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BS EN ISO 23500:2015

$215.11

Guidance for the preparation and quality management of fluids for haemodialysis and related therapies

Published By Publication Date Number of Pages
BSI 2015 96
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ISO 23500:2014 provides dialysis practitioners with guidance on the preparation of dialysis fluid for haemodialysis and related therapies and substitution fluid for use in online therapies, such as haemodiafiltration and haemofiltration. As such, ISO 23500:2014 functions as a recommended practice. ISO 23500:2014 addresses the user’s responsibility for the dialysis fluid once the equipment used in its preparation has been delivered and installed. For the purposes of ISO 23500:2014, the dialysis fluid includes dialysis water used for the preparation of dialysis fluid and substitution fluid, dialysis water used for the preparation of concentrates at the user’s facility, as well as concentrates and the final dialysis fluid and substitution fluid.

PDF Catalog

PDF Pages PDF Title
6 Foreword
7 Introduction
9 Section sec_1
Section sec_1.1
Section sec_1.2
Section sec_1.3
Section sec_2
1 Scope
1.1 General
1.2 Inclusions
1.3 Exclusions
2 Normative references
10 Section sec_3
Section sec_3.1
Section sec_3.2
Section sec_3.3
Section sec_3.4
Section sec_3.5
3 Terms and definitions
11 Section sec_3.6
Section sec_3.7
Section sec_3.8
Section sec_3.9
Section sec_3.10
Section sec_3.11
Section sec_3.12
12 Section sec_3.13
Section sec_3.14
Section sec_3.15
Section sec_3.16
Section sec_3.17
13 Section sec_3.18
Section sec_3.19
Section sec_3.20
Section sec_3.21
Section sec_3.22
Section sec_3.23
14 Section sec_3.24
Section sec_3.25
Section sec_3.26
Section sec_3.27
Section sec_3.28
Section sec_3.29
Section sec_3.30
15 Section sec_3.31
Section sec_3.32
Section sec_3.33
Section sec_3.34
Section sec_3.35
Section sec_3.36
Section sec_3.37
Section sec_3.38
16 Section sec_3.39
Section sec_3.40
Section sec_3.41
Section sec_3.42
Section sec_3.43
Section sec_3.44
Section sec_3.45
17 Section sec_3.46
Section sec_4
Section sec_4.1
Section sec_4.1.1
Section sec_4.1.2
Table tab_1
4 Summary of quality requirements of ISO 13958, ISO 13959 and ISO 11663
4.1 Dialysis water
18 Table tab_2
Section sec_4.1.3
19 Table tab_3
Section sec_4.2
Section sec_4.2.1
Section sec_4.2.2
Section sec_4.3
Section sec_4.3.1
Section sec_4.3.2
4.2 Requirements for concentrate
4.3 Requirements for dialysis fluid
20 Table tab_4
Section sec_4.3.3
Section sec_4.3.4
Section sec_4.4
Section sec_5
4.4 Record retention
5 Critical aspects of system design
21 Section sec_5.1
Section sec_5.2
5.1 Technical aspects
5.2 Microbiological aspects
22 Section sec_6
Section sec_6.1
6 Validation of system performance
6.1 Validation plan
23 Table tab_b
Figure fig_1
Section sec_6.2
6.2 Installation and operational qualification
24 Section sec_6.3
Section sec_6.4
6.3 Performance qualification
6.4 Routine monitoring and revalidation
25 Section sec_7
Section sec_7.1
Section sec_7.2
Section sec_7.2.1
Section sec_7.2.2
7 Quality management
7.1 General
7.2 Monitoring of fluid quality
26 Section sec_7.2.3
Section sec_7.3
Section sec_7.3.1
Section sec_7.3.2
Section sec_7.3.3
Section sec_7.3.4
7.3 Monitoring of water treatment equipment
27 Section sec_7.3.5
Section sec_7.3.6
28 Section sec_7.3.7
29 Section sec_7.3.8
Section sec_7.3.9
Section sec_7.4
Section sec_7.4.1
7.4 Monitoring of dialysis water storage and distribution
30 Section sec_7.4.2
Section sec_7.4.3
Section sec_7.4.3.1
Section sec_7.4.3.2
Section sec_7.4.3.3
31 Section sec_7.5
Section sec_7.5.1
Section sec_7.5.2
Section sec_7.6
Section sec_7.7
7.5 Monitoring of concentrate preparation
7.6 Monitoring of concentrate distribution
7.7 Monitoring of dialysis fluid proportioning
32 Section sec_8
Section sec_8.1
Section sec_8.2
Section sec_8.2.1
8 Strategies for microbiological control
8.1 General
8.2 Disinfection
33 Section sec_8.2.2
Section sec_8.2.2.1
Section sec_8.2.2.2
Section sec_8.2.2.3
34 Section sec_8.2.2.4
Section sec_8.3
Section sec_8.3.1
Section sec_8.3.2
Section sec_8.3.2.1
8.3 Microbiological monitoring methods
35 Section sec_8.3.2.2
Section sec_8.3.3
Section sec_8.3.3.1
Section sec_8.3.3.2
Section sec_8.3.3.2.1
Section sec_8.3.3.2.2
Section sec_8.3.3.2.3
36 Section sec_8.3.3.2.4
Section sec_8.3.3.3
Table tab_5
Section sec_8.3.4
Section sec_9
9 Environment
37 Section sec_10
10 Personnel
38 Annex sec_A
Annex sec_A.1
Annex sec_A.2
Annex sec_A.3
Annex sec_A.4
Annex A
(informative)

Rationale for the development and provisions of this International Standard

39 Annex sec_A.5
Annex sec_A.6
Annex sec_A.7
40 Annex sec_A.8
41 Annex sec_A.9
Annex sec_A.10
42 Annex sec_B
Annex sec_B.1
Annex sec_B.2
Annex sec_B.2.1
Annex B
(informative)

Equipment

43 Annex sec_B.2.2
Annex sec_B.2.3
Annex sec_B.2.4
44 Annex sec_B.2.5
45 Annex sec_B.2.6
46 Annex sec_B.2.7
47 Annex sec_B.2.8
48 Annex sec_B.2.9
Annex sec_B.3
Annex sec_B.3.1
49 Annex sec_B.3.2
Annex sec_B.3.3
50 Table tab_B.1
Annex sec_B.3.4
Annex sec_B.3.4.1
Annex sec_B.3.4.2
51 Annex sec_B.3.4.3
Annex sec_B.3.4.4
52 Annex sec_B.4
Annex sec_B.4.1
Annex sec_B.4.2
53 Annex sec_B.4.3
Annex sec_B.4.3.1
Annex sec_B.4.3.2
Annex sec_B.4.3.3
Annex sec_B.4.3.4
Annex sec_B.4.4
Annex sec_B.4.4.1
54 Annex sec_B.4.4.2
Annex sec_B.4.4.3
Annex sec_B.4.5
55 Annex sec_B.5
Annex sec_B.5.1
Annex sec_B.5.2
Annex sec_B.5.3
Annex sec_B.5.3.1
Annex sec_B.5.3.2
56 Annex sec_B.5.3.3
57 Annex sec_B.6
Table tab_B.2
58 Annex sec_B.7
Annex sec_B.7.1
Annex sec_B.7.2
59 Annex sec_B.7.3
Annex sec_B.7.4
60 Annex sec_C
Annex sec_C.1
Table tab_C.1
Annex C
(informative)

Monitoring guidelines for water treatment equipment, distribution systems, and dialysis fluid

63 Annex sec_C.2
64 Table tab_C.2
65 Annex sec_D
Annex sec_D.1
Annex D
(informative)

Strategies for microbiological control
Annex D
(informative)

Strategies for microbiological control

67 Annex sec_D.2
Annex sec_D.2.1
Annex sec_D.2.2
68 Annex sec_D.2.3
Annex sec_D.2.4
69 Annex sec_D.3
70 Annex sec_E
Annex sec_E.1
Annex sec_E.2
Annex sec_E.2.1
Annex sec_E.2.2
Annex E
(informative)

Validation
Annex E
(informative)

Validation

71 Annex sec_E.2.3
Annex sec_E.2.4
72 Annex sec_E.3
73 Annex sec_F
Annex sec_F.1
Annex sec_F.2
Annex sec_F.3
Annex sec_F.3.1
Annex F
(informative)

Special considerations for home haemodialysis
Annex F
(informative)

Special considerations for home haemodialysis

74 Annex sec_F.3.2
Annex sec_F.3.3
75 Annex sec_F.4
Annex sec_F.5
Annex sec_F.5.1
Annex sec_F.5.2
Annex sec_F.5.3
76 Annex sec_F.5.4
Annex sec_F.5.5
Annex sec_F.5.6
Annex sec_F.6
Annex sec_F.6.1
Annex sec_F.6.2
77 Annex sec_F.7
Annex sec_F.7.1
Annex sec_F.7.2
Annex sec_F.7.2.1
Annex sec_F.7.2.2
Annex sec_F.7.2.3
78 Annex sec_F.7.2.4
Annex sec_F.7.2.5
79 Annex sec_G
Annex sec_G.1
Annex sec_G.2
Annex sec_G.3
Annex sec_G.3.1
Annex G
(informative)

Special considerations for acute haemodialysis
Annex G
(informative)

Special considerations for acute haemodialysis

80 Annex sec_G.3.2
Annex sec_G.3.3
Annex sec_G.3.4
81 Annex sec_G.3.5
Annex sec_G.3.5.1
Annex sec_G.3.5.2
82 Annex sec_G.3.6
Annex sec_G.3.7
Annex sec_G.4
84 Reference ref_1
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Bibliography
Bibliography
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BS EN ISO 23500:2015
$215.11