)压舌(she)板或(huo)(huo)开口器(qi)先(xian)将(jiang)(jiang)口启开，再行吸(xi)(xi)(xi)引。

接(jie)(jie)近(jin)(jin)(jin)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)，与(yu)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)第(di)一次接(jie)(jie)触(chu)对于(yu)医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员来说(shuo)，是(shi)一个很高的(de)(de)(de)门槛。最容易被医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)拒绝的(de)(de)(de)时(shi)候(hou)也在(zai)这个时(shi)候(hou)，没有(you)一定(ding)的(de)(de)(de)接(jie)(jie)近(jin)(jin)(jin)方(fang)(fang)(fang)法，新的(de)(de)(de)医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员很难获(huo)得(de)(de)与(yu)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)交谈(tan)的(de)(de)(de)机(ji)会(hui)。 因(yin)为(wei)(wei)陌(mo)生(sheng)(sheng)(sheng)(sheng)人(ren)相(xiang)识，压力极(ji)大。再说(shuo)销(xiao)(xiao)售(shou)(shou)(shou)工作(zuo)被很多人(ren)误解，也被一些不(bu)良(liang)的(de)(de)(de)医(yi)(yi)(yi)(yi)接(jie)(jie)近(jin)(jin)(jin)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)，与(yu)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)第(di)一次接(jie)(jie)触(chu)对于(yu)医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员来说(shuo)，是(shi)一个很高的(de)(de)(de)门槛。最容易被医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)拒绝的(de)(de)(de)时(shi)候(hou)也在(zai)这个时(shi)候(hou)，没有(you)一定(ding)的(de)(de)(de)接(jie)(jie)近(jin)(jin)(jin)方(fang)(fang)(fang)法，新的(de)(de)(de)医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员很难获(huo)得(de)(de)与(yu)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)交谈(tan)的(de)(de)(de)机(ji)会(hui)。因(yin)为(wei)(wei)陌(mo)生(sheng)(sheng)(sheng)(sheng)人(ren)相(xiang)识，压力极(ji)大。再说(shuo)销(xiao)(xiao)售(shou)(shou)(shou)工作(zuo)被很多人(ren)误解，也被一些不(bu)良(liang)的(de)(de)(de)医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员做(zuo)坏了名声(sheng)，医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)一般(ban)对医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员都有(you)拒绝心态。医(yi)(yi)(yi)(yi)疗(liao)器(qi)(qi)(qi)械(xie)(xie)(xie)销(xiao)(xiao)售(shou)(shou)(shou)员除了需要(yao)在(zai)接(jie)(jie)近(jin)(jin)(jin)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)前，做(zuo)好(hao)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)资料分析、选择拜访(fang)路线、熟练产(chan)品知识外，还要(yao)决定(ding)使用什么接(jie)(jie)近(jin)(jin)(jin)医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)方(fang)(fang)(fang)法。给予医(yi)(yi)(yi)(yi)生(sheng)(sheng)(sheng)(sheng)一个见面的(de)(de)(de)理由，是(shi)获(huo)得(de)(de)交谈(tan)机(ji)会(hui)的(de)(de)(de)敲门砖。

一(yi)次性(xing)(xing)使(shi)(shi)用(yong)(yong)无菌(jun)(jun)导(dao)(dao)尿(niao)包(bao)是一(yi)款身体行动不(bu)(bu)方便或者手术后(hou)没有办法自 由行动患者设计而(er)成的(de)一(yi)次性(xing)(xing)使(shi)(shi)用(yong)(yong)产(chan)品(pin)。本(ben)(ben)产(chan)品(pin)是由注(zhu)射(she)器(qi)、导(dao)(dao)尿(niao)管(guan)(guan)、 导(dao)(dao)管(guan)(guan)夹、塑(su)料镊(nie).塑(su)料试管(guan)(guan)、孔巾、展(zhan)巾、纱布块、止水(shui)(shui)(shui)器(qi)、润(run)滑(hua)(hua)剂、引流袋托盘、消毒棉球手套组成的(de)-套产(chan)品(pin)。那(nei)么，本(ben)(ben)产(chan)品(pin)如何使(shi)(shi)用(yong)(yong)?有哪(na)些注(zhu)意事项?在使(shi)(shi)用(yong)(yong)本(ben)(ben)产(chan)品(pin)的(de)时候(hou)首先(xian)要(yao)(yao)润(run)滑(hua)(hua),就是胶(jiao)(jiao)乳导(dao)(dao)尿(niao)管(guan)(guan)插入(ru)前,需(xu)用(yong)(yong)医(yi)用(yong)(yong)润(run)滑(hua)(hua)剂润(run)滑(hua)(hua)。超滑(hua)(hua)胶(jiao)(jiao)乳导(dao)(dao)尿(niao)管(guan)(guan)插入(ru)前先(xian)用(yong)(yong)无菌(jun)(jun)水(shui)(shui)(shui)充(chong)分湿润(run),即(ji)达(da)到超滑(hua)(hua)效(xiao)果,无需(xu)使(shi)(shi)用(yong)(yong)润(run)滑(hua)(hua)剂。然后(hou)就是插入(ru)和注(zhu)水(shui)(shui)(shui)等的(de)步(bu)骤了。就是将润(run)滑(hua)(hua)后(hou)的(de)导(dao)(dao)管(guan)(guan)小心插入(ru)膀胱,用(yong)(yong)不(bu)(bu)带针的(de)注(zhu)射(she)器(qi)注(zhu)入(ru)定(ding)量无菌(jun)(jun)水(shui)(shui)(shui),使(shi)(shi)膨胀了的(de)水(shui)(shui)(shui)妻卡(ka)信膀胱即(ji)可。后(hou)取出排水(shui)(shui)(shui)管(guan)(guan)。还需(xu)要(yao)(yao)医(yi)护(hu)人员留(liu)置观察以及护(hu)理。在使(shi)(shi)用(yong)(yong)时也要(yao)(yao)注(zhu)意,不(bu)(bu)要(yao)(yao)使(shi)(shi)用(yong)(yong)含石油基质的(de)润(run)滑(hua)(hua)剂;而(er)且,本(ben)(ben)产(chan)品(pin)经(jing)环氧乙烷灭莹,供一(yi)次性(xing)(xing)使(shi)(shi)用(yong)(yong),如包(bao)装破损,不(bu)(bu)能(neng)使(shi)(shi)用(yong)(yong);本(ben)(ben)产(chan)品(pin)仅供医(yi)护(hu)人员操(cao)作使(shi)(shi)用(yong)(yong),储藏(zang)要(yao)(yao)避光防热(re)。