Gebrauchshinweis
SARSTEDT Manuelle Blutsenkung –BSG-Ständer & Senkungspipetten

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DE Gebrauchshinweis – SARSTEDT Manuelle Blutsenkung – BSG-Ständer & Senkungspipetten
EN Instructions for Use – SARSTEDT Manual erythrocyte sedimentation – ESR racks & sedimentation pipettes
BG ȤɉɍɎɌɏɆɒɄɄɃȼɏɋɊɎɌɁȽȼş6$567('7ȬɖɓɉɊɏɎȼɛȾȼɉɁɉȼɆɌɖȾş%6*ȭɎɊɅɆȼɄɋɄɋɁɎɄɃȼɏɎȼɅɆȼ
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ES Instrucciones de uso – Sedimentación de la sangre manual SARSTEDT – Gradillas VSG y pipetas de sedimentación
ET Kasutusjuhend – SARSTEDTI vere käsitsi setitamine – BSG alustoed ja setitamispipetid
FR Mode d’emploi – SARSTEDT Sédimentation sanguine avec la technique manuelle – Portoir de VS et pipettes VS
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Istruzioni d’uso – Eritrosedimentazione manuale – Portaprovette VES e pipette di sedimentazione SARSTEDTIT
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NO Bruksanvisning – SARSTEDT Manuell blodsenkning – SR-stativ og senkningspipetter
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Gebrauchshinweis – SARSTEDT Manuelle Blutsenkung – BSG-Ständer & Senkungspipetten

DE

Verwendungszweck
Die manuellen BSG*-Ständer und die SARSTEDT Senkungspipetten dienen der manuellen, in-vitro diagnostischen Bestimmung der Blutkörperchensenkungsgeschwindigkeit (BSG) aus antikoaguliertem Citrat-Vollblut(Mischungsverhältnis 1:4; 1 Teil Citrat + 4 Teile Blut). Die erhaltenen Messergebnisse entsprechen der Methode nach Westergren. Abhängig vom verwendeten Blutentnahmesystem wird venöses oder kapillares Blut
eingesetzt. Bei der Microvette® CB 200 BSG ist es kapillares Blut, bei Verwendung der S-Sedivette®, der S-Monovette® BSG oder der Schraubröhre BSG kommt venöses Blut zum Einsatz.
Die Produkte sind für den Einsatz im professionellen Umfeld und die Anwendung durch medizinisches Fachpersonal und Laborpersonal bestimmt.
*BSG = Blutkörperchensenkungsgeschwindigkeit auch Blutsenkungsgeschwindigkeit

Produktbeschreibung
BSG-Ständer (auch Senkungsständer genannt) bestehen aus Kunststoff und sind je nach Ausführung auf die Blutentnahmegefäße S-Sedivette®, S-Monovette® BSG, der Schraubröhre BSG oder
Microvette® CB 200 BSG abgestimmt. Sie sind mit und ohne skalierter Rückwand erhältlich und bieten jeweils 10 Messplätze. Als Zubehör dienen die SARSTEDT Senkungspipetten aus Kunststoff, mit und ohne
Skalierung. Für den SARSTEDT Senkungsständer ohne Rückwand ist die S-Monovette® BSG oder die Schraubröhre BSG in Kombination mit der SARSTEDT Senkungspipette mit Skalierung passend. Die SARSTEDT
Senkungsständer mit skalierter Rückwand passen je nach Ausführung zur S-Sedivette®, sowie zur Kombination: S-Monovette® BSG oder zur Schraubröhre BSG mit der Senkungspipette mit O-Markierung (ohne
Skalierung) oder der Microvette® CB 200 BSG mit deren Senkungskapillare.

Artikelübersicht

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Typ

Art. Nr.

Bezeichnung

Zu verwenden mit

90.1090

SARSTEDT BSG-Ständer mit Graduierung

Passend für die S-Sedivette®

90.1060

SARSTEDT BSG-Ständer mit skalierter Rückwand

Passend für die S-Monovette® BSG oder der Schraubröhre BSG in Kombination
mit Senkungspipette mit O-Markierung (Variante E)

90.1060.062

SARSTEDT BSG-Ständer ohne Rückwand

Passend für die S-Monovette® BSG oder der Schraubröhre BSG in Kombination
mit Senkungspipette mit aufgedruckter Skalierung (Variante F)

90.1091

SARSTEDT BSG-Ständer für die Microvette® CB 200 BSG

Passend für die Microvette® CB 200 BSG mit Senkungskapillare

86.1996

SARSTEDT Senkungspipetten mit O-Markierung

Passend für SARSTEDT BSG-Ständer mit skalierter Rückwand (Variante B)

86.1996.062

SARSTEDT Senkungspipetten mit aufgedruckter Skalierung

Passend für SARSTEDT BSG-Ständer ohne Rückwand (Variante C)

Sicherheits- und Warnhinweise
1.

Befolgen Sie die Beschreibung zur Handhabung.

2.

Allgemeine Vorsichtsmaßnahmen: Verwenden Sie Handschuhe und eine allgemeine persönliche Schutzausrüstung,um sich vor einer möglichen Exposition gegenüber potentiell infektiösem Probenmaterial und übertragenen Krankheitserregern zu schützen.

3.

Behandeln Sie alle biologischen Proben und Entnahme-Hilfsmittel gemäß den Richtlinien und Verfahren Ihrer Einrichtung.
Suchen Sie im Falle eines Kontaktes mit biologischen Proben einen Arzt auf, da hierdurch Infektionskrankheiten übertragen werden können.
Die Sicherheitsrichtlinien und -verfahren Ihrer Einrichtung müssen befolgt werden.

4.

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5.

Die Senkungspipetten dürfen nach Ablauf der Haltbarkeit nicht mehr verwendet werden. Die Haltbarkeit endet am letzten Tag des angegebenen Monats und Jahres.

2

DE
Lagerung
Die Produkte sind bei Raumtemperatur zu lagern.

Physikalisch-chemisches Prinzip
Durch die höhere Dichte der Erythrozyten im Vergleich zum Plasma senken sich diese in antikoaguliertem Blut langsam ab. Die Sedimentation der Erythrozyten wird jedoch von unterschiedlichen Faktoren beeinflusst
welche die Senkungsgeschwindigkeit beschleunigen oder verlangsamen können. Zu den wichtigsten Einflussgrößen neben dem Dichteunterschied zählen die Erythrozyten-Aggregation sowie deren elektrische Ladung.
Die negative Ladung der Erythrozyten führt dazu, dass diese sich gegenseitig abstoßen und die Sedimentierung nur langsam abläuft. Eine veränderte Zusammensetzung der Plasmaproteine, speziell die Erhöhung derKonzentration an Akute-Phase-Proteinen bei entzündlichen Prozessen, verringert das Zeta-Potenzial (abstoßende Wirkung der negativen Beladung) und begünstigt dadurch die Aggregation der Erythrozyten was zu
einem schnelleren Sedimentierungsverhalten der Blutzellen und demnach zu erhöhten BSG-Messwerten führt+. Im Gegensatz dazu führt die Konzentrationserhöhung negativ geladener Plasmaproteine zur langsameren
Sedimentierung der Erythrozyten und somit zu niedrigeren BSG-Messwerten.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. Auflage. 2019; Springer. ISBN 978-3-662-48987-1

Referenzwerte sollten auf lokaler Ebene in Übereinstimmung mit den Empfehlungen für Referenzwerte festgelegt werden. In Anbetracht des progressiven Anstiegs der BSG mit dem Alter sollten für jedes Jahrzehnt
des Erwachsenenlebens bei Männern und Frauen separate Werte festgelegt werden. Mehrere andere Variablen beeinflussen die BSG und können sich somit auf die Referenzwerte auswirken, z. B. Hämoglobinspiegel,
Medikamente, Menstruationszyklus, Schwangerschaft und Rauchen. In Tabelle „Referenzwerte für die Westergren-ESR-Methode“ sind Referenzwerte für die BSG aufgeführt, die als Leitfaden für die Festlegung lokaler
Referenzwerte verwendet werden können.

Referenzwerte für die Westergren-ESR-Methode**
ESR-Mittelwert
obere Grenze der Norm
Alter (Jahre)

Männlich

Weiblich
Männlich

Weiblich

18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

Eine normale BSG schließt nichtentzündliche Organerkrankungen, Funktionsstörungen von Organen und bösartige Tumore nicht aus.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Einschränkungen1.

Eine Lagerung der Blutproben sollte bei Raumtemperatur erfolgen. Die Bestimmung der BSG sollte dann innerhalb der ersten 4 Stunden nach der Blutentnahme erfolgen.
Im Kühlschrank (4 °C) kann die Probe für eine längeren Zeitraum (maximal 24 Stunden) gelagert werden. Die Probe muss dann vor der Verwendung auf Raumtemperatur gebracht werden.

2.

Die Blutprobe ist vor der Messung der Blutkörperchensenkungsgeschwindigkeit durch sorgfältiges Schwenken gründlich zu homogenisieren.

3.

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4.

Das Messprinzip entspricht CLSI H2-A5.

5.

Die Messgenauigkeit beträgt +/-1 mm des Messweges.

6.

Die SARSTEDT BSG-Ständer können mit Desinfektionsmitteln auf Ethanol / Isopropanol Basis gereinigt werden.

7.

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8.

Der Ständer ist nur zu verwenden, wenn die Skalenblende nicht gewellt und die Skala eindeutig lesbar ist.

3

DE
Probennahme und Handhabung
LESEN SIE DIESES DOKUMENT VOLLSTÄNDIG DURCH, BEVOR SIE MIT DER BSG MESSUNG BEGINNEN.
Für die BSG Bestimmung benötigtes Arbeitsmaterial
1.

Mit Blutprobe befülltes Probengefäß (S-Sedivette®, S-Monovette® BSG, Schraubröhre BSG oder Microvette® CB 200 BSG)*.

2.

Zum Probengefäß passender SARSTEDT BSG-Ständer und ggf. die passende SARSTEDT Senkungspipette.

3.

Handschuhe, Kittel, Augenschutz oder andere geeignete Schutzkleidung zum Schutz vor durch Probenmaterial übertragene Pathogene oder potenziell infektiösen Materialien.

4.

Wecker oder Stoppuhr.

*Für die Blutentnahme und den Probentransport ist der Gebrauchshinweis des jeweiligen Probengefäßes (S-Sedivette®, S-Monovette® BSG, Schraubröhre BSG oder Microvette® CB 200 BSG) zu beachten.
Durchführung der BSG Bestimmung
Allgemeine Hinweise
Im Folgenden sind die verschiedenen Varianten der SARSTEDT BSG-Ständer und SARSTEDT Senkungspipetten beschrieben:
A: Verwendung von SARSTEDT BSG-Ständer, Art. Nr.: 90.1090
B: Verwendung von SARSTEDT BSG-Ständer, Art. Nr.: 90.1060 mit SARSTEDT Senkungspipetten, Art. Nr.: 86.1996
C: Verwendung von BSG-Ständer, Art. Nr.: 90.1060.062 mit SARSTEDT Senkungspipetten, Art. Nr.: 86.1996.062
D: Verwendung von SARSTEDT BSG-Ständer, Art. Nr.: 90.1091

A: Verwendung von SARSTEDT BSG-Ständer Art. Nr.: 90.1090
Der SARSTEDT BSG-Ständer (Art. Nr.: 90.1090) ist ausschließlich für die Anwendung mit der S-Sedivette® (Art. Nr.: 06.1690.xxx) geeignet.
).

1.

Schwenken Sie die Probe sorgfältig über Kopf (Abb.

2.

Der SARSTEDT BSG-Ständer muss auf einer waagerechten Unterlage stehen. Für die Messung stellen Sie die befüllte S-Sedivette® senkrecht in den SARSTEDT BSG-Ständer.
Der Nullpunkt jeder Probe muss mit der Rändelschraube (Pfeil) eingestellt werden (Abb. ).

3.

Starten Sie die Messung indem Sie einen Wecker oder eine Stoppuhr für Ihre Messzeitpunkte einstellen und starten.
Wahlweise auf 30 Minuten (1. Messwert) und 1 Stunde (2. Messwert) oder 1 Stunde (1. Messwert) und 2 Stunden (2. Messwert).

4.

Nach Ablauf der Zeit +/-1 Minuten wird der Abstand in Millimetern zwischen dem Boden des Plasmameniskus und dem oberen Ende der Säule mit den sedimentierten Erythrozyten auf der skalierten Rückwand
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B: Verwendung von SARSTEDT BSG-Ständer Art. Nr.: 90.1060 mit SARSTEDT Senkungspipetten Art. Nr.: 86.1996
Der SARSTEDT BSG-Ständer (Art. Nr.: 90.1060) ist ausschließlich für die Anwendung mit der S-Monovette® BSG (Art. Nr.: 05.1079.xxx) oder der Schraubröhre BSG (Art. Nr.: 47.410.xxx) und der SARSTEDT
Senkungspipette (Art. Nr.: 86.1996) geeignet.
).

1.

Schwenken Sie die Proben sorgfältig über Kopf (Abb.

2.

ĳQHQ6LHGLH60RQRYHWWH® BSG / die Schraubröhre BSG, indem Sie den Schraubverschluss gegen den Uhrzeigersinn drehen (Abb.

3.

Führen Sie die Senkungspipette in die S-Monovette® BSG / die Schraubröhre BSG ein. Drücken Sie die Senkungspipette vorsichtig nach unten. Die Senkungspipette füllt sich dabei mit Blut.
Verschrauben Sie die Kolbenhülse der Senkungspipette mit der S-Monovette® BSG / der Schraubröhre BSG durch drehen im Uhrzeigersinn (Abb. ).

).

).

4.

Die Senkungspipette ist richtig verschraubt, wenn die Füllmarkierung auf der Senkungspipette bei O-Markierung exakt erreicht ist (Abb.

5.

Für die Messung stellen Sie die S-Monovette® BSG / die Schraubröhre BSG mit der nun verschraubten Senkungspipette senkrecht auf den SARSTEDT BSG-Ständer mit skalierter Rückwand. Der SARSTEDTBSG-Ständer muss auf einer waagerechten Unterlage stehen. Der Nullpunkt jeder Probe muss überprüft und bei Bedarf durch drehen der Kolbenhülse der Senkungspipette eingestellt werden (Abb. ).

6.

Starten Sie die Messung indem Sie einen Wecker oder eine Stoppuhr für Ihre Messzeitpunkte einstellen und starten.
Wahlweise auf 30 Minuten (1. Messwert) und 1 Stunde (2. Messwert) oder 1 Stunde (1. Messwert) und 2 Stunden (2. Messwert).

7.

Nach Ablauf der Zeit +/-1 Minuten wird der Abstand in Millimetern zwischen dem Boden des Plasmameniskus und dem oberen Ende der Säule mit den sedimentierten Erythrozyten auf der skalierten Rückwand
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O

O

O

O

O

O

BSG / ESR / VS-WESTERGREN

5DE
C: Verwendung von SARSTEDT BSG-Ständer Art. Nr.: 90.1060.062 mit SARSTEDT Senkungspipetten Art. Nr.: 86.1996.062
Der SARSTEDT BSG-Ständer (Art. Nr.: 90.1060.062) ist ausschließlich für die Anwendung mit der S-Monovette® BSG (Art. Nr.: 05.1079.xxx) oder der Schraubröhre BSG (Art. Nr.: 47.410.xxx) und der SARSTEDT
Senkungspipette (Art. Nr.: 86.1996.062) geeignet.
).

1.

Schwenken Sie die Proben sorgfältig über Kopf (Abb.

2.

ĳQHQ6LHGLH60RQRYHWWH® BSG / die Schraubröhre BSG, indem Sie den Schraubverschluss gegen den Uhrzeigersinn drehen (Abb.

3.

Führen Sie die Senkungspipette in die S-Monovette® BSG / die Schraubröhre BSG ein. Drücken Sie die Senkungspipette vorsichtig nach unten. Die Senkungspipette füllt sich dabei mit Blut.
Verschrauben Sie die Kolbenhülse der Senkungspipette mit der S-Monovette® BSG / der Schraubröhre BSG durch drehen im Uhrzeigersinn (Abb. ).

).

).

4.

Die Senkungspipette ist richtig verschraubt, wenn die Füllmarkierung auf der Senkungspipette bei 0-Markierung exakt erreicht ist (Abb.

5.

Für die Messung stellen Sie die S-Monovette® BSG / die Schraubröhre BSG mit der nun verschraubten Senkungspipette senkrecht auf den SARSTEDT BSG-Ständer ohne Rückwand. Der SARSTEDTBSG-Ständer muss auf einer waagerechten Unterlage stehen. Der Nullpunkt jeder Probe muss überprüft und bei Bedarf durch drehen der Kolbenhülse der Senkungspipette eingestellt werden (Abb. ).

6.

Starten Sie die Messung indem Sie einen Wecker oder eine Stoppuhr für Ihre Messzeitpunkte einstellen und starten.
Wahlweise auf 30 Minuten (1. Messwert) und 1 Stunde (2. Messwert) oder 1 Stunde (1. Messwert) und 2 Stunden (2. Messwert).

7.

Nach Ablauf der Zeit +/-1 Minuten wird der Abstand in Millimetern zwischen dem Boden des Plasmameniskus und dem oberen Ende der Säule mit den sedimentierten Erythrozyten mit der auf der Senkungspipette
DXIJHGUXFNWHQ6NDOLHUXQJDEJHOHVHQ$FKWHQ6LHGDUDXIGDVVNHLQH/HXNR]\WHQ %Xĳ\&RDW LQGHU(U\WKUR]\WHQVËXOHHQWKDOWHQVLQG1RWLHUHQ6LHGHQQXPHULVFKHQ:HUW

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SEDIPLUS®

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BSG / ESR / VS-WESTERGREN

6

DE
D: Verwendung von SARSTEDT BSG-Ständer Art. Nr.: 90.1091
Der BSG-Ständer (Art. Nr.: 90.1091) ist ausschließlich für die Anwendung mit der Microvette® CB 200 BSG (Art. Nr.: 18.1325.xxx) geeignet.
).

1.

Schwenken Sie die Probe sorgfältig über Kopf (Abb.

2.

ĳQHQ6LHGLH0LFURYHWWH® CB 200 BSG, indem Sie den Stopfenverschluss nach oben herausziehen. Führen Sie die Senkungskapillare in die Microvette® CB 200 BSG ein.
Drücken Sie die Senkungskapillare vorsichtig nach unten. Die Senkungskapillare füllt sich dabei mit Blut (Abb. ).

3.

Der SARSTEDT BSG-Ständer muss auf einer waagerechten Unterlage stehen. Für die Messung stellen Sie die befüllte Microvette® CB 200 BSG mit Senkungskapillare senkrecht in den SARSTEDT BSG-Ständer.
Der Nullpunkt jeder Probe muss mit der Rändelschraube (Pfeil) exakt eingestellt werden (Abb. ).

4.

Starten Sie die Messung indem Sie einen Wecker oder eine Stoppuhr für Ihre Messzeitpunkte einstellen und starten.
Wahlweise auf 30 Minuten (1. Messwert) und 1 Stunde (2. Messwert) oder 1 Stunde (1. Messwert) und 2 Stunden (2. Messwert).

5.

Nach Ablauf der Zeit +/-1 Minuten wird der Abstand in Millimetern zwischen dem Boden des Plasmameniskus und dem oberen Ende der Säule mit den sedimentierten Erythrozyten auf der skalierten Rückwand
DEJHOHVHQ$FKWHQ6LHGDUDXIGDVVNHLQH/HXNR]\WHQ %Xĳ\&RDW LQGHU(U\WKUR]\WHQVËXOHHQWKDOWHQVLQG1RWLHUHQ6LHGHQQXPHULVFKHQ:HUW

Entsorgung
1.

Es sind die allgemeinen Hygienerichtlinien sowie die gesetzlichen Bestimmungen für die ordnungsgemäße Entsorgung von infektiösem Material zu beachten und einzuhalten.

2.

Einmalhandschuhe verhindern das Risiko einer Infektion.

3.

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4.

Entsorgung des potentiell kontaminierten Verbrauchsmaterial erfolgt gemäß den Richt- und Leitlinien der Einrichtung.

7

DE
3URGXNWVSH]LıVFKH1RUPHQXQG5LFKWOLQLHQLQGHUMHZHLOVJĞOWLJHQ)DVVXQJCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digitale Ausgabe Labor & Diagnose 2020; Kapitel 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

Symbol- und Kennzeichnungsschlüssel:

Artikelnummer

Chargenbezeichnung

Verwendbar bis

CE-Zeichen

In-vitro-Diagnostikum

Gebrauchsanleitung beachten

Bei Wiederverwendung: Kontaminationsgefahr

Vor Sonnenlicht geschützt aufbewahren

Trocken lagern

Hersteller

Land der Herstellung

Technische Änderungen vorbehalten.
Alle in Zusammenhang mit dem Produkt aufgetretenen schwerwiegenden Vorfälle sind dem Hersteller und der zuständigen nationalen Behörde zu melden.

8Instructions for Use – SARSTEDT Manual erythrocyte sedimentation– ESR racks & sedimentation pipettes

EN

Intended use
The manual ESR* racks and the SARSTEDT sedimentation pipettes are used for the manual, in vitro diagnostic determination of the erythrocyte sedimentation rate (ESR) from anticoagulated citrate whole blood (mixing
ratio 1:4; 1 part citrate + 4 parts blood). The measurement results are obtained according to the Westergren method. Depending on the blood collection system used, venous or capillary blood is used. Capillary blood isused with the Microvette® CB 200 ESR and venous blood with the S-Sedivette®, the S-Monovette® ESR or the ESR screw-cap tube.
The products are intended for use in a professional environment by qualified medical and laboratory personnel.
*ESR = Erythrocyte sedimentation rate

Product description
ESR racks (also called sedimentation racks) are made of plastic and, depending on the design, are matched to the blood collection tubes S-Sedivette®, S-Monovette® ESR, the screw-cap tube ESR or Microvette® CB
200 ESR. They are available with and without a graduated scale on the rear wall and have 10 measuring stations each. The SARSTEDT sedimentation pipettes made of plastic, with and without graduation, are used asaccessories. The S-Monovette® ESR or the screw-cap tube ESR in combination with the SARSTEDT sedimentation pipette with graduation are suited for use with the SARSTEDT sedimentation rack without rear wall.
Depending on the version, the SARSTEDT sedimentation racks with scaled rear wall fit the S-Sedivette® as well as the combination: S-Monovette® ESR or to the screw-cap tube ESR with the sedimentation pipette with
0 mark (no graduation) or the Microvette® CB 200 ESR with its sedimentation capillary.

Product overview

SEDIPLUS®

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BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Type

Art. no.

Name

For use with

90.1090

SARSTEDT ESR rack with graduated scale

Suitable for the S-Sedivette®

90.1060

SARSTEDT ESR rack with graduated real wall

Suitable for the S-Monovette® ESR or the screw-cap tube ESR in combination
with sedimentation pipette with 0 mark (variant E)

90.1060.062

SARSTEDT ESR rack without rear wall

Suitable for the S-Monovette® ESR or the screw-cap tube ESR in combination
with sedimentation pipette with printed graduated scale (variant F)

90.1091

SARSTEDT ESR rack for the Microvette® CB 200 ESR

Suitable for the Microvette® CB 200 ESR with sedimentation capillary

86.1996

SARSTEDT sedimentation pipettes with 0 markSuitable for SARSTEDT ESR rack with graduated rear wall (variant B)

86.1996.062

SARSTEDT sedimentation pipettes with printed graduated scale

Suitable for SARSTEDT ESR racks without rear wall (variant C)

Safety information and warnings
1.

Follow the directions for handling.

2.

General precautions: Use gloves and general personal protective equipment to protect yourself from possible exposure to potentially infectious specimen material and transmitted pathogens.

3.

Handle all biological specimens and collection utensils according to the guidelines and procedures in your facility. In the event of contact with biological samples, consult a doctor,
as this can transmit infectious diseases. Always follow the safety guidelines and procedures of your facility.

4.

The sedimentation pipettes are intended for single use. Dispose of all products in the hazardous biological waste containers.

5.

The sedimentation pipettes must not be used after the expiry date. The expiry date of the product is the last day of the month and year indicated.

9

EN
Storage
Store the products at room temperature.

Physical-chemical principle
Due to the higher density of erythrocytes compared to plasma, they slowly form sediment in anticoagulated blood. However, the sedimentation of erythrocytes is influenced by various factors that can accelerate or slow
down the rate of sedimentation. In addition to the difference in density, the most important influencing variables include erythrocyte aggregation and its electrical charge. The negative charge of the erythrocytes causes
them to repel one another and the sedimentation takes place only slowly. A changed composition of the plasma proteins, especially the increase in the concentration of acute phase proteins in inflammatory processes,
reduces the zeta potential (repulsive effect of the negative charge) and thus promotes erythrocyte aggregation, which leads to a faster sedimentation behaviour of the blood cells and consequently to higher measured
values for ESR+. In contrast, the increase in concentration of negatively charged plasma proteins leads to slower sedimentation of the erythrocytes and thus to lower ESR measured values.
+

Gressner et al.; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3rd Edition. 2019; Springer. ISBN 978-3-662-48987-1

Reference values should be set at the local level in accordance with the recommendations for reference values. In view of the progressive increase in ESR with age, separate values should be set for each decadeof adult life for men and women. Several other variables influence the ESR and can therefore affect the reference values, e.g. haemoglobin levels, medications, menstrual cycle, pregnancy and smoking. The table"Reference values for the Westergren ESR method" lists reference values for the ESR, which can be used as a guide for establishing local reference values.

Reference values for the Westergren ESR method**
Mean ESR
upper limit of normal
Age (years)

Male

FemaleMale

Female18 – 30

3.1

5.1

< 7.1

< 10.731 – 40

3.4

5.6

< 7.8

< 11.041 – 50

4.6

6.2< 10.6< 13.2

51 – 60

5.6

9.4< 12.2< 18.660 – 70

5.6

9.4< 12.7< 20.2

> 70

5.6

10.1

< 30

< 35

A normal ESR does not exclude non-inflammatory organ diseases, organ dysfunction and malignant tumours.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al.; Lehrbuch der Labormedizin; (Textbook of Laboratory Medicine) Schattauer, 1999; ISBN 3-7945-1856-X

Limitations
1.

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The specimen can be stored in a refrigerator (4 °C) for a longer period (max. 24 hours). The specimen must then be brought to room temperature before being used.

2.

The blood sample must be thoroughly homogenised by careful swirling before measuring the erythrocyte sedimentation rate.

3.

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The measuring principle complies with CLSI H2-A5.

5.

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The SARSTEDT ESR racks can be cleaned with ethanol /isopropanol-based disinfectants.

7.

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8.

The rack may be used only if the scale cover is not deformed and the scale is clearly legible.

10

EN
Collecting and handling specimens
READ ALL OF THIS DOCUMENT BEFORE STARTING THE ESR MEASUREMENT.
Equipment required for the ESR determination
1.

6DPSOHWXEHıOOHGZLWKEORRGVDPSOH 66HGLYHWWH®, S-Monovette® ESR, screw-cap tube ESR or Microvette® CB 200 ESR)*.

2.

SARSTEDT ESR rack matching the sample tube and, if necessary, a suitable SARSTEDT sedimentation pipette.

3.

Gloves, gowns, eye protection or other suitable protective clothing to protect against pathogens or potentially infectious materials transmitted by sample material.

4.

Alarm clock or stopwatch.

*For blood collection and sample transport, the instructions for use of the respective sample tube (S-Sedivette®, S-Monovette® ESR, screw-cap tube ESR or Microvette® CB 200 ESR) must be observed.
How to determine the ESR
General information
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A: Use of SARSTEDT ESR rack, Art. no.: 90.1090
B: Use of SARSTEDT ESR rack, Art. no.: 90.1060 with SARSTEDT sedimentation pipettes, Art. no.: 86.1996
C: Use of ESR rack, Art. no.: 90.1060.062 with SARSTEDT sedimentation pipettes, Art. no.: 86.1996.062
D: Use of SARSTEDT ESR rack, Art. no.: 90.1091

A: How to use the SARSTEDT ESR rack Art. no.: 90.1090
The SARSTEDT ESR rack (Art. no.: 90.1090) is suitable only for use with the S-Sedivette® (Art. no.: 06.1690.xxx).
).

1.

Carefully mix the sample by inverting it (Fig.

2.

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The zero point of each sample must be set with the knurled screw (arrow) (Fig. ).

3.

Start the measurement by setting and starting an alarm clock or a stopwatch for your measurement times.
Optionally set to 30 minutes (1st measured value) and 1 hour (2nd measured value) or 1 hour (1st measured value) and 2 hours (2nd measured value).

4.

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5x

11

EN
B: How to use the SARSTEDT ESR rack Art. no.: 90.1060 with SARSTEDT sedimentation pipettes Art. no.: 86.1996
The SARSTEDT ESR rack (Art. no.: 90.1060) is suitable only for use with the S-Monovette® ESR (Art. no.: 05.1079.xxx) or the screw tube ESR (Art. no.: 47.410.xxx)
and the SARSTEDT sedimentation pipette (Art. no.: 86.1996).
).

1.

Carefully mix the samples by inverting them (Fig.

2.

Open the S-Monovette® ESR / the screw-cap tube ESR by turning the screw cap anticlockwise (Fig.

3.

Insert the sedimentation pipette into the S-Monovette®(65  VFUHZWXEH(65&DUHIXOO\SXVKGRZQWKHVHGLPHQWDWLRQSLSHWWH7KHVHGLPHQWDWLRQSLSHWWHZLOOWKHQıOOZLWKEORRG
Screw in the plunger sleeve of the sedimentation pipette with the S-Monovette® ESR / the screw-cap tube ESR by turning it clockwise (Fig. ).

4.

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5.

For the measurement, place the S-Monovette® ESR / the screw-cap tube ESR with the now screwed in sedimentation pipette vertically on the SARSTEDT ESR rack with graduated rear wall.
The SARSTEDT ESR rack must stand on a horizontal base. The zero point of each sample must be checked and, if necessary, adjusted by rotating the plunger sleeve of the sedimentation pipette (Fig.

6.

Start the measurement by setting and starting an alarm clock or a stopwatch for your measurement times.
Optionally set to 30 minutes (1st measured value) and 1 hour (2nd measured value) or 1 hour (1st measured value) and 2 hours (2nd measured value).

7.

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C: How to use the SARSTEDT ESR rack Art. no.: 90.1060.062 with SARSTEDT sedimentation pipettes Art. no.: 86.1996.062
The SARSTEDT ESR rack (Art. no.: 90.1060.062) is suitable only for use with the S-Monovette® ESR (Art. no.: 05.1079.xxx) or the screw tube ESR (Art. no.: 47.410.xxx)
and the SARSTEDT sedimentation pipette (Art. no.: 86.1996.062).
).

1.

Carefully mix the samples inverting them (Fig.

2.

Open the S-Monovette® ESR / the screw-cap tube ESR by turning the screw cap anticlockwise (Fig.

3.

Insert the sedimentation pipette into the S-Monovette®(65  VFUHZWXEH(65&DUHIXOO\SXVKGRZQWKHVHGLPHQWDWLRQSLSHWWH7KHVHGLPHQWDWLRQSLSHWWHZLOOWKHQıOOZLWKEORRG
Screw in the plunger sleeve of the sedimentation pipette with the S-Monovette® ESR / the screw-cap tube ESR by turning it clockwise (Fig. ).

4.

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5.

For the measurement, place the S-Monovette® ESR / the screw-cap tube ESR with the now screwed in sedimentation pipette vertically on the SARSTEDT ESR rack without rear wall.
The SARSTEDT ESR rack must stand on a horizontal base. The zero point of each sample must be checked and if needed adjusted by rotating the plunger sleeve of the sedimentation pipette (Fig.

6.

Start the measurement by setting and starting an alarm clock or a stopwatch for your measurement times.
Optionally set to 30 minutes (1st measured value) and 1 hour (2nd measured value) or 1 hour (1st measured value) and 2 hours (2nd measured value).

7.

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).

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13

EN
D: How to use the SARSTEDT ESR rack Art. no.: 90.1091
The ESR rack (Art. no.: 90.1091) is suitable only for use with the Monovette® CB 200 ESR (Art. no.: 18.1325.xxx).
).

1.

Carefully mix the sample by inverting it (Fig.

2.

Open the Microvette® CB 200 ESR by pulling the stopper out upwards. Insert the sedimentation capillary into the Microvette® CB 200 ESR.
&DUHIXOO\SXVKGRZQWKHVHGLPHQWDWLRQFDSLOODU\7KHVHGLPHQWDWLRQFDSLOODU\ZLOOWKHQıOOZLWKEORRG )LJ ).

3.

The SARSTEDT ESR rack must stand on a horizontal base. To perform the measurement, place the Microvette® CB 200 ESR with sedimentation capillary vertically in the SARSTEDT ESR rack.
The zero point of each sample must be exactly set with the knurled screw (arrow) (Fig. ).

4.

Start the measurement by setting and starting an alarm clock or a stopwatch for your measurement times.
Optionally set to 30 minutes (1st measured value) and 1 hour (2nd measured value) or 1 hour (1st measured value) and 2 hours (2nd measured value).

5.

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Disposal
1.

The general hygiene guidelines and regulations for the proper disposal of infectious material must be observed and complied with.

2.

Disposable gloves prevent the risk of infection.

3.

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4.

Dispose of potentially contaminated material according to the regulations and guidelines of the facility.

14

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3URGXFWVSHFLıFVWDQGDUGVDQGJXLGHOLQHVDVDPHQGHGXSGDWHG
CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digital edition of Labor & Diagnose 2020; Chapter 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) [Erythrocyte Sedimentation Reaction (ESR)](www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

Key for symbols and labels:

Article number

Batch number

Use byCE mark

In vitro diagnostic device

Follow the instructions for use

If reused: Risk of contamination

Keep away from sunlight

Store in a dry place

Manufacturer

Country of manufacture

Technical modifications reserved.
All serious incidents relating to the product shall be notified to the manufacturer and the competent national authority.

15ȤɉɍɎɌɏɆɒɄɄɃȼɏɋɊɎɌɁȽȼş6$567('7ȬɖɓɉɊɏɎȼɛȾȼɉɁɉȼɆɌɖȾş%6*ȭɎɊɅɆȼɄɋɄɋɁɎɄɃȼɏɎȼɅɆȼ

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ȬɖɓɉɄɎɁ%6* ɍɎɊɅɆȼɄ6$567('7ɋɄɋɁɎɄɃȼɏɎȼɅɆȼɍɇɏɂȼɎɃȼɌɖɓɉɊɊɋɌɁɀɁɇɛɉɁɉȼɍɆɊɌɊɍɎɎȼɉȼɏɎȼɛȾȼɉɁɉȼɆɌɖȾɉɄɎɁɆɇɁɎɆɄ %6* ɊɎȼɉɎɄɆɊȼȿɏɇɄɌȼɉɒɄɎɌȼɎɋɖɇɉȼɆɌɖȾ ɍɖɊɎɉɊɔɁɉɄɁɓȼɍɎ
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ȪɋɄɍȼɉɄɁɉȼɋɌɊɀɏɆɎȼ
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ɃȼɀɉȼɍɎɁɉȼȞɃȼȾɄɍɄɈɊɍɎɊɎȾȼɌɄȼɉɎȼɍɎɊɅɆɄɎɁɃȼɏɎȼɅɆȼ6$567('7ɍɖɍɍɆȼɇȼɉȼɃȼɀɉȼɎȼɍɎɁɉȼɍȼɋɊɀɑɊɀɛɕɄɃȼ66HGLYHWWH®ɆȼɆɎɊɄɃȼɆɊɈȽɄɉȼɒɄɛɎȼ60RQRYHWWH®%6*ɄɇɄɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɍ
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ȫɌɁȿɇɁɀɉȼɋɌɊɀɏɆɎȼSEDIPLUS®

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10

10

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20

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20

20

20

20

20

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110

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

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BSG / ESR / VS-WESTERGREN

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ȞɄɀ

ȫɌɊɀɏɆɎɊȾǂȩȼɄɈɁɉɊȾȼɉɄɁ

ȣȼɏɋɊɎɌɁȽȼɍ

90.1090

6$567('7%6*ɍɎɊɅɆȼɍɖɍɍɆȼɇȼ

ȫɊɀɑɊɀɛɕȼɃȼ66HGLYHWWH®

90.1060

6$567('7%6*ɍɎɊɅɆȼɍɖɍɍɆȼɇȼɉȼɃȼɀɉȼɎȼɍɎɁɉȼ

ȫɊɀɑɊɀɛɕȼɃȼ60RQRYHWWH®%6*ɄɇɄɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ȾɆɊɈȽɄɉȼɒɄɛ
ɍɋɄɋɁɎȼɃȼɏɎȼɅɆȼɍȪɈȼɌɆɄɌɊȾɆȼ ȾȼɌɄȼɉɎȡ90.1060.062

6$567('7%6*ɍɎɊɅɆȼȽɁɃɃȼɀɉȼɍɎɁɉȼ

ȫɊɀɑɊɀɛɕȼɃȼ60RQRYHWWH®%6*ɄɇɄɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ȾɆɊɈȽɄɉȼɒɄɛ
ɍɋɄɋɁɎȼɎȼɃȼɏɎȼɅɆȼɍɖɍɍɆȼɇȼ ȾȼɌɄȼɉɎ)90.1091

6$567('7%6*ȭɎɊɅɆȼɃȼ0LFURYHWWH® CB 200 BSG

ȫɊɀɑɊɀɛɕȼɃȼ6$567('70LFURYHWWH®&%%6*ɍɆȼɋɄɇɛɌɄɃȼɏɎȼɅɆȼ

86.1996

6$567('7ȫɄɋɁɎɄɃȼɏɎȼɅɆȼɍȪɈȼɌɆɄɌɊȾɆȼ

ȫɊɀɑɊɀɛɕɄɃȼ6$567('7%6*ɍɎɊɅɆȼɍɖɍɍɆȼɇȼɉȼɃȼɀɉȼɎȼɍɎɁɉȼ ȾȼɌɄȼɉɎȞ86.1996.062

6$567('7ȫɄɋɁɎɄɃȼɏɎȼɅɆȼɍɖɍɍɆȼɇȼ

ȫɊɀɑɊɀɛɕɄɃȼ6$567('7%6*ȭɎɊɅɆȼȽɁɃɃȼɀɉȼɍɎɁɉȼ ȾȼɌɄȼɉɎȭȤɉɍɎɌɏɆɒɄɄɃȼȽɁɃɊɋȼɍɉɊɍɎ
1.

ȭɇɁɀȾȼɅɎɁɏɆȼɃȼɉɄɛɎȼɃȼɏɋɊɎɌɁȽȼ

2.

ȪȽɕɄɋɌɁɀɋȼɃɉɄɈɁɌɆɄȩɊɍɁɎɁɌɖɆȼȾɄɒɄɄɊȽɕɄɇɄɓɉɄɋɌɁɀɋȼɃɉɄɍɌɁɀɍɎȾȼɃȼɀȼɍɁɋɌɁɀɋȼɃɄɎɁɊɎɁȾɁɉɎɏȼɇɉɊɄɃɇȼȿȼɉɁɉȼɄɉɐɁɆɒɄɊɃɉɄɋɌɊȽɄɄɋȼɎɊȿɁɉɄ

3.

ȞɍɄɓɆɄȽɄɊɇɊȿɄɓɉɄɋɌɊȽɄɄɋɊɈɊɕɉɄȼɆɍɁɍɊȼɌɄɃȼȾɃɁɈȼɉɁɉȼɋɌɊȽɄɎɌɛȽȾȼɀȼȽɖɀȼɎɎɌɁɎɄɌȼɉɄɍɖȿɇȼɍɉɊɉȼɌɁɀȽɄɎɁɄɋɌɊɒɁɀɏɌɄɎɁɉȼɍɖɊɎȾɁɎɉɊɎɊɇɁɓɁȽɉɊɃȼȾɁɀɁɉɄɁ
ȞɍɇɏɓȼɅɓɁȽɖɀɁɎɁɀɄɌɁɆɎɉɊɄɃɇɊɂɁɉɄɉȼȽɄɊɇɊȿɄɓɉɄɋɌɊȽɄɋɊɎɖɌɍɁɎɁɇɁɆȼɌɍɆȼɋɊɈɊɕɃȼɕɊɎɊɁȾɖɃɈɊɂɉɊɃȼɌȼɃɛȾȼɉɁɍɄɉɐɁɆɒɄɊɃɉɄɃȼȽɊɇɛȾȼɉɄɛ
ȭɋȼɃȾȼɅɎɁɉȼɌɁɀȽɄɎɁɄɋɌɊɒɁɀɏɌɄɎɁɃȼȽɁɃɊɋȼɍɉɊɍɎɉȼɍɖɊɎȾɁɎɉɊɎɊɇɁɓɁȽɉɊɃȼȾɁɀɁɉɄɁ

4.

ȫɄɋɁɎɄɎɁɃȼɏɎȼɅɆȼɍȼɋɌɁɀɉȼɃɉȼɓɁɉɄɃȼɁɀɉɊɆɌȼɎɉȼɏɋɊɎɌɁȽȼȤɃɑȾɖɌɇɛɅɎɁȾɍɄɓɆɄɋɌɊɀɏɆɎɄȾɆɊɉɎɁɅɉɁɌɄɃȼɄɃɑȾɖɌɇɛɉɁɉȼɊɋȼɍɉɄȽɄɊɇɊȿɄɓɉɄɊɎɋȼɀɖɒɄ

5.

ȩɁɄɃɋɊɇɃȾȼɅɎɁɋɄɋɁɎɄɎɁɃȼɏɎȼɅɆȼɍɇɁɀɄɃɎɄɓȼɉɁɉȼɍɌɊɆȼɉȼȿɊɀɉɊɍɎȭɌɊɆɖɎɉȼȿɊɀɉɊɍɎɉȼɋɌɊɀɏɆɎȼɄɃɎɄɓȼɉȼɋɊɍɇɁɀɉɄɛɀɁɉɉȼɋɊɍɊɓɁɉɄɎɁɈɁɍɁɒɄȿɊɀɄɉȼ

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ɁɌɄɎɌɊɒɄɎɄɎɁɍɁɊɎȽɇɖɍɆȾȼɎȾɃȼɄɈɉɊɄɏɎȼɛȾȼɉɁɎɊɍɁɃȼȽȼȾɛȫɌɊɈɁɉɁɉɄɛɎɍɖɍɎȼȾɉȼɋɇȼɃɈɁɉɄɎɁɋɌɊɎɁɄɉɄɄɊɍɊȽɁɉɊɏȾɁɇɄɓȼȾȼɉɁɎɊɉȼɆɊɉɒɁɉɎɌȼɒɄɛɎȼɉȼɋɌɊɎɁɄɉɄɎɁɊɎɊɍɎɌȼɎȼɐȼɃȼɋɌɄȾɖɃɋȼɇɄɎɁɇɉɄ
ɋɌɊɒɁɍɄɉȼɈȼɇɛȾȼȣɁɎȼɋɊɎɁɉɒɄȼɇȼ ɊɎȽɇɖɍɆȾȼɕɄɛɁɐɁɆɎɉȼɊɎɌɄɒȼɎɁɇɉɄɛɃȼɌɛɀ ɄɋɊɎɊɃɄɉȼɓɄɉɋɌɁɀɌȼɃɋɊɇȼȿȼȼȿɌɁȿȼɒɄɛɎȼɉȼɁɌɄɎɌɊɒɄɎɄɎɁɆɊɁɎɊȾɊɀɄɀɊɋɊȽɖɌɃɊɏɎȼɛȾȼɉɁɉȼɆɌɖȾɉɄɎɁɆɇɁɎɆɄ
ɄɍɇɁɀɊȾȼɎɁɇɉɊɀɊɋɊȾɄɍɊɆɄ%6*ɍɎɊɅɉɊɍɎɄ+ȣȼɌȼɃɇɄɆȼɊɎɎɊȾȼɏȾɁɇɄɓȼȾȼɉɁɎɊɉȼɆɊɉɒɁɉɎɌȼɒɄɛɎȼɉȼɊɎɌɄɒȼɎɁɇɉɊɃȼɌɁɀɁɉɄɎɁɋɇȼɃɈɁɉɄɋɌɊɎɁɄɉɄȾɊɀɄɀɊɋɊȽȼȾɉɊɏɎȼɛȾȼɉɁɉȼɁɌɄɎɌɊɒɄɎɄɎɁɄ
ɍɇɁɀɊȾȼɎɁɇɉɊɀɊɋɊɉɄɍɆɄ%6*ɍɎɊɅɉɊɍɎɄ
*UHVVQHUHWDO/H[LNRQGHU0HGL]LQLVFKHQ/DERUDWRULXPVGLDJQRVWLN1DFKVFKODJHZHUNȤɃɀȼɉɄɁ6SULQJHU,6%1+ȬɁɐɁɌɁɉɎɉɄɎɁɍɎɊɅɉɊɍɎɄɎɌɛȽȾȼɀȼȽɖɀȼɎɊɋɌɁɀɁɇɁɉɄɉȼɈɁɍɎɉɊɉɄȾɊȾɍɖɊɎȾɁɎɍɎȾɄɁɍɋɌɁɋɊɌɖɆɄɎɁɃȼɌɁɐɁɌɁɉɎɉɄɍɎɊɅɉɊɍɎɄȫɌɁɀȾɄɀɋɌɊȿɌɁɍɄȾɉɊɎɊɏȾɁɇɄɓɁɉɄɁɉȼ%6*ɋɌɄɉȼɋɌɁɀȾȼɕȼȾɖɃɌȼɍɎɃȼ
ȾɍɛɆɊɀɁɍɁɎɄɇɁɎɄɁɊɎɂɄȾɊɎȼɉȼȾɖɃɌȼɍɎɉɄɈɖɂɁɄɂɁɉɄɎɌɛȽȾȼɀȼɍɁɊɋɌɁɀɁɇɛɎɊɎɀɁɇɉɄɍɎɊɅɉɊɍɎɄ%6*ɍɁȾɇɄɛɁɊɎɈɉɊɂɁɍɎȾɊɀɌɏȿɄɋɌɊɈɁɉɇɄȾɄɆɊɄɎɊɈɊȿȼɎɀȼɋɊȾɇɄɛɛɎɉȼɌɁɐɁɌɁɉɎɉɄɎɁɍɎɊɅɉɊɍɎɄ
ɉȼɋɌɄɈɁɌɉɄȾɊɉȼɑɁɈɊȿɇɊȽɄɉȼɇɁɆȼɌɍɎȾȼɈɁɉɍɎɌɏȼɒɄɊɉɁɉɒɄɆɖɇȽɌɁɈɁɉɉɊɍɎɄɎɚɎɚɉɊɋɏɔɁɉɁȞɎȼȽɇɄɒȼɎȼŚȬɁɐɁɌɁɉɎɉɄɍɎɊɅɉɊɍɎɄɃȼȞɁɍɎɁɌȿɌɁɉ%6*ɈɁɎɊɀȼŗɍȼȾɋɄɍȼɉɄɌɁɐɁɌɁɉɎɉɄ%6*ɍɎɊɅɉɊɍɎɄ
ɆɊɄɎɊɈɊȿȼɎɀȼɍɁɄɃɋɊɇɃȾȼɎɃȼɊɋɌɁɀɁɇɛɉɁɉȼɈɁɍɎɉɄɌɁɐɁɌɁɉɎɉɄɍɎɊɅɉɊɍɎɄ

ȬɁɐɁɌɁɉɎɉɄɍɎɊɅɉɊɍɎɄɃȼȞɁɍɎɁɌȿɌɁɉ%6*ɈɁɎɊɀȼ
%6*ɍɌɁɀɉȼɍɎɊɅɉɊɍɎ
ȿɊɌɉȼȿɌȼɉɄɒȼɉȼɉɊɌɈȼɎȼ
ȞɖɃɌȼɍɎ ȿɊɀɄɉɄ

Ɉɖɂ

ɂɁɉȼ
Ɉɖɂ

ɂɁɉȼ

18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

ȩɊɌɈȼɇɉȼɎȼ%6*ɉɁɄɃɆɇɚɓȾȼɉɁȾɖɃɋȼɇɄɎɁɇɉɄɃȼȽɊɇɛȾȼɉɄɛɄɇɄɀɄɍɐɏɉɆɒɄɄɉȼɊɌȿȼɉɄɄɃɇɊɆȼɓɁɍɎȾɁɉɄɎɏɈɊɌɄ
**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

ȪȿɌȼɉɄɓɁɉɄɛ
1.

ȭɖɑɌȼɉɁɉɄɁɎɊɉȼɆɌɖȾɉɄɎɁɋɌɊȽɄɎɌɛȽȾȼɀȼɍɁɄɃȾɖɌɔȾȼɋɌɄɍɎȼɅɉȼɎɁɈɋɁɌȼɎɏɌȼ
ȪɋɌɁɀɁɇɛɉɁɎɊɉȼɍɆɊɌɊɍɎɎȼɉȼɏɎȼɛȾȼɉɁɉȼɁɌɄɎɌɊɒɄɎɄɎɁ %6* ɎɊȿȼȾȼɎɌɛȽȾȼɀȼɍɁɄɃȾɖɌɔɄȾɌȼɈɆɄɎɁɉȼɋɖɌȾɄɎɁɓȼɍȼɍɇɁɀȾɃɁɈȼɉɁɎɊɉȼɆɌɖȾ
ȞɑɇȼɀɄɇɉɄɆ Ɠ& ɋɌɊȽȼɎȼɈɊɂɁɀȼɍɁɍɖɑɌȼɉɛȾȼɃȼɋɊɀɖɇɖȿɋɁɌɄɊɀɊɎȾɌɁɈɁ ɈȼɆɍɄɈɏɈɓȼɍȼ ȫɌɁɀɄɏɋɊɎɌɁȽȼɋɌɊȽȼɎȼɎɌɛȽȾȼɀȼɍɁɊɍɎȼȾɄɀȼɍɁɎɁɈɋɁɌɄɌȼɀɊɍɎȼɅɉȼɎɁɈɋɁɌȼɎɏɌȼ

2.

ȫɌɁɀɄɀȼȽɖɀɁɄɃɈɁɌɁɉȼɍɆɊɌɊɍɎɎȼɉȼɏɎȼɛȾȼɉɁɉȼɁɌɄɎɌɊɒɄɎɄɎɁɆɌɖȾɉȼɎȼɋɌɊȽȼɎɌɛȽȾȼɀȼɍɁɑɊɈɊȿɁɉɄɃɄɌȼɊɍɉɊȾɉɊɓɌɁɃȾɉɄɈȼɎɁɇɉɊɌȼɃɆɇȼɕȼɉɁ

3.

ȤɃɈɁɌȾȼɉɁɎɊɄɃɄɍɆȾȼşƓ&ɊɆɊɇɉȼɎɁɈɋɁɌȼɎɏɌȼɄɎɌɛȽȾȼɀȼɍɁɄɃȾɖɌɔɄɋɊɃȼɕɄɎɁɉɊɎȾɄȽɌȼɒɄɄ
ȾɖɃɀɏɔɉɊɎɁɓɁɉɄɁɄɀɄɌɁɆɎɉɊɍɇɖɉɓɁȾɊɇɖɓɁɉɄɁɉȼɓɄɉɄɇɄɍɖȿɇȼɍɉɊɍɋɁɒɄɐɄɓɉɄɎɁɃȼɍɎɌȼɉȼɎȼɄɇȼȽɊɌȼɎɊɌɄɛɎȼɄɃɄɍɆȾȼɉɄɛ

4.

ȤɃɈɁɌȾȼɎɁɇɉɄɛɎɋɌɄɉɒɄɋɍɖɊɎȾɁɎɍɎȾȼɉȼ&/6,+$5.

ȮɊɓɉɊɍɎɎȼɉȼɄɃɈɁɌȾȼɉɁɎɊɁPPɊɎɀɖɇɂɄɉȼɎȼɉȼɄɃɈɁɌȾȼɉɁ

6.

6$567('7%6*ɍɎɊɅɆɄɎɁɈɊȿȼɎɀȼɍɁɋɊɓɄɍɎȾȼɎɍɀɁɃɄɉɐɁɆɒɄɊɉɉɄɍɌɁɀɍɎȾȼɉȼɁɎȼɉɊɇɊȾȼɄɃɊɋɌɊɋȼɉɊɇɊȾȼɊɍɉɊȾȼ

7.

ȭɖɊɎɉɊɔɁɉɄɁɎɊɉȼɍɈɁɍȾȼɉɁɊɎȾɇɄɛɁɉɁɋɊɍɌɁɀɍɎȾɁɉɊȾɖɌɑɏɌɁɃɏɇɎȼɎȼɊɎȼɉȼɇɄɃȼɄɎɌɛȽȾȼɀȼɍɁɍɋȼɃȾȼ

8.

ȭɎɊɅɆȼɎȼɁȿɊɀɉȼɃȼɏɋɊɎɌɁȽȼɍȼɈɊȼɆɊɃȼɎȾɊɌȼɉȼɍɆȼɇȼɎȼɉɁɁɉȼȽɌɖɓɆȼɉɄɍɆȼɇȼɎȼɈɊɂɁɛɍɉɊɀȼȽɖɀɁɌȼɃɓɁɎɁɉȼ

17

BG
ȞɃɁɈȼɉɁɉȼɋɌɊȽɄɄɏɋɊɎɌɁȽȼ
ȫȬȪȳȡȮȡȮȡȮȪȣȤȠȪȦȯȨȡȩȮȤȣȲȻȧȪȫȬȡȠȤȠȜȣȜȫȪȳȩȡȮȡȭ%6*ȤȣȨȡȬȞȜȩȤȻȮȜȬȼȽɊɎɉɄɈȼɎɁɌɄȼɇɄɉɁɊȽɑɊɀɄɈɄɃȼɊɋɌɁɀɁɇɛɉɁɎɊɉȼ%6*1.

ȫɖɇɉȼɁɋɌɏȾɁɎɆȼɃȼɆɌɖȾɉɄɋɌɊȽɄ 66HGLYHWWH®, S-Monovette®%6*ɁɋɌɏȾɁɎɆȼɉȼȾɄɉɎ%6*ɄɇɄ0LFURYHWWH® CB 200 BSG)*.

2.

6$567('7%6*ɍɎɊɅɆȼɋɊɀɑɊɀɛɕȼɃȼɁɋɌɏȾɁɎɆȼɎȼɃȼɋɌɊȽɄɄɋɌɄɉɁɊȽɑɊɀɄɈɊɍɎɋɊɀɑɊɀɛɕȼ6$567('7ɋɄɋɁɎȼɃȼɏɎȼɅɆȼ

3.

ȬɖɆȼȾɄɒɄɋɌɁɍɎɄɇɆȼɊɓɄɇȼɄɀɌɏȿɄɋɊɀɑɊɀɛɕɄɋɌɁɀɋȼɃɉɄɈȼɎɁɌɄȼɇɄɃȼɀȼɍɁɋɌɁɀɋȼɃɄɎɁɊɎɋȼɎɊȿɁɉɄɋɌɁɉɊɍɄɈɄɍɈȼɎɁɌɄȼɇȼɃȼɋɌɊȽȼɄɇɄɀɌɏȿɄɋɊɎɁɉɒɄȼɇɉɊɄɉɐɁɆɒɄɊɃɉɄɈȼɎɁɌɄȼɇɄ

4.

ȝɏɀɄɇɉɄɆɄɇɄɑɌɊɉɊɈɁɎɖɌ

ȨɊɇɛɍɋȼɃȾȼɅɎɁɄɉɍɎɌɏɆɒɄɄɎɁɃȼɏɋɊɎɌɁȽȼɉȼɍɖɊɎȾɁɎɉȼɎȼɁɋɌɏȾɁɎɆȼɃȼɋɌɊȽɄ 66HGLYHWWH®, S-Monovette®%6*ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɄɇɄ0LFURYHWWH®&%%6* ɋɌɄȾɃɁɈȼɉɁɉȼɆɌɖȾɄɋɌɄɎɌȼɉɍɋɊɌɎɉȼɋɌɊȽɄɎɁ
ȤɃȾɖɌɔȾȼɉɁɉȼ%6*ɄɃɈɁɌȾȼɉɁ
ȪȽɕɄɄɉɍɎɌɏɆɒɄɄ
ȫɊɀɊɇɏɍȼɊɋɄɍȼɉɄɌȼɃɇɄɓɉɄɎɁȾȼɌɄȼɉɎɄɉȼ6$567('7%6*ɍɎɊɅɆɄɎɁɄ6$567('7ɋɄɋɁɎɄɎɁɃȼɏɎȼɅɆȼ
A: ȯɋɊɎɌɁȽȼɉȼ6$567('7%6*ɍɎɊɅɆɄɋɌɊɀɏɆɎɊȾǂ
B: ȯɋɊɎɌɁȽȼɉȼ6$567('7%6*ɍɎɊɅɆɄɋɌɊɀɏɆɎɊȾǂɍɖɍ6$567('7ɋɄɋɁɎɄɃȼɏɎȼɅɆȼɋɌɊɀɏɆɎɊȾǂ
C: ȯɋɊɎɌɁȽȼɉȼ%6*ɍɎɊɅɆɄɋɌɊɀɏɆɎɊȾǂɍɖɍ6$567('7ɋɄɋɁɎɄɃȼɏɎȼɅɆȼɋɌɊɀɏɆɎɊȾǂ
D: ȯɋɊɎɌɁȽȼɉȼ6$567('7%6*ɍɎɊɅɆɄɋɌɊɀɏɆɎɊȾǂ

$ȯɋɊɎɌɁȽȼɉȼ6$567('7%6*ɍɎɊɅɆɄɋɌɊɀɏɆɎɊȾǂ
6$567('7%6*ɍɎɊɅɆȼɎȼ ɋɌɊɀɏɆɎɊȾǂ ɁɋɌɁɀȾɄɀɁɉȼɍȼɈɊɃȼɏɋɊɎɌɁȽȼɍɖɍ66HGLYHWWH® ɋɌɊɀɏɆɎɊȾǂ[[[ 1.

ȞɉɄɈȼɎɁɇɉɊɊȽɖɌɉɁɎɁɋɌɊȽɄɎɁɉȼɊɋȼɆɄɄȾɖɌɉɁɎɁȾɋɖɌȾɊɉȼɓȼɇɉɊɎɊɋɊɇɊɂɁɉɄɁ ɐɄȿ

2.

6$567('7%6*ɍɎɊɅɆȼɎȼɎɌɛȽȾȼɀȼȽɖɀɁɋɊɍɎȼȾɁɉȼȾɖɌɑɏɑɊɌɄɃɊɉɎȼɇɉȼɋɊɀɇɊɂɆȼȫɊɍɎȼȾɁɎɁɋɖɇɉȼɎȼ66HGLYHWWH®ɄɃɋɌȼȾɁɉȼȾ6$567('7%6*ɍɎɊɅɆȼɎȼɃȼɀȼɃȼɋɊɓɉɁɎɁɄɃɈɁɌȾȼɉɁɎɊ
ȩɏɇɁȾȼɎȼɍɎɊɅɉɊɍɎɉȼȾɍɛɆȼɋɌɊȽȼɎɌɛȽȾȼɀȼȽɖɀɁɆɊɉɐɄȿɏɌɄɌȼɉȼɍɌɖɓɉɄɛȾɄɉɎ ɍɎɌɁɇɆȼ  ɐɄȿ ).

3.

ȤɃɋɊɇɃȾȼɅɎɁȽɏɀɄɇɉɄɆɄɇɄɑɌɊɉɊɈɁɎɖɌɃȼɀȼɃȼɍɁɓɁɎɁȾɌɁɈɁȾɄɎɁɍɎɊɅɉɊɍɎɄɆɊȿȼɎɊɃȼɋɊɓɉɁɎɁɄɃɈɁɌȾȼɉɁɎɊ
ȫɊɄɃȽɊɌɉȼɈɄɉɏɎɄ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ ɄɇɄɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍȼ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ 

4.

ȭɇɁɀɄɃɎɄɓȼɉɁɉȼȾɌɁɈɁɎɊɈɄɉɏɎɄɃȼɍɁɓɁɎɁȾɖɌɑɏɍɆȼɇȼɎȼɉȼɃȼɀɉȼɎȼɍɎɁɉȼɌȼɃɍɎɊɛɉɄɁɎɊȾɈɄɇɄɈɁɎɌɄɈɁɂɀɏɀɖɉɊɎɊɉȼɋɇȼɃɈɁɉɄɛɈɁɉɄɍɆɏɍɄȿɊɌɉȼɎȼɎɊɓɆȼɉȼɆɊɇɊɉȼɎȼɍɁɌɄɎɌɊɒɄɎɉȼɎȼɏɎȼɅɆȼ
ȫɊȿɌɄɂɁɎɁɍɁȾɆɊɇɊɉȼɎȼɍɁɌɄɎɌɊɒɄɎɄɀȼɉɛɈȼɇɁȾɆɊɒɄɎɄ %Xĳ\&RDW ȣȼɋɄɔɁɎɁɒɄɐɌɊȾȼɎȼɍɎɊɅɉɊɍɎ

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6$567('7%6*ɍɎɊɅɆȼɎȼ ɋɌɊɀɏɆɎɊȾǂ ɁɋɌɁɀȾɄɀɁɉȼɍȼɈɊɃȼɏɋɊɎɌɁȽȼɍɖɍ60RQRYHWWH®%6* ɋɌɊɀɏɆɎɊȾǂ[[[ ɄɇɄɍɁɋɌɏȾɁɎɆɄɉȼȾɄɉɎ%6* ɋɌɊɀɏɆɎɊȾǂ[[[ Ʉɍɖɍ6$567('7ɋɄɋɁɎȼɃȼɏɎȼɅɆȼ ɋɌɊɀɏɆɎɊȾǂ 1.

ȞɉɄɈȼɎɁɇɉɊɊȽɖɌɉɁɎɁɋɌɊȽɄɎɁɉȼɊɋȼɆɄɄȾɖɌɉɁɎɁȾɋɖɌȾɊɉȼɓȼɇɉɊɎɊɋɊɇɊɂɁɉɄɁ ɐɄȿ

2.

ȪɎȾɊɌɁɎɁ60RQRYHWWH®%6*  ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɆȼɎɊɛɃȼȾɖɌɎɄɎɁɋɊɋɊɍɊɆȼɊȽɌȼɎɉȼɉȼɓȼɍɊȾɉɄɆɊȾȼɎȼɍɎɌɁɇɆȼ ɐɄȿ

3.

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ȣȼɎȾɊɌɁɎɁɆɊɂɏɑȼɉȼɋɄɋɁɎȼɎȼɃȼɏɎȼɅɆȼɍ60RQRYHWWH®%6*  ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɆȼɎɊɃȼȾɖɌɎɄɎɁɋɊɋɊɍɊɆȼɉȼɓȼɍɊȾɉɄɆɊȾȼɎȼɍɎɌɁɇɆȼ ɐɄȿ ).

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4.

ȫɄɋɁɎȼɎȼɃȼɏɎȼɅɆȼɁɃȼɎȾɊɌɁɉȼɋɌȼȾɄɇɉɊɆɊȿȼɎɊɍɁɉȼɋɖɇɉɄɎɊɓɉɊɀɊȪɈȼɌɆɄɌɊȾɆȼɎȼ ɐɄȿ

5.

ȦɊȿȼɎɊɃȼɋɊɓɉɁɎɁɄɃɈɁɌȾȼɉɁɎɊɋɊɍɎȼȾɁɎɁ60RQRYHWWH®%6*  ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɍȾɁɓɁɋɌɄɆɌɁɋɁɉȼɎȼɋɄɋɁɎȼɃȼɏɎȼɅɆȼɄɃɋɌȼȾɁɉȼȾ6$567('7%6*ɍɎɊɅɆȼɎȼɍɖɍɍɆȼɇȼɉȼɃȼɀɉȼɎȼɍɎɁɉȼ
6$567('7%6*ɍɎɊɅɆȼɎȼɎɌɛȽȾȼɀȼȽɖɀɁɋɊɍɎȼȾɁɉȼȾɖɌɑɏɑɊɌɄɃɊɉɎȼɇɉȼɋɊɀɇɊɂɆȼȩɏɇɁȾȼɎȼɍɎɊɅɉɊɍɎɉȼȾɍɛɆȼɋɌɊȽȼɎɌɛȽȾȼɀȼȽɖɀɁɋɌɊȾɁɌɁɉȼɄɋɌɄɉɁɊȽɑɊɀɄɈɊɍɎɆɊɉɐɄȿɏɌɄɌȼɉȼɍɌɖɓɉɄɛȾɄɉɎɉȼ
ɋɄɋɁɎȼɎȼɃȼɏɎȼɅɆȼ ɐɄȿ ).

6.

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ȫɊɄɃȽɊɌɉȼɈɄɉɏɎɄ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ ɄɇɄɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍȼ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ 7.

ȭɇɁɀɄɃɎɄɓȼɉɁɉȼȾɌɁɈɁɎɊɈɄɉɏɎɄɃȼɍɁɓɁɎɁȾɖɌɑɏɍɆȼɇȼɎȼɉȼɃȼɀɉȼɎȼɍɎɁɉȼɌȼɃɍɎɊɛɉɄɁɎɊȾɈɄɇɄɈɁɎɌɄɈɁɂɀɏɀɖɉɊɎɊɉȼɋɇȼɃɈɁɉɄɛɈɁɉɄɍɆɏɍɄȿɊɌɉȼɎȼɎɊɓɆȼɉȼɆɊɇɊɉȼɎȼɍɁɌɄɎɌɊɒɄɎɉȼɎȼɏɎȼɅɆȼ
ȫɊȿɌɄɂɁɎɁɍɁȾɆɊɇɊɉȼɎȼɍɁɌɄɎɌɊɒɄɎɄɀȼɉɛɈȼɇɁȾɆɊɒɄɎɄ %Xĳ\&RDW ȣȼɋɄɔɁɎɁɒɄɐɌɊȾȼɎȼɍɎɊɅɉɊɍɎO

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6$567('7%6*ɍɎɊɅɆȼɎȼ ɋɌɊɀɏɆɎɊȾǂ ɁɋɌɁɀȾɄɀɁɉȼɍȼɈɊɃȼɏɋɊɎɌɁȽȼɍɖɍ60RQRYHWWH®%6* ɋɌɊɀɏɆɎɊȾǂ[[[ ɄɇɄɍɁɋɌɏȾɁɎɆɄɉȼȾɄɉɎ%6* ɋɌɊɀɏɆɎɊȾǂ[[[ Ʉɍɖɍ6$567('7ɋɄɋɁɎȼɃȼɏɎȼɅɆȼ ɋɌɊɀɏɆɎɊȾǂ 1.

ȞɉɄɈȼɎɁɇɉɊɊȽɖɌɉɁɎɁɋɌɊȽɄɎɁɉȼɊɋȼɆɄɄȾɖɌɉɁɎɁȾɋɖɌȾɊɉȼɓȼɇɉɊɎɊɋɊɇɊɂɁɉɄɁ ɐɄȿ

2.

ȪɎȾɊɌɁɎɁ60RQRYHWWH®%6*  ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɆȼɎɊɛɃȼȾɖɌɎɄɎɁɋɊɋɊɍɊɆȼɊȽɌȼɎɉȼɉȼɓȼɍɊȾɉɄɆɊȾȼɎȼɍɎɌɁɇɆȼ ɐɄȿ

3.

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ȣȼɎȾɊɌɁɎɁɆɊɂɏɑȼɉȼɋɄɋɁɎȼɎȼɃȼɏɎȼɅɆȼɍ60RQRYHWWH®%6*  ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɆȼɎɊɃȼȾɖɌɎɄɎɁɋɊɋɊɍɊɆȼɉȼɓȼɍɊȾɉɄɆɊȾȼɎȼɍɎɌɁɇɆȼ ɐɄȿ ).

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4.

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5.

ȦɊȿȼɎɊɃȼɋɊɓɉɁɎɁɄɃɈɁɌȾȼɉɁɎɊɋɊɍɎȼȾɁɎɁ60RQRYHWWH®%6*  ɁɋɌɏȾɁɎɆȼɎȼɉȼȾɄɉɎ%6*ɍȾɁɓɁɋɌɄɆɌɁɋɁɉȼɎȼɋɄɋɁɎȼɃȼɏɎȼɅɆȼɄɃɋɌȼȾɁɉȼȾ6$567('7%6*ɍɎɊɅɆȼɎȼȽɁɃɃȼɀɉȼɍɎɁɉȼ6$567('7%6*
ɍɎɊɅɆȼɎȼɎɌɛȽȾȼɀȼȽɖɀɁɋɊɍɎȼȾɁɉȼȾɖɌɑɏɑɊɌɄɃɊɉɎȼɇɉȼɋɊɀɇɊɂɆȼȩɏɇɁȾȼɎȼɍɎɊɅɉɊɍɎɉȼȾɍɛɆȼɋɌɊȽȼɎɌɛȽȾȼɀȼȽɖɀɁɋɌɊȾɁɌɁɉȼɄɋɌɄɉɁɊȽɑɊɀɄɈɊɍɎɆɊɉɐɄȿɏɌɄɌȼɉȼɍɌɖɓɉɄɛȾɄɉɎɉȼɋɄɋɁɎȼɎȼɃȼ
ɏɎȼɅɆȼ ɐɄȿ ).

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ȤɃɋɊɇɃȾȼɅɎɁȽɏɀɄɇɉɄɆɄɇɄɑɌɊɉɊɈɁɎɖɌɃȼɀȼɃȼɍɁɓɁɎɁȾɌɁɈɁȾɄɎɁɍɎɊɅɉɊɍɎɄɆɊȿȼɎɊɃȼɋɊɓɉɁɎɁɄɃɈɁɌȾȼɉɁɎɊ
ȫɊɄɃȽɊɌɉȼɈɄɉɏɎɄ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ ɄɇɄɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍȼ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ 7.

ȭɇɁɀɄɃɎɄɓȼɉɁɉȼȾɌɁɈɁɎɊɈɄɉɏɎɄɃȼɍɁɓɁɎɁȾɖɌɑɏɍɆȼɇȼɎȼɉȼɋɄɋɁɎȼɎȼɃȼɏɎȼɅɆȼɌȼɃɍɎɊɛɉɄɁɎɊȾɈɄɇɄɈɁɎɌɄɈɁɂɀɏɀɖɉɊɎɊɉȼɋɇȼɃɈɁɉɄɛɈɁɉɄɍɆɏɍɄȿɊɌɉȼɎȼɎɊɓɆȼɉȼɆɊɇɊɉȼɎȼɍɁɌɄɎɌɊɒɄɎɉȼɎȼ
ɏɎȼɅɆȼȫɊȿɌɄɂɁɎɁɍɁȾɆɊɇɊɉȼɎȼɍɁɌɄɎɌɊɒɄɎɄɀȼɉɛɈȼɇɁȾɆɊɒɄɎɄ %Xĳ\&RDW ȣȼɋɄɔɁɎɁɒɄɐɌɊȾȼɎȼɍɎɊɅɉɊɍɎ

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ȞɉɄɈȼɎɁɇɉɊɉȼɎɄɍɉɁɎɁɆȼɋɄɇɛɌȼɃȼɏɎȼɅɆȼɉȼɀɊɇɏȦȼɋɄɇɛɌɖɎɃȼɏɎȼɅɆȼȽȼȾɉɊɕɁɍɁɉȼɋɖɇɉɄɍɆɌɖȾ ɐɄȿ ).

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ȫɊɄɃȽɊɌɉȼɈɄɉɏɎɄ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ ɄɇɄɓȼɍ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ Ʉɓȼɍȼ ȾɌɁɈɁȾȼɍɎɊɅɉɊɍɎ 

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ȤɃɑȾɖɌɇɛɉɁ
1.

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2.

ȬɖɆȼȾɄɒɄɎɁɃȼɁɀɉɊɆɌȼɎɉȼɏɋɊɎɌɁȽȼɋɌɁɀɊɎȾɌȼɎɛȾȼɎɌɄɍɆȼɊɎɄɉɐɁɆɒɄɄ

3.

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4.

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21

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ȩɊɈɁɌɉȼȼɌɎɄɆɏɇ

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ȭȡɈȼɌɆɄɌɊȾɆȼ

ȤɉȾɄɎɌɊɀɄȼȿɉɊɍɎɄɆȼ

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ȭɖɑɌȼɉɛȾȼɅɎɁɉȼɍɏɑɊ

ȫɌɊɄɃȾɊɀɄɎɁɇ

ȠɖɌɂȼȾȼɉȼɋɌɊɄɃȾɊɀɍɎȾɊ

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ȞɍɄɓɆɄɍɁɌɄɊɃɉɄɄɉɒɄɀɁɉɎɄɍȾɖɌɃȼɉɄɍɋɌɊɀɏɆɎȼɍɁɍɖɊȽɕȼȾȼɎɉȼɋɌɊɄɃȾɊɀɄɎɁɇɛɄɉȼɆɊɈɋɁɎɁɉɎɉɄɛɉȼɒɄɊɉȼɇɁɉɊɌȿȼɉ

22

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HU\WURF\WġFRĭYHGHNU\FKOHMđìPXXVD]RYÈQìNUHYQìFKEXQÞNDQÈVOHGQÞNY\đđìPQDPÞčHQĨPKRGQRWÈP(65+=YĨđHQìNRQFHQWUDFH]ÈSRUQÞQDELWĨFKSOD]PDWLFNĨFKSURWHLQġQDRSDNYHGHNH]SRPDOHQÜPXXVD]RYÈQì
HU\WURF\WġDWìPNQLĭđìPKRGQRWÈP(65+Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. vydání. 2019; Springer. ISBN 978-3-662-48987-1

5HIHUHQÕQìKRGQRW\E\PÞO\EĨWVWDQRYHQ\QDPìVWQìěURYQLYVRXODGXVGRSRUXÕHQìPLSURUHIHUHQÕQìKRGQRW\9]KOHGHPNSRVWXSQÜPX]Y\đRYÈQì(65VYÞNHPE\PÞO\EĨWVWDQRYHQ\VDPRVWDWQÜKRGQRW\SURNDĭGĨFK
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0Xĭ

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0Xĭ

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18 – 30

3.1

5.1

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< 10,731 – 40

3.4

5.6

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4.6

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5.6

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5.6

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***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

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2.

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3.

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Stanovení hodnoty ESR
Všeobecné pokyny'ÈOHMVRXSRSVÈQ\Uġ]QÜYDULDQW\VWRMDQġ(656$567('7DVHGLPHQWDÕQìFKSLSHW6$567('7
A: 3RXĭLWìVWRMDQX(656$567('7ÕYĨU
B: 3RXĭLWìVWRMDQX(656$567('7ÕYĨUVHVHGLPHQWDÕQìPLSLSHWDPL6$567('7ÕYĨU
C: 3RXĭLWìVWRMDQX(65ÕYĨUVHVHGLPHQWDÕQìPLSLSHWDPL6$567('7ÕYĨU
D: 3RXĭLWìVWRMDQX(656$567('7ÕYĨU

$3RXĭLWìVWRMDQX(656$567('7ÕYĨU
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4.

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2.

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3.

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4.

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5.

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6.

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7.

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26

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1.

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2.

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3.

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4.

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5.

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6.

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7.

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20

20

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30

30

30

30

30

30

30

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30

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30

40

40

40

40

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40

40

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40

40

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50

50

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50

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50

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60

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60

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60

60

60

70

70

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70

70

70

70

70

70

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80

80

80

80

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80

80

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80

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90

90

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90

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100

100

100

100

100

100

100

100

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27

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CS
1RUP\DbVPÞUQLFHVSHFLıFNÜSURGDQĨSURGXNWYbDNWXÈOQÞSODWQÜP]QÞQì
CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digitální vydání Labor & Diagnose 2020; kapitola 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute).OìÕSURV\PERO\DR]QDÕHQìqìVORYĨURENX

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Brugsanvisning – SARSTEDT manuel blodsedimentation – BSH-stativ & sedimentationspipetter

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Anvendelsesformål
De manuelle BSG*-stativer og SARSTEDT-sedimentationspipetterne bruges til manuel in-vitro diagnostisk bestemmelse af blodsedimentationshastighed (BSH) ud fra antikoaguleret citrat-fuldblod (blandingsforhold 1:4;
1 del citrat + 4 dele blod). De opnåede måleresultater svarer til Westergren-metoden. Afængigt af det anvendte blodprøvetagningssystem anvendes der venøst eller kapillært blod. Ved Microvette® CB 200 BSG er det
kapillært blod, og ved anvendelse af S-Sedivette®, S-Monovette® BSG eller rør med skruelåg BSG anvendes venøst blod.
Produkterne er beregnet til anvendelse i et professionelt miljø og til at blive brugt af medicinsk fagpersonale og laboratoriepersonale.
*BSH = blodsedimentationshastighed også blodsænkningshastighed

Produktbeskrivelse
BSG-stativet (også kaldet sedimentationsstativet) er fremstillet af plast og er, alt efter variant, Blutentnahmegefäße til blodprøvetagningsrørene S-Sedivette®, S-Monovette® BSG, rør med skruelåg BSG eller Microvette®
CB 200 BSG. De fås med og uden et skaleret bagvæg og har hver 10 målepositioner. SARSTEDT sedimentationspipetter af plast, med og uden slaæa, fungerer som tilbehør. SARSTED sedimentationsstativet udenbagvæg passer til S-Monovette® BSG eller rør med skruelåg BSG i kombination med SARSTEDT sedimentationspipette med skala. SARSTEDT sedimentationsstativet med bagvæg med skala passer alt efter variant til
S-Sedivette® og til kombinationen: S-Monovette® BSG eller til rør med skruerlåg BSG med sedimentationspipetten med O-markering (uden skala) eller Microvette® CB 200 BSG med deres sedimentationskapillærer.

Produktoversigt

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Type

Art. nr.

Betegnelse

Til anvendelse med

90.1090

SARSTEDT BSG-stativ med graduering

Egnet til S-Sedivette®

90.1060

SARSTEDT BSG-stativ med bagvæg med skala

Passer til S-Monovette® BSG eller rør med skruelåg BSG i kombination med
sedimentationspipette med O-mærkning (variant E).

90.1060.062

SARSTEDT BSG-stativ uden bagvæg

Passer til S-Monovette® BSG eller rør med skruelåg BSG i kombination med
sedimentationspipette med påtrykt skala (variant F).

90.1091

SARSTEDT BSG-stativ til Microvette® CB 200 BSG

Passer til Microvette® CB 200 BSG med sedimentationskapillær

86.1996

SARSTEDT sedimentationspipetter med O-markering

Passer til SARSTEDT BSG-stativ med bagvæg med skala (variant B)

86.1996.062

SARSTEDT sedimentationspipetter med påtrykt skala

Egnet til SARSTEDT BSG-stativ uden bagvæg (variant C)

Sikkerhedsvejledninger og advarsler
1.

Følg beskrivelsen for håndtering.

2.

Generelle forholdsregler: Brug handsker og almindeligt personligt værnemiddel for at beskytte dig mod mulig eksponering for potentielt infektiøst prøvemateriale og overførte patogener.

3.

Håndtér alle biologiske prøver og prøvetagningshjælpemidler i henhold til din organisations politikker og procedurer. I tilfælde af en direkte kontakt med biologiske prøver skal du opsøge en læge,da der herved kan overføres infektiøse sygdomme. Organisations sikkerhedsretningslinjer og -procedurer skal følges.

4.

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5.

Sedimentationspipetterne må ikke anvendes efter udløbsdatoen. Holdbarheden slutter den sidste dag i den angivne måned og det angivne år.

30

DA
Opbevaring
Produkterne skal opbevares ved stuetemperatur.

Fysisk-kemisk princip
På grund af erytrocytternes højere densitet i forhold til plasma, falder de langsomt i antikoaguleret blod. Sedimentationen af erythrocytterne påvirkes imidlertid af forskellige faktorer, som kan øge eller nedsætte
sedimentationshastigheden. Ud over forskellen i densiteten tæller erythrocytternes aggregering og deres elektriske ladning til de vigtigste påvirkningsfaktorer. Erytrocytternes negative ladning gør, at de frastøder
hinanden, og sedimentationen forløber kun langsomt. En ændret sammensætning af plasmaproteinerne, især stigningen i koncentrationen af akutfaseproteiner i inflammatoriske processer, reducerer zetapotentialet(den negative ladnings afvisende virkning) og fremmer derved aggregeringen af erytrocytterne, hvilket fører til en hurtigere sedimentation af blodcellerne og dermed øgede BSH-måleværdier+. I modsætning hertil fører
koncentrationsstigningen af negativt ladede plasmaproteiner til langsommere sedimentation af erytrocytterne og dermed til lavere BSH-måleværdier.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. udgave. 2019; Springer. ISBN 978-3-662-48987-1

Referenceværdierne bør fastsættes på lokal plan i overensstemmelse med anbefalingerne for referenceværdierne. Med hensyn til den progressive stigning i BSH med alderen, bør der etableres separate værdierfor hvert årti af mændenes og kvindernes voksenliv. Flere andre variable som f.eks. hæmoglobinniveau, lægemidler, menstruationscyklus, graviditet og rygning påvirker BSH og kan dermed have indvirkning på
referenceværdierne. I tabellen “Referenceværdier for Westergren-BSH-metoden“ vises referenceværdier for BSH, der kan bruges som en vejledning til fastsættelse af lokale referenceværdier.

5HIHUHQFHYÑUGLHUIRU:HVWHUJUHQ%6+PHWRGHQ
ESR-middelværdi
normens øverste grænse
Alder (år)

Mandlig

Kvindelig
Mandlig

Kvindelig

18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

>70

5,6

10,1

< 30

< 35

En normal BSH udelukker ikke ikke-inflammatoriske organsygdomme, organdysfunktioner og ondartede tumorer.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X%HJUÑQVQLQJHU
1.

Opbevaring af blodprøver bør ske ved stuetemperatur. Bestemmelsen af BSH bør foretages inden for de første 4 timer efter blodprøvetagningen.
I køleskabet (4 °C) kan prøven opbevares i længere tid (højst 24 timer). Prøven skal derefter bringes til stuetemperatur inden brug.

2.

Blodprøven skal homogeniseres ved omhyggelig drejning inden blodsedimentationshastigheden måles.

3.

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4.

Måleprincippet svarer til CLSI H2-A5.

5.

Målepræcisionen på målebanen er +/-1 mm.

6.

SARSTEDT BSG-stativerne kan rengøres med ethanol / isopropanol-baserede desinfektionsmidler.

7.

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8.

Stativet må kun anvendes, hvis skalaåbningen ikke er bølget, og skalaen er tydeligt læsbar.

31

DA
Prøvetagning og håndteringLÆS HELE DETTE DOKUMENT, INDEN DU BEGYNDER MED BSG-MÅLINGEN.
Materiale, der kræves til BSG-bestemmelse.
1.

Prøverør fyldt med blodprøve (S-Sedivette®, S-Monovette® BSG, rør med skruelåg BSG eller Microvette® CB 200 BSG)*.

2.

SARSTEDT BSG stativ, som passer til prøverøret og om nødvendigt den passende SARSTEDT sedimentationspipette.

3.

Handsker, kittel, øjenbeskyttelse eller anden passende beskyttelsesbeklædning til beskyttelse mod patogener, som overføres via prøvematerialet eller potentielt smitsomme materialer.

4.

Vækkeur eller stopur.

*Ved udtagelse og transport af blodprøver skal der følges brugsanvisning for det respektive prøverør (S-Sedivette®, S-Monovette® BSG, rør med skruelåg BSG eller Microvette® CB 200 BSG).
Udførelse af BSG-bestemmelsen
Generelle anvisninger
I det følgende beskrives forskellige varianter af SARSTEDT BSG-stativer og SARSTEDT sedimentationspipetter:
A: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1090
B: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1060 med SARSTEDT sedimentationspipetter, art. nr.: 86.1996
C: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1060 062 med SARSTEDT sedimentationspipetter, art. nr.: 86.1996.062
D: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1091

A: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1090
SARSTEDT BSG-stativet, (art. nr.: 90.1090) er udelukkende egnet til brug med S-Sedivette® (art. nr: 06.1690.xxx).
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3.

Start målingen ved at indstille og starte et vækkeur eller et stopur for dine måletider.
Efter eget valg til 30 minutter (1. måleværdi) og 1 time (2. måleværdi) og 1 time (1. måleværdi) og 2 time (2. måleværdi).

4.

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B: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1060 med SARSTEDT sedimentationspipetter, art. nr.: 86.1996
SARSTEDT BSG-stativet, (art. nr.: 90.1060) er udelukkende egnet til brug med S-Monovette® BSG (art. nr: 05.1079.xxx) eller rør med skruelåg BSG (art. nr: 47.410.xxx)
und der SARSTEDT sedimentationspipette (art. nr.: 86.1996).
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Skru stempelhætten på sedimentationspipetten sammen med S-Monovette®%6*  UĉUHWPHGVNUXHOÎJ%6*YHGGUHMQLQJPHGXUHW ıJ ).

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6.

Start målingen ved at indstille og starte et vækkeur eller et stopur for dine måletider.
Efter eget valg til 30 minutter (1. måleværdi) og 1 time (2. måleværdi) og 1 time (1. måleværdi) og 2 time (2. måleværdi).

7.

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C: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1060.062 med SARSTEDT sedimentationspipetter art. nr.: 86.1996.062
SARSTEDT BSG-stativet, (art. nr.: 90.1060.062) er udelukkende egnet til brug med S-Monovette® BSG (art. nr: 05.1079.xxx) eller rør med skruelåg BSG (art. nr: 47.410.xxx)
und der SARSTEDT sedimentationspipette (art. nr.: 86.1996.062).
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Skru stempelhætten på sedimentationspipetten sammen med S-Monovette®%6*  UĉUHWPHGVNUXHOÎJ%6*YHGGUHMQLQJPHGXUHW ıJ ).

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Start målingen ved at indstille og starte et vækkeur eller et stopur for dine måletider.
Efter eget valg til 30 minutter (1. måleværdi) og 1 time (2. måleværdi) og 1 time (1. måleværdi) og 2 time (2. måleværdi).

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34

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D: Brug af SARSTEDT BSG-stativ, art. nr.: 90.1091
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35

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Thomas, L.: Labor und Diagnose. Digital udgave af "Labor & Diagnose 2020", kapitel 19.3.2 "Blutkörperchensenkungs-Reaktion" (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

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3.

ǧǴǸǾǮǵǴȀȁǴȉǺǰȁǰǱǸǽǺǽǲǸǹǫǳǴǮǲƑǰȁǰǹǰǸȁǰǱǽǶǷǭƑǰȁǰǲǸǰȁǶȀȂǺǺǽǲǭȀȊƑȃȆǻǰƑǴȁǸǿǽǳǶǲǮǴǿǹǰǸȁǸǿǳǸǰǳǸǹǰȀǮǴǿȁǽȂǸǳǾȊƑǰȁȉǿȀǰǿǣȁǶǻƒǴǾǮƒȁȆȀǶǴƒǰȃǭǿƑǴǱǸǽǺǽǲǸǹǫǳǴǮǲƑǰȁǰǴƒǸȀǹǴȃȁǴǮȁǴǬǻǰǻǲǸǰȁǾȉǹǰǷȋǿȂƒǫǾȄǴǸƒǸǷǰǻȉȁǶȁǰƑǴȁǫǳǽȀǶǿǺǽǸƑȆǳȋǻǻǽȀǶƑǫȁȆǻǠǸƒǽǺǸȁǸǹǬǿǹǰǸǽǸǳǸǰǳǸǹǰȀǮǴǿǰȀȃǰǺǴǮǰǿȁǽȂǸǳǾȊƑǰȁȉǿȀǰǿƒǾǬƒǴǸǻǰȁǶǾǽȊǻȁǰǸ4.

ǠǸƒǸƒǬȁǴǿǹǰǷǮǵǶȀǶǿƒǾǽǽǾǮǵǽǻȁǰǸǲǸǰƑǮǰƑȉǻǽȄǾǭȀǶǓƒǽǾǾǮƒȁǴȁǴȉǺǰȁǰƒǾǽȇȉǻȁǰȀȁǰǳǽȄǴǮǰǰƒȉǾǾǸȅǶǿǴƒǸǹǮǻǳȂǻȆǻǱǸǽǺǽǲǸǹȋǻȂǺǸǹȋǻ

5.

ǓƒǰǲǽǾǴȊǴȁǰǸǶȄǾǭȀǶȁȆǻƒǸƒǴȁȋǻǹǰǷǮǵǶȀǶǿƑǴȁǫȁǽƒǬǾǰǿȁǶǿǶƑǴǾǽƑǶǻǮǰǿǺǭǼǶǿǘǳǸǰȁǶǾǶȀǸƑȉȁǶȁǰǺǭǲǴǸȁǶǻȁǴǺǴȂȁǰǮǰǶƑǬǾǰȁǽȂǰǻǰǲǾǰȃȉƑǴǻǽȂƑǭǻǰǹǰǸǬȁǽȂǿ37

ELǦȊǺǰǼǶ
ǦȂǺǫȀȀǴȁǴȁǰƒǾǽȇȉǻȁǰȀǴǷǴǾƑǽǹǾǰȀǮǰǳȆƑǰȁǮǽȂǦȂȀǸǹǽȄǶƑǸǹǭǰǾȄǭǜȉǲȆȁǶǿȂȅǶǺȉȁǴǾǶǿƒȂǹǻȉȁǶȁǰǿȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻȀǴȀȊǲǹǾǸȀǶƑǴȁǽƒǺǫȀƑǰǰȂȁǫƑǴǸȋǻǽǻȁǰǸǰǾǲǫȀȁǽǰǮƑǰƑǴǰǻȁǸƒǶǹȁǸǹȉƏȀȁȉȀǽǶǹǰǷǮǵǶȀǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǴƒǶǾǴǫǵǴȁǰǸǰƒȉǳǸǫȃǽǾǽȂǿƒǰǾǫǲǽǻȁǴǿƒǽȂƑƒǽǾǽȊǻǻǰǴƒǸȁǰȄȊǻǽȂǻǭǻǰǴƒǸǱǾǰǳȊǻǽȂǻȁǽǻǾȂǷƑȉǹǰǷǮǵǶȀǶǿǖǹȁȉǿǰƒȉȁǶǳǸǰȃǽǾǫƒȂǹǻȉȁǶȁǰǿȀȁǰƒǸǽȀǶƑǰǻȁǸǹǫǴƒǸǳǾȋǻȁǰƑǴǲǬǷǶȀȂǲǹǰȁǰǺǬǲǽǻȁǰǸǶȀȂȀȀȋǾǴȂȀǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǹǰǸȁǽǶǺǴǹȁǾǸǹȉȁǽȂǿȃǽǾȁǮǽǤǽǰǾǻǶȁǸǹȉȃǽǾȁǮǽȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻȁǰǹǫǻǴǸǻǰǰƒȆǷǽȊǻȁǽǬǻǰȁǽǫǺǺǽǹǰǸǶǹǰǷǮǵǶȀǶƒǾǰǲƑǰȁǽƒǽǸǴǮȁǰǸƑȉǻǽƑǴƒǽǺȊǰǾǲȉǾȂǷƑȉǘȁǾǽƒǽƒǽǸǶƑǬǻǶȀȊǻǷǴȀǶȁȆǻƒǾȆȁǴȇǻȋǻȁǽȂƒǺǫȀƑǰȁǽǿǴǸǳǸǹǫǶǰȊǼǶȀǶȁǶǿȀȂǲǹǬǻȁǾȆȀǶǿȁȆǻƒǾȆȁǴȇǻȋǻǽǼǴǮǰǿȃǫȀǶǿȀǴȃǺǴǲƑǽǻȋǳǴǸǿǳǸǴǾǲǰȀǮǴǿƑǴǸȋǻǴǸȁǽǳȂǻǰƑǸǹȉǵǭȁǰ ǰƒȆǷǶȁǸǹǭǴƒǮǳǾǰȀǶȁǽȂǰǾǻǶȁǸǹǽȊȃǽǾȁǮǽȂ ǹǰǸǬȁȀǸǴȂǻǽǴǮȁǶȀȂȀȀȋǾǴȂȀǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǲǴǲǽǻȉǿƒǽȂǽǳǶǲǴǮȀǴȁǰȄȊȁǴǾǶȀȂƑƒǴǾǸȃǽǾǫǹǰǷǮǵǶȀǶǿȁȆǻǹȂȁȁǫǾȆǻȁǽȂǰǮƑǰȁǽǿǹǰǸǹǰȁǫȀȂǻǬƒǴǸǰȀǴǰȂǼǶƑǬǻǴǿȁǸƑǬǿƑǬȁǾǶȀǶǿȁǶǿǤǛǖ+ǓǻȁǮǷǴȁǰǶǰȊǼǶȀǶȁǶǿȀȂǲǹǬǻȁǾȆȀǶǿȁȆǻǰǾǻǶȁǸǹǫȃǽǾȁǸȀƑǬǻȆǻƒǾȆȁǴȇǻȋǻƒǺǫȀƑǰȁǽǿǽǳǶǲǴǮȀǴǱǾǰǳȊȁǴǾǶǹǰǷǮǵǶȀǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǹǰǸǬȁȀǸȀǴȄǰƑǶǺȉȁǴǾǴǿȁǸƑǬǿƑǬȁǾǶȀǶǿȁǶǿǤǛǖ*UHVVQHUHWDO/H[LNRQGHU0HGL]LQLVFKHQ/DERUDWRULXPVGLDJQRVWLN1DFKVFKODJHZHUNǶǬǹǳǽȀǶ6SULQJHU,6%1+ǠǸȁǸƑǬǿǰǻǰȃǽǾǫǿǷǰƒǾǬƒǴǸǻǰǹǰǷǽǾǮǵǽǻȁǰǸȀǴȁǽƒǸǹȉǴƒǮƒǴǳǽȀȊƑȃȆǻǰƑǴȁǸǿȀȂȀȁǫȀǴǸǿǲǸǰȁǸǿȁǸƑǬǿǰǻǰȃǽǾǫǿǖǻȉȅǴǸȁǶǿƒǾǽǽǳǴȂȁǸǹǭǿǰȊǼǶȀǶǿȁǶǿǤǛǖƑǴȁǶǻǶǺǸǹǮǰǷǰƒǾǬƒǴǸǻǰǹǰǷǽǾǸȀȁǽȊǻǼǴȄȆǾǸȀȁǬǿȁǸƑǬǿǲǸǰǹǫǷǴǳǴǹǰǴȁǮǰȁǶǿǴǻǭǺǸǹǶǿǵȆǭǿǲǸǰȁǽȂǿǫǻǳǾǴǿǹǰǸȁǸǿǲȂǻǰǮǹǴǿǓǾǹǴȁǬǿǫǺǺǴǿƑǴȁǰǱǺǶȁǬǿǴƒǶǾǴǫǵǽȂǻȁǶǻǤǛǖǹǰǸȆǿǴǹȁǽȊȁǽȂƑƒǽǾǽȊǻǻǰǴƒǶǾǴǫȀǽȂǻȁǸǿȁǸƑǬǿǰǻǰȃǽǾǫǿƒȄȁǰǴƒǮƒǴǳǰǰǸƑǽȀȃǰǸǾǮǻǶǿȁǰȃǫǾƑǰǹǰǽǴƑƑǶǻǽǾǾȂȀǸǰǹȉǿǹȊǹǺǽǿǶǹȊǶȀǶǹǰǸȁǽǹǫƒǻǸȀƑǰǣȁǽǻƒǮǻǰǹǰŝǤǸƑǬǿǰǻǰȃǽǾǫǿǲǸǰȁǶƑǬǷǽǳǽ(65:HVWHUJUHQŞƒǰǾǰȁǮǷǴǻȁǰǸȁǸƑǬǿǰǻǰȃǽǾǫǿǲǸǰȁǶǻǤǛǖǽǸǽƒǽǮǴǿƑƒǽǾǽȊǻǻǰȄǾǶȀǸƑǽƒǽǸǶǷǽȊǻȆǿǽǳǶǲȉǿǲǸǰȁǽǻǹǰǷǽǾǸȀƑȉȁǽƒǸǹȋǻȁǸƑȋǻǰǻǰȃǽǾǫǿǤǸƑǬǿǰǻǰȃǽǾǫǿǲǸǰȁǶƑǬǷǽǳǽ(65:HVWHUJUHQ0ǬȀǶȁǸƑǭ(65ǫǻȆȉǾǸǽƒǾǽȁȊƒǽȂ
ǘǺǸǹǮǰ ǬȁǶ

ǊǾǾǴǻ

ǙǭǺȂ
ǊǾǾǴǻ

ǙǭǺȂ

18 – 30

3.1

5.1

< 7,1

< 10,731 – 40

3.4

5.6

< 7,8

< 11,041 – 50

4.6

6.2< 10,6< 13,2

51 – 60

5.6

9.4< 12,2< 18,660 – 70

5.6

9.4< 12,7< 20,2

!b

5.6

10.1

< 30

< 35

ǤǛǖǴǻȁȉǿȁȆǻȁǸƑȋǻǰǻǰȃǽǾǫǿǳǴǻǰƒǽǹǺǴǮǴǸȁǸǿƑǶȃǺǴǲƑǽǻȋǳǴǸǿǻȉȀǽȂǿȁȆǻǽǾǲǫǻȆǻȁǶǳȂȀǺǴǸȁǽȂǾǲǮǰȁȆǻǽǾǲǫǻȆǻǹǰǸȁǽȂǿǹǰǹǽǭǷǴǸǿȉǲǹǽȂǿ**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al, Lehrbuch der Labormedizin, Schattauer, 1999, ISBN 3-7945-1856-X

ǡǴǾǸǽǾǸȀƑǽǮ
1.

ǘǰƒǽǷǭǹǴȂȀǶȁȆǻǳǴǸǲƑǫȁȆǻǰǮƑǰȁǽǿƒǾǬƒǴǸǻǰƒǾǰǲƑǰȁǽƒǽǸǴǮȁǰǸȀǴǷǴǾƑǽǹǾǰȀǮǰǳȆƑǰȁǮǽȂǠƒǾǽȀǳǸǽǾǸȀƑȉǿȁǶǿǤǛǖǷǰƒǾǬƒǴǸȀȁǶȀȂǻǬȄǴǸǰǻǰƒǾǽȀǳǸǽǾǸȀȁǴǮǴǻȁȉǿȁȆǻƒǾȋȁȆǻȆǾȋǻƑǴȁǫǰƒȉȁǶǻǰǸƑǽǺǶȅǮǰǤǽǳǴǮǲƑǰƑƒǽǾǴǮǻǰǰƒǽǷǶǹǴȂȁǴǮȀȁǽȅȂǲǴǮǽ Ɠ& ǲǸǰƑǴǲǰǺȊȁǴǾǽȄǾǽǻǸǹȉǳǸǫȀȁǶƑǰ ǬȆǿǹǰǸȋǾǴǿ ǤǽǳǴǮǲƑǰƒǾǬƒǴǸȀȁǶȀȂǻǬȄǴǸǰǻǰȃȁǫȀǴǸȀǴǷǴǾƑǽǹǾǰȀǮǰǳȆƑǰȁǮǽȂƒǾǸǻǰƒȉȁǶȄǾǭȀǶ2.

ǤǽǳǴǮǲƑǰǰǮƑǰȁǽǿƒǾǬƒǴǸǻǰǽƑǽǲǴǻǽƒǽǸǴǮȁǰǸȀȄǽǺǰȀȁǸǹǫƑǴƒǾǽȀǴǹȁǸǹȉǰǻǰƒǽǳǽǲȊǾǸȀƑǰƒǾǸǻǰƒȉȁǶƑǬȁǾǶȀǶȁǶǿȁǰȄȊȁǶȁǰǿǹǰǷǮǵǶȀǶǿǴǾȂǷǾȋǻ3.

ǘƑǬȁǾǶȀǶƒǾǬƒǴǸǻǰƒǾǰǲƑǰȁǽƒǽǸǴǮȁǰǸȀǴǷǴǾƑǽǹǾǰȀǮǰƒǴǾǸǱǫǺǺǽǻȁǽǿşƓ&ǹǰǸǻǰƒǾǽȀȁǰȁǴȊǴȁǰǸǰƒȉǹǾǰǳǰȀƑǽȊǿǾǴȊƑǰȁǰǰǬǾǰǹǰǸǫƑǴȀǶǶǺǸǰǹǭǰǹȁǸǻǽǱǽǺǮǰǭȀȊƑȃȆǻǰƑǴȁǸǿȁǽƒǸǹǬǿǹǰǸȁǸǿǴǾǲǰȀȁǶǾǸǰǹǬǿƒǾǽǳǸǰǲǾǰȃǬǿ4.

ǘǰǾȄǭƑǬȁǾǶȀǶǿǰǻȁǸȀȁǽǸȄǴǮȀȁǽ&/6,+$5.

ǘǰǹǾǮǱǴǸǰƑǬȁǾǶȀǶǿǴǮǻǰǸƃbPPȁǶǿǳǸǰǳǾǽƑǭǿƑǬȁǾǶȀǶǿ6.

ǠǹǰǷǰǾǸȀƑȉǿȁȆǻȀȁǰȁȉǤǛǖȁǶǿ6$567('7ǴǮǻǰǸǳȂǻǰȁȉǿƑǴǰƒǽǺȂƑǰǻȁǸǹǫƑǴǱǫȀǶȁǶǻǰǸǷǰǻȉǺǶǸȀǽƒǾǽƒǰǻȉǺǶ7.

ǘǰǻǰǺǽǲǮǰǰǻǫƑǸǼǶǿǴƒǶǾǴǫǵǴǸǫƑǴȀǰȁǽǰƒǽȁǬǺǴȀƑǰȁǶǿǰǻǫǺȂȀǶǿǹǰǸƒǾǬƒǴǸǻǰȁǶǾǴǮȁǰǸ8.

ǤǽȀȁǰȁȉƒǾǬƒǴǸǻǰȄǾǶȀǸƑǽƒǽǸǴǮȁǰǸƑȉǻǽǴǫǻǶǳǸǰǱǫǷƑǸȀǶǳǴǻǬȄǴǸƒǰǾǰƑǽǾȃȆǷǴǮǹǰǸǶǹǺǮƑǰǹǰǴǮǻǰǸǴȂǰǻǫǲǻȆȀȁǶ38

ELǣȂǺǺǽǲǭǳǴǸǲƑǫȁȆǻǹǰǸȄǴǸǾǸȀƑȉǿ
ƍǚǓǔǓǣǤǖǡǜǘǢƏǣǤǠǡǓǢǠǞǖǕǕǢǓǦǠǡǢǠǤǠǥǟǖǛǚǞǘǣǖǤǖǤǘǝǖǤǢǘǣǘǤǘǣǤǛǖǓƒǰǸȁǽȊƑǴǻǽǿǴǼǽƒǺǸȀƑȉǿǲǸǰȁǽǻƒǾǽȀǳǸǽǾǸȀƑȉȁǶǿǤǛǖ
1.

ǦǸǰǺǮǳǸǽǳǴǮǲƑǰȁǽǿƒǺǶǾȆƑǬǻǽƑǴǳǴǮǲƑǰǰǮƑǰȁǽǿ 66HGLYHWWH®, S-Monovette®ǤǛǖǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖǭ0LFURYHWWH®&%ǤǛǖ 

2.

ǣȁǰȁȉǤǛǖ6$567('7ƒǽȂȁǰǸǾǸǫǵǴǸƑǴȁǽȃǸǰǺǮǳǸǽǳǴǮǲƑǰȁǽǿǹǰǸǴǫǻǴǮǻǰǸǰƒǰǾǰǮȁǶȁǽǰǻȁǮȀȁǽǸȄǶƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿ6$567('7

3.

ǕǫǻȁǸǰǾȉƑƒǰƒǾǽȀȁǰȁǴȂȁǸǹǫǲȂǰǺǸǫǭǫǺǺǶǹǰȁǫǺǺǶǺǶƒǾǽȀȁǰȁǴȂȁǸǹǭǴǻǳȂƑǰȀǮǰǲǸǰȁǶǻƒǾǽȀȁǰȀǮǰȀǰǿǰƒȉƒǰǷǽǲȉǻǽȂǿǽǾǲǰǻǸȀƑǽȊǿƒǽȂƑǴȁǰǳǮǳǽǻȁǰǸƑǬȀȆȁǽȂȂǺǸǹǽȊǳǴǮǲƑǰȁǽǿǭȁȂȄȉǻƑǽǺȂȀƑǰȁǸǹȋǻȂǺǸǹȋǻ

4.

ǟȂƒǻǶȁǭǾǸǭȄǾǽǻȉƑǴȁǾǽǕǸǰȁǶȀȂǺǺǽǲǭǹǰǸȁǶƑǴȁǰȃǽǾǫǳǴǸǲƑǫȁȆǻǰǮƑǰȁǽǿƒǾǬƒǴǸǻǰȁǶǾǽȊǻȁǰǸǽǸǽǳǶǲǮǴǿȄǾǭȀǴȆǿȁǽȂǰǻȁǮȀȁǽǸȄǽȂȃǸǰǺǸǳǮǽȂǳǴǮǲƑǰȁǽǿ 66HGLYHWWH®, S-Monovette®ǤǛǖǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖǭ0LFURYHWWH®&%ǤǛǖ ǡǾǰǲƑǰȁǽƒǽǮǶȀǶƒǾǽȀǳǸǽǾǸȀƑǽȊǤǛǖǕǴǻǸǹǬǿȂƒǽǳǴǮǼǴǸǿ
ǠǸǳǸǫȃǽǾǴǿƒǰǾǰǺǺǰǲǬǿȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹǰǸȁȆǻƒǸƒǴȁȋǻǹǰǷǮǵǶȀǶǿ6$567('7ƒǴǾǸǲǾǫȃǽǻȁǰǸƒǰǾǰǹǫȁȆ
A: ǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿ
B: ǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿƑǴƒǸƒǬȁǴǿǹǰǷǮǵǶȀǶǿ6$567('7ǹȆǳǴǮǳǽȂǿ
C: ǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖǹȆǳǴǮǳǽȂǿƑǴƒǸƒǬȁǴǿǹǰǷǮǵǶȀǶǿ6$567('7ǹȆǳǴǮǳǽȂǿ
D: ǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿ

ǓǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿ
ǤǽȀȁǰȁȉǤǛǖ6$567('7 ǹȆǳǴǮǳǽȂǿ ƒǾǽǽǾǮǵǴȁǰǸǰƒǽǹǺǴǸȀȁǸǹǫǲǸǰȄǾǭȀǶƑǴȁǽ66HGLYHWWH® ǹȆǳǴǮǳǽȂǿ[[[ 1.

ǓǻǰǹǸǻǭȀȁǴȁǽǳǴǮǲƑǰƒǾǽȀǴǹȁǸǹǫƒǽǺǺǬǿȃǽǾǬǿ ǖǸǹ2.

ǤǽȀȁǰȁȉǤǛǖ6$567('7ƒǾǬƒǴǸǻǰǴǮǻǰǸȁǽƒǽǷǴȁǶƑǬǻǽǴƒǫǻȆȀǴǽǾǸǵȉǻȁǸǰǴƒǸȃǫǻǴǸǰǕǸǰȁǶƑǬȁǾǶȀǶȁǽƒǽǷǴȁǭȀȁǴȁǽƒǺǶǾȆƑǬǻǽ66HGLYHWWH®ǹǰȁǰǹȉǾȂȃǰȀȁǽȀȁǰȁȉǤǛǖ6$567('7ǤǽȀǶƑǴǮǽƑǶǳǬǻǹǫǷǴǳǴǮǲƑǰȁǽǿƒǾǬƒǴǸǻǰǾȂǷƑǮǵǴȁǰǸƑǴȁǶǾǽǵǬȁǰ ǱǬǺǽǿ  ǖǸǹ ).

3.

ǢȂǷƑǮȀȁǴǬǻǰǼȂƒǻǶȁǭǾǸǭǬǻǰȄǾǽǻȉƑǴȁǾǽǲǸǰȁǽȂǿȄǾȉǻǽȂǿƑǬȁǾǶȀǶǿǹǰǸǼǴǹǸǻǭȀȁǴȁǶƑǬȁǾǶȀǶǡǾǽǰǸǾǴȁǸǹǫȀǴbǺǴƒȁǫ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǭbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǴǿ ǶȁǸƑǭƑǬȁǾǶȀǶǿ 

4.

ǓȃǽȊƒǰǾǬǺǷǴǸǽȄǾȉǻǽǿƃǺǴƒȁȉǶǰƒȉȀȁǰȀǶȀǴȄǸǺǸǽȀȁǫƑǴȁǰǼȊȁǽȂƒȂǷƑǬǻǰȁǽȂƒǺǫȀƑǰȁǽǿǹǰǸȁǽȂǫǻȆǫǹǾǽȂȁǶǿȀȁǭǺǶǿƑǴȁǰǸǵǶƑǰȁǽƒǽǸǶƑǬǻǰǴǾȂǷǾǽǹȊȁȁǰǾǰƑƒǽǾǴǮǻǰǳǸǰǱǰȀȁǴǮȀȁǽǱǰǷƑǽǻǽƑǶƑǬǻǽǽƒǮȀǷǸǽȁǽǮȄȆƑǰǔǴǱǰǸȆǷǴǮȁǴȉȁǸǳǴǻƒǴǾǸǬȄǽǻȁǰǸǺǴȂǹǽǹȊȁȁǰǾǰ %Xĳ\&RDW ȀȁǶȀȁǭǺǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǣǶƑǴǸȋȀȁǴȁǶǻǰǾǸǷƑǶȁǸǹǭȁǸƑǭ

).

5x

39

EL
%ǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿƑǴƒǸƒǬȁǴǿǹǰǷǮǵǶȀǶǿ6$567('7ǹȆǳǴǮǳǽȂǿ
ǤǽȀȁǰȁȉǤǛǖ6$567('7 ǹȆǳǴǮǳǽȂǿ ƒǾǽǽǾǮǵǴȁǰǸǰƒǽǹǺǴǸȀȁǸǹǫǲǸǰȄǾǭȀǶƑǴȁǽ60RQRYHWWH®ǤǛǖ ǹȆǳǴǮǳǽȂǿ[[[ ǭȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖ ǹȆǳǴǮǳǽȂǿ[[[ ǹǰǸȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿ6$567('7 ǹȆǳǴǮǳǽȂǿ 1.

ǓǻǰǹǸǻǭȀȁǴȁǰǳǴǮǲƑǰȁǰƒǾǽȀǴǹȁǸǹǫƒǽǺǺǬǿȃǽǾǬǿ ǖǸǹ

2.

ǓǻǽǮǼȁǴȁǽ60RQRYHWWH®ǤǛǖ  ȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖƒǴǾǸȀȁǾǬȃǽǻȁǰǿȁǽǱǸǳȆȁȉƒȋƑǰǰǾǸȀȁǴǾȉȀȁǾǽȃǰ ǖǸǹb3.

ǖǸȀǰǲǫǲǴȁǴȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿȀȁǽ60RQRYHWWH®ǤǛǖ  ȀȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖǡǸǬȀȁǴƑǴƒǾǽȀǽȄǭȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿƒǾǽǿȁǰǹǫȁȆǘƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǲǴƑǮǵǴǸƑǴǰǮƑǰǔǸǳȋȀȁǴȁǽƒǴǾǮǱǺǶƑǰȁǽȂǴƑǱȉǺǽȂȁǶǿƒǸƒǬȁǰǿǹǰǷǮǵǶȀǶǿƑǴȁǽ60RQRYHWWH®ǤǛǖ  ȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖƒǴǾǸȀȁǾǬȃǽǻȁǫǿȁǽǳǴǼǸȉȀȁǾǽȃǰ ǖǸǹ ).

).
).

4.

ǘƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǬȄǴǸǱǸǳȆǷǴǮȀȆȀȁǫȉȁǰǻǶȀǭƑǰǻȀǶƒǺǭǾȆȀǶǿȀȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿȃȁǫȀǴǸǰǹǾǸǱȋǿȀȁǶȀǭƑǰǻȀǶ2 ǖǸǹ5.

ǕǸǰȁǶƑǬȁǾǶȀǶȁǽƒǽǷǴȁǭȀȁǴȁǽ60RQRYHWWH®ǤǛǖ  ȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖƑǴȁǶǱǸǳȆƑǬǻǶƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǹǰȁǰǹȉǾȂȃǰƒǫǻȆȀȁǽȀȁǰȁȉǤǛǖ6$567('7ƑǴǱǰǷƑǽǻǽƑǶƑǬǻǽǽƒǮȀǷǸǽȁǽǮȄȆƑǰǤǽȀȁǰȁȉǤǛǖ6$567('7ƒǾǬƒǴǸǻǰǴǮǻǰǸȁǽƒǽǷǴȁǶƑǬǻǽǴƒǫǻȆȀǴǽǾǸǵȉǻȁǸǰǴƒǸȃǫǻǴǸǰǤǽȀǶƑǴǮǽƑǶǳǬǻǹǫǷǴǳǴǮǲƑǰȁǽǿƒǾǬƒǴǸǻǰǴǺǬǲȄǴȁǰǸǹǰǸǴǫǻǴǮǻǰǸǰƒǰǾǰǮȁǶȁǽǻǰǾȂǷƑǮǵǴȁǰǸƑǴƒǴǾǸȀȁǾǽȃǭȁǽȂƒǴǾǸǱǺǭƑǰȁǽǿȁǽȂǴƑǱȉǺǽȂȁǶǿƒǸƒǬȁǰǿǹǰǷǮǵǶȀǶǿ ǖǸǹ ).

6.

ǢȂǷƑǮȀȁǴǬǻǰǼȂƒǻǶȁǭǾǸǭǬǻǰȄǾǽǻȉƑǴȁǾǽǲǸǰȁǽȂǿȄǾȉǻǽȂǿƑǬȁǾǶȀǶǿǹǰǸǼǴǹǸǻǭȀȁǴȁǶƑǬȁǾǶȀǶǡǾǽǰǸǾǴȁǸǹǫȀǴbǺǴƒȁǫ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǭbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǴǿ ǶȁǸƑǭƑǬȁǾǶȀǶǿ 7.

ǓȃǽȊƒǰǾǬǺǷǴǸǽȄǾȉǻǽǿƃǺǴƒȁȉǶǰƒȉȀȁǰȀǶȀǴȄǸǺǸǽȀȁǫƑǴȁǰǼȊȁǽȂƒȂǷƑǬǻǰȁǽȂƒǺǫȀƑǰȁǽǿǹǰǸȁǽȂǫǻȆǫǹǾǽȂȁǶǿȀȁǭǺǶǿƑǴȁǰǸǵǶƑǰȁǽƒǽǸǶƑǬǻǰǴǾȂǷǾǽǹȊȁȁǰǾǰƑƒǽǾǴǮǻǰǳǸǰǱǰȀȁǴǮȀȁǽǱǰǷƑǽǻǽƑǶƑǬǻǽǽƒǮȀǷǸǽȁǽǮȄȆƑǰǔǴǱǰǸȆǷǴǮȁǴȉȁǸǳǴǻƒǴǾǸǬȄǽǻȁǰǸǺǴȂǹǽǹȊȁȁǰǾǰ %Xĳ\&RDW ȀȁǶȀȁǭǺǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǣǶƑǴǸȋȀȁǴȁǶǻǰǾǸǷƑǶȁǸǹǭȁǸƑǭO

SEDIPLUS®

O

O

O

).

O

O

O

BSG / ESR / VS-WESTERGREN

40

ELǕǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿƑǴƒǸƒǬȁǴǿǹǰǷǮǵǶȀǶǿ6$567('7ǹȆǳǴǮǳǽȂǿ
ǤǽȀȁǰȁȉǤǛǖ6$567('7 ǹȆǳǴǮǳǽȂǿ ƒǾǽǽǾǮǵǴȁǰǸǰƒǽǹǺǴǸȀȁǸǹǫǲǸǰȄǾǭȀǶƑǴȁǽ60RQRYHWWH®ǤǛǖ ǹȆǳǴǮǳǽȂǿ[[[ ǭȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖ ǹȆǳǴǮǳǽȂǿ[[[ ǹǰǸȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿ6$567('7 ǹȆǳǴǮǳǽȂǿ 1.

ǓǻǰǹǸǻǭȀȁǴȁǰǳǴǮǲƑǰȁǰƒǾǽȀǴǹȁǸǹǫƒǽǺǺǬǿȃǽǾǬǿ ǖǸǹ

2.

ǓǻǽǮǼȁǴȁǽ60RQRYHWWH®ǤǛǖ  ȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖƒǴǾǸȀȁǾǬȃǽǻȁǰǿȁǽǱǸǳȆȁȉƒȋƑǰǰǾǸȀȁǴǾȉȀȁǾǽȃǰ ǖǸǹb3.

ǖǸȀǰǲǫǲǴȁǴȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿȀȁǽ60RQRYHWWH®ǤǛǖ  ȀȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖǡǸǬȀȁǴƑǴƒǾǽȀǽȄǭȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿƒǾǽǿȁǰǹǫȁȆǘƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǲǴƑǮǵǴǸƑǴǰǮƑǰǔǸǳȋȀȁǴȁǽƒǴǾǮǱǺǶƑǰȁǽȂǴƑǱȉǺǽȂȁǶǿƒǸƒǬȁǰǿǹǰǷǮǵǶȀǶǿƑǴȁǽ60RQRYHWWH®ǤǛǖ  ȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖƒǴǾǸȀȁǾǬȃǽǻȁǫǿȁǽǳǴǼǸȉȀȁǾǽȃǰ ǖǸǹ ).

).
).

4.

ǘƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǬȄǴǸǱǸǳȆǷǴǮȀȆȀȁǫȉȁǰǻǶȀǭƑǰǻȀǶƒǺǭǾȆȀǶǿȀȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿȃȁǫȀǴǸǰǹǾǸǱȋǿȀȁǶȀǭƑǰǻȀǶ ǖǸǹ5.

ǕǸǰȁǶƑǬȁǾǶȀǶȁǽƒǽǷǴȁǭȀȁǴȁǽ60RQRYHWWH®ǤǛǖ  ȁǽǱǸǳȆȁȉȀȆǺǶǻǫǾǸǽǤǛǖƑǴȁǶǱǸǳȆƑǬǻǶƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǹǰȁǰǹȉǾȂȃǰƒǫǻȆȀȁǽȀȁǰȁȉǤǛǖ6$567('7ȄȆǾǮǿǽƒǮȀǷǸǽȁǽǮȄȆƑǰǤǽȀȁǰȁȉǤǛǖ6$567('7ƒǾǬƒǴǸǻǰǴǮǻǰǸȁǽƒǽǷǴȁǶƑǬǻǽǴƒǫǻȆȀǴǽǾǸǵȉǻȁǸǰǴƒǸȃǫǻǴǸǰǤǽȀǶƑǴǮǽƑǶǳǬǻǹǫǷǴǳǴǮǲƑǰȁǽǿƒǾǬƒǴǸǻǰǴǺǬǲȄǴȁǰǸǹǰǸǴǫǻǴǮǻǰǸǰƒǰǾǰǮȁǶȁǽǻǰǾȂǷƑǮǵǴȁǰǸƑǴƒǴǾǸȀȁǾǽȃǭȁǽȂƒǴǾǸǱǺǭƑǰȁǽǿȁǽȂǴƑǱȉǺǽȂȁǶǿƒǸƒǬȁǰǿǹǰǷǮǵǶȀǶǿ ǖǸǹ ).

6.

ǢȂǷƑǮȀȁǴǬǻǰǼȂƒǻǶȁǭǾǸǭǬǻǰȄǾǽǻȉƑǴȁǾǽǲǸǰȁǽȂǿȄǾȉǻǽȂǿƑǬȁǾǶȀǶǿǹǰǸǼǴǹǸǻǭȀȁǴȁǶƑǬȁǾǶȀǶǡǾǽǰǸǾǴȁǸǹǫȀǴbǺǴƒȁǫ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǭbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǴǿ ǶȁǸƑǭƑǬȁǾǶȀǶǿ 7.

ǓȃǽȊƒǰǾǬǺǷǴǸǽȄǾȉǻǽǿƃǺǴƒȁȉǶǰƒȉȀȁǰȀǶȀǴȄǸǺǸǽȀȁǫƑǴȁǰǼȊȁǽȂƒȂǷƑǬǻǰȁǽȂƒǺǫȀƑǰȁǽǿǹǰǸȁǽȂǫǻȆǫǹǾǽȂȁǶǿȀȁǭǺǶǿƑǴȁǰǸǵǶƑǰȁǽƒǽǸǶƑǬǻǰǴǾȂǷǾǽǹȊȁȁǰǾǰƑƒǽǾǴǮǻǰǳǸǰǱǰȀȁǴǮȄǫǾǶȀȁǶǻǹǺǮƑǰǹǰƒǽȂǴǮǻǰǸȁȂƒȆƑǬǻǶǴƒǫǻȆȀȁǶǻƒǸƒǬȁǰǹǰǷǮǵǶȀǶǿǔǴǱǰǸȆǷǴǮȁǴȉȁǸǳǴǻƒǴǾǸǬȄǽǻȁǰǸǺǴȂǹǽǹȊȁȁǰǾǰ %Xĳ\&RDW ȀȁǶȀȁǭǺǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǣǶƑǴǸȋȀȁǴȁǶǻǰǾǸǷƑǶȁǸǹǭȁǸƑǭ

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BSG / ESR / VS-WESTERGREN

41

ELƍǧǾǭȀǶȁȆǻȀȁǰȁȉǤǛǖ6$567('7ǹȆǳǴǮǳǽȂǿ
ǤǽȀȁǰȁȉǤǛǖ ǹȆǳǴǮǳǽȂǿ ƒǾǽǽǾǮǵǴȁǰǸǰƒǽǹǺǴǸȀȁǸǹǫǲǸǰȄǾǭȀǶƑǴȁǽ0LFURYHWWH®&%ǤǛǖ ǹȆǳǴǮǳǽȂǿ[[[ 1.

ǓǻǰǹǸǻǭȀȁǴȁǽǳǴǮǲƑǰƒǾǽȀǴǹȁǸǹǫƒǽǺǺǬǿȃǽǾǬǿ ǖǸǹ

2.

ǓǻǽǮǼȁǴȁǽ0LFURYHWWH®&%ǤǛǖȁǾǰǱȋǻȁǰǿȁǽǱǸǳȆȁȉƒȋƑǰƒǾǽǿȁǰǴƒǫǻȆǖǸȀǰǲǫǲǴȁǴȁǽȁǾǸȄǽǴǸǳǬǿǹǰǷǮǵǶȀǶǿȀȁǽ0LFURYHWWH®&%ǤǛǖǡǸǬȀȁǴƑǴƒǾǽȀǽȄǭȁǽȁǾǸȄǽǴǸǳǬǿǹǰǷǮǵǶȀǶǿƒǾǽǿȁǰǹǫȁȆǤǽȁǾǸȄǽǴǸǳǬǿǹǰǷǮǵǶȀǶǿǲǴƑǮǵǴǸƑǴǰǮƑǰ ǖǸǹ ).

3.

ǤǽȀȁǰȁȉǤǛǖ6$567('7ƒǾǬƒǴǸǻǰǴǮǻǰǸȁǽƒǽǷǴȁǶƑǬǻǽǴƒǫǻȆȀǴǽǾǸǵȉǻȁǸǰǴƒǸȃǫǻǴǸǰǕǸǰȁǶƑǬȁǾǶȀǶȁǽƒǽǷǴȁǭȀȁǴȁǽƒǺǶǾȆƑǬǻǽ0LFURYHWWH®&%ǤǛǖƑǴȁǾǸȄǽǴǸǳǬǿǹǰǷǮǵǶȀǶǿǹǰȁǰǹȉǾȂȃǰȀȁǽȀȁǰȁȉǤǛǖ6$567('7ǤǽȀǶƑǴǮǽƑǶǳǬǻǹǫǷǴǳǴǮǲƑǰȁǽǿƒǾǬƒǴǸǻǰǾȂǷƑǮǵǴȁǰǸƑǴǰǹǾǮǱǴǸǰƑǴȁǶǾǽǵǬȁǰ ǱǬǺǽǿ  ǖǸǹ ).

4.

ǢȂǷƑǮȀȁǴǬǻǰǼȂƒǻǶȁǭǾǸǭǬǻǰȄǾǽǻȉƑǴȁǾǽǲǸǰȁǽȂǿȄǾȉǻǽȂǿƑǬȁǾǶȀǶǿǹǰǸǼǴǹǸǻǭȀȁǴȁǶƑǬȁǾǶȀǶǡǾǽǰǸǾǴȁǸǹǫȀǴbǺǴƒȁǫ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǭbȋǾǰ ǶȁǸƑǭƑǬȁǾǶȀǶǿ ǹǰǸbȋǾǴǿ ǶȁǸƑǭƑǬȁǾǶȀǶǿ 

5.

ǓȃǽȊƒǰǾǬǺǷǴǸǽȄǾȉǻǽǿƃǺǴƒȁȉǶǰƒȉȀȁǰȀǶȀǴȄǸǺǸǽȀȁǫƑǴȁǰǼȊȁǽȂƒȂǷƑǬǻǰȁǽȂƒǺǫȀƑǰȁǽǿǹǰǸȁǽȂǫǻȆǫǹǾǽȂȁǶǿȀȁǭǺǶǿƑǴȁǰǸǵǶƑǰȁǽƒǽǸǶƑǬǻǰǴǾȂǷǾǽǹȊȁȁǰǾǰǴƑȃǰǻǮǵǴȁǰǸȀȁǽǱǰǷƑǽǻǽƑǶƑǬǻǽǽƒǮȀǷǸǽȁǽǮȄȆƑǰǔǴǱǰǸȆǷǴǮȁǴȉȁǸǳǴǻƒǴǾǸǬȄǽǻȁǰǸǺǴȂǹǽǹȊȁȁǰǾǰ %Xĳ\&RDW ȀȁǶȀȁǭǺǶȁȆǻǴǾȂǷǾǽǹȂȁȁǫǾȆǻǣǶƑǴǸȋȀȁǴȁǶǻǰǾǸǷƑǶȁǸǹǭȁǸƑǭ).

ǓƒȉǾǾǸȅǶ
1.

ǡǾǬƒǴǸǻǰǺǰƑǱǫǻǽǻȁǰǸȂƒȉȅǶǹǰǸǻǰȁǶǾǽȊǻȁǰǸǽǸǲǴǻǸǹǬǿǽǳǶǲǮǴǿȂǲǸǴǸǻǭǿǹǰǷȋǿǹǰǸǽǸǻǽƑǸǹǬǿǳǸǰȁǫǼǴǸǿǲǸǰȁǶǻǽǾǷǭǰƒȉǾǾǸȅǶƑǽǺȂȀƑǰȁǸǹȋǻȂǺǸǹȋǻ2.

ǤǰǲǫǻȁǸǰƑǮǰǿȄǾǭȀǶǿǰƒǽȁǾǬƒǽȂǻȁǽǻǹǮǻǳȂǻǽƑȉǺȂǻȀǶǿ3.

ǠǸƑǽǺȂȀƑǬǻǴǿǭǲǴƑǫȁǴǿƒǸƒǬȁǴǿǹǰǷǮǵǶȀǶǿ6$567('7ƒǾǬƒǴǸǻǰǰƒǽǾǾǮƒȁǽǻȁǰǸȀǴǹǰȁǫǺǺǶǺǰǳǽȄǴǮǰǰƒȉǾǾǸȅǶǿǴƒǸǹǮǻǳȂǻȆǻǱǸǽǺǽǲǸǹȋǻȂǺǸǹȋǻȁǰǽƒǽǮǰƑƒǽǾǽȊǻȀȁǶȀȂǻǬȄǴǸǰǻǰȂƒǽǱǺǶǷǽȊǻȀǴǴƒǴǼǴǾǲǰȀǮǰȀǴǰȂȁȉǹǰȂȀȁǽǭǻǰǰƒǽȁǴȃǾȆǷǽȊǻ4.

ǘǰƒȉǾǾǸȅǶȁȆǻǳȂǻǶȁǸǹǫƑǽǺȂȀƑǬǻȆǻǰǻǰǺȋȀǸƑȆǻƒǾǰǲƑǰȁǽƒǽǸǴǮȁǰǸȀȊƑȃȆǻǰƑǴȁǸǿǽǳǶǲǮǴǿǹǰǸȁǸǿǹǰȁǴȂǷȂǻȁǭǾǸǴǿǲǾǰƑƑǬǿȁǽȂǸǳǾȊƑǰȁǽǿ42

ELǖǸǳǸǹǫƒǾȉȁȂƒǰǹǰǸǹǰȁǴȂǷȂǻȁǭǾǸǴǿǲǾǰƑƑǬǿǲǸǰȁǽƒǾǽȇȉǻȉƒȆǿǬȄǽȂǻȁǾǽƒǽƒǽǸǶǷǴǮǴƒǸǹǰǸǾǽƒǽǸǶǷǴǮCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
7KRPDV//DERUXQG'LDJQRVHǨǶȃǸǰǹǭǬǹǳǽȀǶ/DERU 'LDJQRVHǛǴȃǫǺǰǸǽ%OXWNąUSHUFKHQVHQNXQJV5HDNWLRQ %65 >ǓǻȁǮǳǾǰȀǶǹǰǷǮǵǶȀǶǿǰǸƑǽȀȃǰǸǾǮȆǻ ǓǛǓ @
(www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)ǥƒȉƑǻǶƑǰȀȂƑǱȉǺȆǻǹǰǸǴƒǸȀǶƑǫǻȀǴȆǻǛȆǳǸǹȉǿǴǮǳǽȂǿ

ǓǾǸǷƑȉǿƒǰǾȁǮǳǰǿ

ǧǾǭȀǶǬȆǿǣȊƑǱǽǺǽ&(In-vitroǳǸǰǲǻȆȀȁǸǹȉǸǰȁǾǽȁǴȄǻǽǺǽǲǸǹȉƒǾǽȇȉǻ

ǡǾǽȀǽȄǭȁȆǻǽǳǶǲǸȋǻȄǾǭȀǴȆǿ

ǣǴƒǴǾǮƒȁȆȀǶǴƒǰǻǰȄǾǶȀǸƑǽƒǽǮǶȀǶǿǛǮǻǳȂǻǽǿƑǽǺȊǻȀǴȆǻ

ǦȊǺǰǼǶȀǴȀǶƑǴǮǽƒǽȂǱǾǮȀǹǴȁǰǸƑǰǹǾǸǫǰƒȉȁǶǻǶǺǸǰǹǭǰǹȁǸǻǽǱǽǺǮǰ

ǦȊǺǰǼǶȀǴǼǶǾȉƑǬǾǽǿ

ǛǰȁǰȀǹǴȂǰȀȁǭǿ

ǧȋǾǰǹǰȁǰȀǹǴȂǭǿ

ǥƒȉȁǶǻǴƒǸȃȊǺǰǼǶȁǴȄǻǸǹȋǻȁǾǽƒǽƒǽǸǭȀǴȆǻǏǺǰȁǰȀǽǱǰǾǫƒǴǾǸȀȁǰȁǸǹǫƒǽȂǰȃǽǾǽȊǻȁǽƒǾǽȇȉǻǹǽǸǻǽƒǽǸǽȊǻȁǰǸȀȁǽǻǹǰȁǰȀǹǴȂǰȀȁǭǹǰǸȀȁǶǻǰǾƑȉǳǸǰǴǷǻǸǹǭǰǾȄǭ

43

Instrucciones de uso – Sedimentación de la sangre manual SARSTEDT– Gradillas VSG y pipetas de sedimentaciónES

Uso previsto
Las gradillas VSG* manuales y las pipetas de sedimentación de SARSTEDT sirven para la medición diagnóstica in vitro de la velocidad de sedimentación globular (VSG) de sangre total citratada con anticoagulante(proporción de mezcla 1:4, 1 parte de citrato + 4 partes de sangre). Los resultados de las mediciones corresponden al método según Westergren. Dependiendo del sistema de extracción de sangre utilizado, se emplea
sangre venosa o capilar. En caso de Microvette® CB 200 VSG se emplea sangre capilar. En caso de S-Sedivette®, S-Monovette® VSG o de tubos roscados VSG, se emplea sangre venosa.
Los productos están destinados a la aplicación en el ámbito profesional y al uso por parte de personal sanitario y de laboratorio.
* VSG = velocidad de sedimentación globular o velocidad de eritrosedimentación

Descripción del producto
Las gradillas VSG (también conocidas como gradillas de sedimentación) están fabricadas de plástico y según el modelo están diseñadas para recipientes de extracción de sangre S-Sedivette®, S-Monovette® VSG,
tubos roscados VSG o Microvette® CB 200 VSG. Están disponibles con o sin pared trasera graduada y contienen 10 puestos de medición. Las pipetas de sedimentación de plástico SARSTEDT, con y sin escala, sirven
como accesorios. En el caso de gradillas de sedimentación SARSTEDT sin pared trasera, se puede usar la S-Monovette® VSG o los tubos roscados VSG en combinación con la pipeta de sedimentación SARSTEDT
graduada. Según el modelo, las pipetas de sedimentación con pared trasera graduada SARSTEDT son aptas para S-Sedivette®, así como para la combinación: S-Monovette® VSG bien con los tubos roscados VSG y la
pipeta de sedimentación con la marca O (sin graduación) o bien con Microvette® CB 200 VSG y un capilar de sedimentación.

9LVWDGHODUWìFXORSEDIPLUS®

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BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Tipo

N.º art.

Descripción

Se utiliza con

90.1090

Gradilla VSG con graduación SARSTEDT

Apta para S-Sedivette®

90.1060

Gradillas VSG SARSTEDT con pared trasera graduada

Apta para S-Monovette® VSG o el tubo roscado VSG en combinación
con pipeta de sedimentación con marca O (variante E)

90.1060.062

Gradillas VSG SARSTEDT sin pared trasera

Apta para S-Monovette® VSG o tubo roscado VSG en combinación
con pipeta de sedimentación con graduación impresa (variante F)

90.1091

SARSTEDT Gradilla VSG para Microvette® CB 200 VSG

Apta para Microvette® CB 200 VSG con capilar de sedimentación

86.1996

SARSTEDT Pipetas de sedimentación con marca O

Aptas para gradillas VSG SARSTEDT con pared trasera graduada (variante B)

86.1996.062

SARSTEDT Pipetas de sedimentación con escala impresa

Aptas para gradillas VSG SARSTEDT sin pared trasera (variante C)

Indicaciones de seguridad y advertencias
1.

Observe la descripción sobre la manipulación de la aguja.

2.

Medidas generales de precaución: Utilice guantes y un equipo de protección individual para protegerse ante una posible exposición
a material de muestra potencialmente infeccioso y agentes patógenos de transmisión sanguínea.

3.

Manipule las muestras biológicas y los elementos de ayuda para la extracción conforme a las directrices y procedimientos de su institución.
Acuda a un médico en caso de contacto con las muestras biológicas, ya que existe el riesgo de transmisión de enfermedades infecciosas.
Observe las directrices y procedimientos de seguridad de su centro médico.

4.

Las pipetas de sedimentación han sido concebidas para un solo uso. Elimine todos los productos en los contenedores de eliminación de materiales biológicos peligrosos.

5.

No use las pipetas de sedimentación después de la fecha de caducidad. La vida útil de los productos termina el último día del mes y año indicados.

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Almacenamiento
Los productos deben almacenarse a temperatura ambiente.

3ULQFLSLRıVLFRTXìPLFR
Debido a su mayor densidad respecto a los eritrocitos en comparación con el plasma, estos se sedimentan lentamente en sangre con anticoagulante. Sin embargo, la velocidad de sedimentación de los eritrocitos
puede verse influida por distintos factores. Además de la diferencia de densidad, entre los factores de influencia más importante están la agregación de los eritrocitos y la carga eléctrica. La carga negativa de loseritrocitos hace que se repelan entre ellos y que la sedimentación sea más lenta. Si la composición de la proteína del plasma se ve alterada, en particular en caso de aumento de la concentración de proteínas de faseaguda en procesos inflamatorios, el potencial zeta (efecto de adhesión de la carga negativa) se reduce, lo que favorece la agregación de los eritrocitos y causa un comportamiento de sedimentación más rápido en lascélulas sanguíneas y con ello mayores valores VSG+. Por el contrario, un aumento de la concentración de proteínas de plasma de carga negativa ralentiza la sedimentación de los eritrocitos y con ello causa valores
menores de VSG.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3.ª Edición 2019; Springer. ISBN 978-3-662-48987-1

Los valores de referencia se deben establecer localmente conforme a las recomendaciones para los valores de referencia. Debido al aumento progresivo de la VSG con la edad, se deben establecer valores separados
SDUDFDGDGÜFDGDGHODYLGDDGXOWDHQKRPEUHV\PXMHUHV2WUDVYDULDEOHVTXHLQIOX\HQVREUHOD96*\TXHSRUHOORSXHGHQDIHFWDUDORVYDORUHVGHUHIHUHQFLDVRQSRUHMHPSORHOQLYHOGHKHPRJORELQDODPHGLFDFLĂQHOFLFORPHQVWUXDOHOHPEDUD]R\HOWDEDTXLVPR/DWDEODŝ9DORUHVGHUHIHUHQFLDSDUDHOPÜWRGR:HVWHUJUHQ(65ŞLQGLFDORVYDORUHVGHUHIHUHQFLDGH965TXHVHSXHGHQXWLOL]DUFRPRJXìDSDUDHVWDEOHFHUYDORUHVGH
referencia a nivel local.

Valores de referencia para el método Westergren ESR**
Valor medio ESR
Edad (años)

Varón

0XMHU

Límite superior de la norma
Varón

0XMHU

18 – 30

3.1

5.1

< 7,1

< 10,731 – 40

3.4

5.6

< 7,8

< 11,041 – 50

4.6

6.2< 10,6< 13,2

51 – 60

5.6

9.4< 12,2< 18,660 – 70

5.6

9.4< 12,7< 20,2

> 70

5.6

10.1

< 30

< 35

8QD96*QRUPDOQRGHVFDUWDODSUHVHQFLDGHDIHFFLRQHVRUJÈQLFDVQRLQIODPDWRULDVSUREOHPDVIXQFLRQDOHVGHĂUJDQRVQLWXPRUHVPDOLJQRV**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Limitaciones
1.

(ODOPDFHQDPLHQWRGHODVPXHVWUDVGHVDQJUHGHEHKDFHUVHDWHPSHUDWXUDDPELHQWH/DYHORFLGDGGHVHGLPHQWDFLĂQJOREXODUGHEHGHWHUPLQDUVHHQODVSULPHUDVbKRUDVGHVSXÜVGHODH[WUDFFLĂQGHVDQJUH
/DPXHVWUDSXHGHFRQVHUYDUVHHQHOIULJRUìıFR Ɠ& GXUDQWHPÈVWLHPSR PÈ[LPRbKRUDV (QHVWHFDVRODPXHVWUDGHEHDOFDQ]DUODWHPSHUDWXUDDPELHQWHDQWHVGHVXXWLOL]DFLĂQ

2.

Antes de medir la velocidad de sedimentación globular, la muestra de sangre debe agitarse para que se homogeneice.

3.

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4.

El principio de medición corresponde a la norma CLSI H2-A5.

5.

/DSUHFLVLĂQGHODPHGLFLĂQHVGHbPPGHOUHFRUULGRGHPHGLFLĂQ6.

Las gradillas VSG de SARSTEDT se pueden limpiar con desinfectantes basados en etanol / isopropanol.

7.

La relación de mezcla de 1:4 tiene un efecto directo sobre el resultado del análisis y se debe mantener.

8.

Las gradillas no se deben utilizar si la escala no tiene eje y no tiene una lectura única.

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Extracción de la muestra y manipulación
LEA ATENTAMENTE ESTE DOCUMENTO ANTES DE INICIAR LA MEDICIÓN DE VSG.
0DWHULDOGHWUDEDMRQHFHVDULRSDUDODPHGLFLĂQ96*
1.

Recipientes de extracción de sangre (S-Sedivette®, S-Monovette® VSG, tubos roscados VSG o Microvette® CB 200 VSG)* llenos de sangre.

2.

Gradilla VSG SARSTEDT apto para el recipiente de muestras y, en su caso, la pipeta de sedimentación apta de SARSTEDT.

3.

Guantes, bata, protección ocular u otra prenda de protección adecuada para protegerse de los patógenos que se transmiten por el material de muestra o de materiales potencialmente infecciosos.

4.

Despertador o cronómetro.

*Se deben tener en cuenta las instrucciones de uso sobre extracción de sangre y transporte de muestras para los correspondientes recipientes de muestras(S-Sedivette®, S-Monovette® VSG, tubos roscados VSG o Microvette® CB 200 VSG).
Realización de la medición VSG
Indicaciones generales
A continuación se describen las distintas variantes de las gradillas VSG de SARSTEDT y de las pipetas de sedimentación de SARSTEDT.
A: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1090
B: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1060 con pipetas de sedimentación SARSTEDT, n.º art.: 86.1996
C: Uso de gradillas VSG, n.º art.: 90.1060.062 con pipetas de sedimentación SARSTEDT, n.º art.: 86.1996.062
D: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1091

A: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1090
La gradilla VSG SARSTEDT, (n.º art.: 90.1090) solo es apta para su uso con S-Sedivette® (n.º art.: 06.1690.xxx).
1.

0H]FOHELHQODPXHVWUDYROWHÈQGROD ıJ2.

Las gradillas VSG SARSTEDT deben descansar sobre una base horizontal. Para realizar la medición, coloque la S-Sedivette® llena en la gradilla VSG SARSTEDT en posición vertical.
(OSXQWRFHURGHFDGDPXHVWUDGHEHDMXVWDUVHFRQODWXHUFDHVWULDGD ĲHFKDıJ ).

3.

&RPLHQFHODPHGLFLĂQFRQıJXUDQGRXQUHORMRXQFURQĂPHWURSDUDDMXVWDUORVSXQWRVGHPHGLFLĂQ
Puede hacerlo a 30 minutos (1.º valor de medición) y 1 hora (2.º valor de medición) o 1 hora (1.º valor de medición) y 2 horas (2.º valor de medición).

4.

Una vez transcurre el plazo (+/-1 minuto), lea la distancia en milímetros entre el fondo del menisco de plasma y la parte superior de la columna con los eritrocitos sedimentados en la pared posterior graduada.
9HULıTXHTXHQRKD\OHXFRFLWRV EXĳ\FRDW HQODFROXPQDGHHULWURFLWRV$QRWHHOYDORUQXPÜULFR

).

5x

46

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B: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1060 con pipetas de sedimentación SARSTEDT, n.º art.: 86.1996
La gradilla VSG SARSTEDT, (n.º art.: 90.1060) solo es apta para su uso con S-Monovette® VSG (n.º art.: 05.1079.xxx) o con el tubo roscado VSG (n.º art.: 47.410.xxx)
y con pipetas de sedimentación SARSTEDT, (n.º art.: 86.1996).
1.

0H]FOHELHQODVPXHVWUDVYROWHÈQGRODV ıJ

2.

Abra la S-Monovette®96*  HOWXERURVFDGR96*JLUÈQGRORHQVHQWLGRDQWLKRUDULR ıJb

3.

Introduzca la pipeta de sedimentación en la S-Monovette® VSG / en el tubo roscado VSG. Presione suavemente la pipeta de sedimentación hacia abajo. La pipeta de sedimentación se llena de sangre.
Cierre el casquillo del émbolo de la pipeta de sedimentación con la S-Monovette®96*  HOWXERURVFDGR96*JLUÈQGRORHQVHQWLGRKRUDULR ıJ ).

4.

/DSLSHWDHVWÈFRUUHFWDPHQWHFHUUDGDFXDQGRODPDUFDGHOOHQDGRGHHVWDOOHJXHH[DFWDPHQWHHQODPDUFD2 ıJ

5.

Para la medición, coloque la S-Monovette® VSG / el tubo roscado VSG con la pipeta de sedimentación en posición sobre la gradilla VSG SARSTEDT con pared trasera graduada.
/DVJUDGLOODV96*6$567('7GHEHQGHVFDQVDUVREUHXQDEDVHKRUL]RQWDO(OSXQWRFHURGHFDGDPXHVWUDGHEHDMXVWDUVHJLUDQGRHOFDVTXLOORGHOÜPERORGHODSLSHWDGHVHGLPHQWDFLĂQ ıJ6.

&RPLHQFHODPHGLFLĂQFRQıJXUDQGRXQUHORMRXQFURQĂPHWURSDUDDMXVWDUORVSXQWRVGHPHGLFLĂQ
Puede hacerlo a 30 minutos (1.º valor de medición) y 1 hora (2.º valor de medición) o 1 hora (1.º valor de medición) y 2 horas (2.º valor de medición).

7.

Una vez transcurre el plazo (+/-1 minuto), lea la distancia en milímetros entre el fondo del menisco de plasma y la parte superior de la columna con los eritrocitos sedimentados en la pared posterior graduada.
9HULıTXHTXHQRKD\OHXFRFLWRV EXĳ\FRDW HQODFROXPQDGHHULWURFLWRV$QRWHHOYDORUQXPÜULFR).

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BSG / ESR / VS-WESTERGREN

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ES
C: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1060.062 con pipetas de sedimentación SARSTEDT, n.º art.: 86.1996.062
La gradilla VSG SARSTEDT, (n.º art.: 90.1060.062) solo es apta para su uso con S-Monovette® VSG (n.º art. 05.1079.xxx) o con el tubo roscado VSG (n.º art.: 47.410.xxx)
y con pipetas de sedimentación SARSTEDT, (n.º art.: 86.1996.062).
1.

0H]FOHELHQODVPXHVWUDVYROWHÈQGRODV ıJ

2.

Abra la S-Monovette®96*  HOWXERURVFDGR96*JLUÈQGRORHQVHQWLGRDQWLKRUDULR ıJb

3.

Introduzca la pipeta de sedimentación en la S-Monovette® VSG / en el tubo roscado VSG. Presione suavemente la pipeta de sedimentación hacia abajo. La pipeta de sedimentación se llena de sangre.
Cierre el casquillo del émbolo de la pipeta de sedimentación con la S-Monovette®96*  HOWXERURVFDGR96*JLUÈQGRORHQVHQWLGRKRUDULR ıJ ).

4.

/DSLSHWDHVWÈFRUUHFWDPHQWHFHUUDGDFXDQGRODPDUFDGHOOHQDGRGHHVWDOOHJXHH[DFWDPHQWHHQODPDUFD ıJ

5.

Para la medición, coloque la S-Monovette® VSG / el tubo roscado VSG con la pipeta de sedimentación en posición vertical sobre la gradilla VSG SARSTEDT sin pared trasera.
/DVJUDGLOODV96*6$567('7GHEHQGHVFDQVDUVREUHXQDEDVHKRUL]RQWDO(OSXQWRFHURGHFDGDPXHVWUDGHEHDMXVWDUVHJLUDQGRHOFDVTXLOORGHOÜPERORGHODSLSHWDGHVHGLPHQWDFLĂQ ıJ6.

&RPLHQFHODPHGLFLĂQFRQıJXUDQGRXQUHORMRXQFURQĂPHWURSDUDDMXVWDUORVSXQWRVGHPHGLFLĂQ
Puede hacerlo a 30 minutos (1.º valor de medición) y 1 hora (2.º valor de medición) o 1 hora (1.º valor de medición) y 2 horas (2.º valor de medición).

7.

Una vez transcurre el plazo (+/-1 minuto), lea la distancia en milímetros entre el fondo del menisco de plasma y la parte superior de la columna con los eritrocitos sedimentados en la escala impresa en
ODSLSHWDGHVHGLPHQWDFLĂQ9HULıTXHTXHQRKD\OHXFRFLWRV EXĳ\FRDW HQODFROXPQDGHHULWURFLWRV$QRWHHOYDORUQXPÜULFR

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SEDIPLUS®

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BSG / ESR / VS-WESTERGREN

48

ES
D: Uso de gradillas VSG SARSTEDT, n.º art.: 90.1091
La gradilla VSG, (n.º art.: 90.1091) solo es apta para su uso con Microvette® CB 200 VSG (n.º art. 18.1325.xxx).
1.

0H]FOHELHQODPXHVWUDYROWHÈQGROD ıJ

2.

Abra la Microvette® CB 200 VSG tirando del cierre de tapón hacia arriba para extraerlo. Introduzca el capilar de sedimentación en la Microvette® CB 200 VSG.
3UHVLRQHVXDYHPHQWHHOFDSLODUGHVHGLPHQWDFLĂQKDFLDDEDMR$OKDFHUORHOFDSLODUGHVHGLPHQWDFLĂQVHOOHQDUÈGHVDQJUH ıJ ).

3.

Las gradillas VSG SARSTEDT deben descansar sobre una base horizontal. Para realizar la medición, coloque la Microvette® CB 200 VSG llena con capilar de sedimentación en vertical en la gradilla
96*6$567('7(OSXQWRFHURGHFDGDPXHVWUDGHEHDMXVWDUVHFRQSUHFLVLĂQFRQODWXHUFDHVWULDGD ĲHFKDıJ ).

4.

&RPLHQFHODPHGLFLĂQFRQıJXUDQGRXQUHORMRXQFURQĂPHWURSDUDDMXVWDUORVSXQWRVGHPHGLFLĂQ
Puede hacerlo a 30 minutos (1.º valor de medición) y 1 hora (2.º valor de medición) o 1 hora (1.º valor de medición) y 2 horas (2.º valor de medición).

5.

Una vez transcurre el plazo (+/-1 minuto), lea la distancia en milímetros entre el fondo del menisco de plasma y la parte superior de la columna con los eritrocitos sedimentados en la pared posterior graduada.
9HULıTXHTXHQRKD\OHXFRFLWRV EXĳ\FRDW HQODFROXPQDGHHULWURFLWRV$QRWHHOYDORUQXPÜULFR).

Eliminación
1.

Se deben observar y cumplir las directivas sobre higiene general y las disposiciones legales para la eliminación correcta de material infeccioso.

2.

El uso de guantes desechables evita el riesgo de infección.

3.

Las pipetas de sedimentación SARSTEDT usadas o contaminadas deben desecharse en contenedores adecuados para la eliminaciónde materiales biológicos peligrosos que admitan un posterior procesamiento en autoclave e incineración.

4.

La eliminación del material consumible potencialmente contaminado debe realizarse según las directivas y orientaciones del centro médico.

49

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1RUPDV\GLUHFWULFHVHVSHFìıFDVGHOSURGXFWRHQODUHVSHFWLYDYHUVLĂQYÈOLGDCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Edición digital de Labor & Diagnose 2020; capítulo 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)Leyendas de símbolos y marcas:

Número de artículo

Código de loteFecha de caducidad

Marcado CE

Producto sanitario para diagnóstico in vitro

Consúltense las instrucciones de uso

En caso de reutilización: peligro de contaminación

Manténgase fuera de la luz del sol

Conservar en un lugar seco

FabricantePaís de fabricación

Modificaciones técnicas reservadas.
Cualquier incidente grave relacionado con el producto debe ser notificado al fabricante y a la autoridad nacional competente.

50

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ET

Kasutusotstarve
Käsitsi BSG* alustoed ja SARSTEDTI setitamispipetid on kasutusel erütrotsüütide settekiiruse (BSG) käsitsi in vitro diagnostikaeesmärkidel hüübimisvastaselt töödeldud tsitraadi täisverest (seguvahekord 1 : 4; 1 osa
tsitraati + 4 osa verd). Saadud mõõtmistulemused vastavad Westergreni meetodile. Olenevalt kasutatud verevõtusüsteemist kasutatakse veeni- või kapillaarverd. Süsteemi Microvette® CB 200 BSG puhul on tegemist
kapillaarverega, süsteemi S-Sedivette®, süsteemi S-Monovette® BSG või keermestatud katsuti BSG kasutamise korral veeniverega.
Tooted on ette nähtud professionaalses keskkonnas ning erialasele meditsiini- ja laboripersonalile kasutamiseks.
* BSG = erütrotsüütide settekiirus, ka vere settekiirus

Toote kirjeldus
BSG alustoed (nimetatakse ka setitamise alustugedeks) koosnevad plastist ja on mõeldud vereproovivõtuanumatele S-Sedivette®, süsteemile S-Monovette® BSG, keermestatud katsutile BSG või süsteemile Microvette®
CB 200 BSG. Need on saadaval skaalaga tagaseinaga ja ilma selleta ning võimaldavad 10 mõõtekohta. Tarvikutena on kasutusel SARSTEDTI plastist setitamispipetid kas koos skaalaga või ilma selleta. SARSTEDTI
ilma tagaseinata setitamise alustoe jaoks sobib süsteem S-Monovette® BSG või keermestatud katsuti BSG kombinatsioonis koos SARSTEDTI skaalaga setitamispipetiga. SARSTEDTI skaalaga tagaseinaga setitamise
alustoed sobivad olenevalt variandist süsteemi S-Sedivette® ja järgmise kombinatsiooni juurde. Süsteemi S-Monovette® BSG või keermestatud katsuti BSG juurde koos O-märgistusega (ilma skaalata) setitamispipetiga
või süsteemi Microvette® CB 200 BSG juurde koos setitamiskapillaariga.

Artikli ülevaade

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

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110

Tüüp

Artikli nr

Nimetus

Tuleb kasutada koos

90.1090

SARSTEDTI BSG alustoed koos skaalaga

Sobib süsteemi S-Sedivette® jaoks

90.1060

SARSTEDTI BSG alustoed koos skaalaga tagaseinaga

Sobib süsteemi S-Monovette® BSG või keermestatud katsuti BSG juurde
kombinatsioonis koos SARSTEDTI O-märgistusega setitamispipetiga (variant E)

90.1060.062

SARSTEDTI BSG alustoed ilma tagaseinata

Sobib süsteemi S-Monovette® BSG või keermestatud katsuti BSG juurde
kombinatsioonis koos SARSTEDTI pealetrükitud skaalaga setitamispipetiga (variant F)

90.1091

SARSTEDTI BSG alustoed süsteemi Microvette® CB 200 BSG jaoks

Sobib süsteemi Microvette® CB 200 BSG jaoks koos setitamiskapillaariga

86.1996

SARSTEDTI setitamispipetid koos O-märgistusega

Sobivad SARSTEDTI BSG alustugede jaoks koos skaalaga tagaseinaga (variant B)

86.1996.062

SARSTEDTI setitamispipetid koos pealetrükitud skaalaga

Sobivad SARSTEDTI BSG alustugede jaoks ilma tagaseinata (variant C)

Ohutus- ja hoiatusjuhised
1.

Järgige käitlemisjuhiseid.

2.

Üldised ettevaatusabinõud: kasutage kindaid ja üldisi isikukaitsevahendeid, et kaitsta ennast võimaliku kokkupuute eest potentsiaalselt nakkusliku proovimaterjali ja ülekantavate haigustekitajatega.

3.

Käidelge kõiki bioloogilisi proove ning proovivõtu abivahendeid asutuse suuniste ja protseduuride kohaselt. Bioloogiliste proovidega kokkupuute korral pöörduge arsti poole,
kuna seeläbi võivad nakkushaigused üle kanduda. Järgima peab asutuse ohutussuuniseid ja -protseduure.

4.

Setitamispipetid on ette nähtud ühekordseks kasutamiseks. Visake kõik tooted ohtlike bioloogiliste materjalide jaoks mõeldud kogumismahutitesse.

5.

Setitamispipette ei tohi pärast säilivusaja möödumist enam kasutada. Säilivusaeg lõpeb äratoodud kuu ja aasta viimasel päeval.

51

ET
Hoiustamine
Tooteid tuleb hoiustada toatemperatuuril.

Füüsikalis-keemiline põhimõte
Erütrotsüütide suurema tiheduse tõttu võrreldes plasmaga settivad need hüübimisvastaselt töödeldud veres aeglaselt põhja. Erütrotsüütide settimist mõjutavad siiski mitmesugused tegurid, mis võivad settimiskiirust
kiirendada või aeglustada. Tiheduse erinevuse kõrval kuuluvad tähtsaimate mõjusuuruste hulka erütrotsüütide agregatsioon ja nende elektriline laeng. Erütrotsüütide negatiivne laeng toob kaasa selle, et need tõukavadüksteist vastastikku ära ja settimine kulgeb vaid aeglaselt. Plasmavalkude muutunud koostis, eriti just akuutse faasi valkude kontsentratsiooni suurenemine põletikuliste protsesside korral, vähendab tseeta potentsiaali(negatiivse laengu äratõukavat mõju) ja soodustab seeläbi erütrotsüütide agregatsiooni, mis toob kaasa vererakkude kiirema settimiskäitumise ja kõrgenenud BSG mõõteväärtused+. Vastandina sellele toob negatiivselt
laetud plasmavalkude kontsentratsiooni suurenemine kaasa erütrotsüütide aeglasema settimise ja seega väiksemad BSG mõõteväärtused.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk (Meditsiinilise laboridiagnostika leksikon. Teatmeteos); 3. väljaanne. 2019; Springer. ISBN 978-3-662-48987-1

Referentsväärtused tuleks kohalikul tasandil määrata kooskõlas referentsväärtuste soovitustega Arvestades BSG koos vanusega progresseeruvat tõusu, tuleks meeste ja naiste täiskasvanuelu iga aastakümne kohta
määrata eraldi väärtused. Mitmed teised muutujad mõjutavad BSG väärtusi ja võivad seega referentsväärtustele mõju avaldada, nt hemoglobiinitase, ravimid, menstruaaltsükkel, rasedus ja suitsetamine. Tabelis„Referentsväärtused Westergreni ESR-meetodi kohta“ on ära toodud referentsväärtused BSG kohta, mida saab kasutada suunisena kohalike referentsväärtuste määramiseks.

Referentsväärtused Westergreni ESR-meetodi kohta**
ESRi keskmine väärtus
Normi ülemine piir
Vanus (aastat)

Mehed

NaisedMehedNaised18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

1RUPDDOQH%6*HLYËOLVWDRUJDQLWHPLWWHSĄOHWLNXOLVLKDLJHVWXPLVLRUJDQLWHWDOLWOXVKËLUHLGHJDSDKDORRPXOLVLNDVYDMDLG**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
*** Bruhn et al; Lehrbuch der Labormedizin (Laborimeditsiini õpik); Schattauer, 1999; ISBN 3-7945-1856-X

Piirangud
1.

Vereproove peaks säilitama toatemperatuuril. BSG peaks määrama esimese 4 tunni jooksul pärast vereproovi võtmist.
Külmikus (4 °C) saab proovi säilitada pikemat aega (maksimaalselt 24 tundi). Proovi peab enne kasutamist toatemperatuurile viima.

2.

Vereproov tuleb enne erütrotsüütide settekiiruse mõõtmist hoolika loksutamise teel põhjalikult homogeniseerida.

3.

Mõõtmiseks on vaja ümbritsevat temperatuuri 18 – 25 °C ning see peab toimuma vibratsiooni, tuuletõmbuse ja otsese päikesekiirguse eest kaitstult või riigi- ja laboripõhiste nõuete kohaselt.

4.

Mõõtmispõhimõte vastab standardile CLSI H2-A5.

5.

0ĄĄWPLVWËSVXVRQƃPPPĄĄWPLVWHHNRQQDVW

6.

6$567('7,%6*DOXVWXJHVLGVDDESXKDVWDGDHWDQRROLLVRSURSDQRROLSĄKLVWHGHVLQıWVHHULPLVYDKHQGLWHJD

7.

Seguvahekord 1:4 mõjutab vahetult analüüsi tulemust ja sellest peab kinni pidama.

8.

Alustuge saab kasutada ainult siis, kui skaala ava pole laineline ja skaala on üheselt selgesti loetav.

52

ET
Proovivõtmine ja käitlemine
ENNE KUI TE BSG MÕÕTMIST ALUSTATE, LUGEGE SEE DOKUMENT TÄIELIKULT LÄBI.
%6*PËËUDPLVHNVYDMDWDYWąąPDWHUMDO
1.

Vereprooviga täidetud proovianum (süsteem S-Sedivette®, süsteem S-Monovette® BSG, keermestatud katsuti BSG või süsteem Microvette® CB 200 BSG)*.

2.

Proovianuma juurde sobiv SARSTEDTI BSG alustugi ja vajaduse korral sobiv SARSTEDTI setitamispipett.

3.

Kindad, kittel, silmakaitse või muu sobiv kaitseriietus kaitseks proovimaterjali kaudu ülekantavate patogeenide või potentsiaalselt nakkuslike materjalide eest.

4.

Äratuskell või stopper.

* Vereproovi võtmiseks ja proovide transportimiseks tuleb järgida proovianuma (süsteemi S-Sedivette®, süsteemi S-Monovette® BSG, keermestatud katsuti BSG või süsteemi Microvette® CB 200 BSG) kasutusjuhendit.
BSG määramineÜldised juhised$OOMËUJQHYDOWRQNLUMHOGDWXG6$567('7,%6*DOXVWXJHGHMD6$567('7,VHWLWDPLVSLSHWWLGHPLWPHVXJXVHLGYDULDQWH
A: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1090
B: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1060 koos SARSTEDTI setitamispipettidega, artikli nr: 86.1996
C: BSG alustoe kasutamine, artikli nr: 90.1060.062 koos SARSTEDTI setitamispipettidega, artikli nr: 86.1996.062
D: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1091

A: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1090
SARSTEDTI BSG alustugi (artikli nr: 90.1090) sobib eranditult kasutamiseks koos süsteemiga S-Sedivette® (artikli nr: 06.1690.xxx).
).

1.

Loksutage proovi hoolikalt pea peale keeratult (joonis

2.

SARSTEDTI BSG alustugi peab seisma horisontaalse aluspinna peal. Mõõtmiseks pange täidetud süsteem S-Sedivette® horisontaalselt SARSTEDTI BSG alustoe peale.
Iga proovi nullpunkti peab seadistama rihvelkruvi (noole) abil (joonis ).

3.

Alustage mõõtmist, seadistades ja käivitades mõõtmiste jaoks äratuskella või stopperi.
Valikuliselt 30 minuti (1. mõõteväärtus) ja 1 tunni peale (2. mõõteväärtus) või 1 tunni peale (1. mõõteväärtus) ja 2 tunni peale (2. mõõteväärtus).

4.

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5x

53

ET
B: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1060 koos SARSTEDTI setitamispipettidega, artikli nr: 86.1996
SARSTEDTI BSG alustugi (artikli nr: 90.1060) sobib eranditult kasutamiseks koos süsteemiga S-Monovette® BSG (artikli nr: 05.1079.xxx) või keermestatud katsutiga BSG (artikli nr: 47.410.xxx)
ja SARSTEDTI setitamispipetiga (artikli nr: 86.1996).
).

1.

Loksutage proove hoolikalt pea peale keeratult (joonis

2.

Avage süsteem S-Monovette® BSG / keermestatud katsuti BSG, pöörates keermesulgurit kellaosuti vastassuunas (joonis

3.

Juhtige setitamispipett süsteemi S-Monovette® BSG / keermestatud katsutisse BSG sisse. Vajutage setitamispipetti ettevaatlikult allapoole. Setitamispipett täitub seejuures verega.
Keerake setitamispipeti kolviümbris süsteemi S-Monovette® BSG / keermestatud katsuti BSG külge kinni seda kellaosuti suunas pöörates (joonis ).

4.

Setitamispipett on õigesti kinni keeratud, kui setitamispipeti peal olev täitemärgis on jõudnud täpselt O-märgise juurde (joonis

5.

Mõõtmiseks pange süsteem S-Monovette® BSG / keermestatud katsuti BSG kinnikeeratud setitamispipetiga horisontaalselt SARSTEDTI skaalaga tagaseinaga BSG alustoe peale.
SARSTEDTI BSG alustugi peab seisma horisontaalse aluspinna peal. Iga proovi nullpunkti peab üle kontrollima ja seda vajaduse korral setitamispipeti kolviümbrist keerates seadistama (joonis

6.

Alustage mõõtmist, seadistades ja käivitades mõõtmiste jaoks äratuskella või stopperi.
Valikuliselt 30 minuti peale (1. mõõteväärtus) ja 1 tunni peale (2. mõõteväärtus) või 1 tunni peale (1. mõõteväärtus) ja 2 tunni peale (2. mõõteväärtus).

7.

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O

O

).

O

).

O

O

).

O

BSG / ESR / VS-WESTERGREN

54

ET
C: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1060.062 koos SARSTEDTI setitamispipettidega, artikli nr: 86.1996.062
SARSTEDTI BSG alustugi (artikli nr: 90.1060.062) sobib eranditult kasutamiseks koos süsteemiga S-Monovette® BSG (artikli nr: 05.1079.xxx) või keermestatud katsutiga BSG (artikli nr: 47.410.xxx)
ja SARSTEDTI setitamispipetiga (artikli nr: 86.1996.062).
).

1.

Loksutage proove hoolikalt pea peale keeratult (joonis

2.

Avage süsteem S-Monovette® BSG / keermestatud katsuti BSG, pöörates keermesulgurit kellaosuti vastassuunas (joonis

3.

Juhtige setitamispipett süsteemi S-Monovette® BSG / keermestatud katsutisse BSG sisse. Vajutage setitamispipetti ettevaatlikult allapoole. Setitamispipett täitub seejuures verega.
Keerake setitamispipeti kolviümbris süsteemi S-Monovette® BSG / keermestatud katsuti BSG külge kinni, pöörates seda kellaosuti suunas (joonis ).

4.

Setitamispipett on õigesti kinni keeratud, kui setitamispipeti peal olev täitemärgis on jõudnud täpselt 0-märgise juurde (joonis

5.

Mõõtmiseks pange süsteem S-Monovette® BSG / keermestatud katsuti BSG kinnikeeratud setitamispipetiga horisontaalselt SARSTEDTI tagaseinata BSG alustoe peale.
SARSTEDTI BSG alustugi peab seisma horisontaalse aluspinna peal. Iga proovi nullpunkti peab üle kontrollima ja seda vajaduse korral setitamispipeti kolviümbrist keerates seadistama (joonis

6.

Alustage mõõtmist, seadistades ja käivitades mõõtmiste jaoks äratuskella või stopperi.
Valikuliselt 30 minuti peale (1. mõõteväärtus) ja 1 tunni peale (2. mõõteväärtus) või 1 tunni peale (1. mõõteväärtus) ja 2 tunni peale (2. mõõteväärtus).

7.

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0

0

0

0

0

0

10

10

90

90

80

80

80

100

100

90

90

90

110

100

100

100

110

110

110

100

100

110

110

110

10

0

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

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100

100

100

100

100

100

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110

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

0

10

10

20

).

10

0

10

10

).

0

0

0

0

).

80

BSG / ESR / VS-WESTERGREN

55

ET
D: SARSTEDTI BSG alustoe kasutamine, artikli nr: 90.1091
SARSTEDTI BSG tugialus (artikli nr: 90.1091) sobib eranditult kasutamiseks koos süsteemiga Microvette® CB 200 BSG (artikli nr: 18.1325.xxx).
).

1.

Loksutage proovi hoolikalt pea peale keeratult (joonis

2.

Avage süsteem Microvette® CB 200 BSG, tõmmates sisselükatava korgiga sulguri ülespoole välja. Viige setitamiskapillaar süsteemi Microvette® CB 200 BSG sisse.
Vajutage setitamiskapillaari ettevaatlikult allapoole. Setitamiskapillaar täitub seejuures verega (joonis ).

3.

SARSTEDTI BSG alustugi peab seisma horisontaalse aluspinna peal. Mõõtmiseks pange täidetud süsteem Microvette® CB 200 BSG koos setitamiskapillaariga horisontaalselt SARSTEDTI BSG alustoe peale.
Iga proovi nullpunkti peab täpselt seadistama rihvelkruvi (noole) abil (joonis ).

4.

Alustage mõõtmist, seadistades ja käivitades mõõtmiste jaoks äratuskella või stopperi.
Valikuliselt 30 minuti peale (1. mõõteväärtus) ja 1 tunni peale (2. mõõteväärtus) või 1 tunni peale (1. mõõteväärtus) ja 2 tunni peale (2. mõõteväärtus).

5.

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1.

Järgida tuleb üldisi hügieenisuuniseid ning õigusaktide sätteid nakkusliku materjali nõuetekohase jäätmekäitluse kohta ja neist tuleb kinni pidada.

2.

Ühekordselt kasutatavad kindad takistavad nakatumis riski.

3.

Saastunud või täidetud SARSTEDTI setitamispipetid peab viskama ohtlike bioloogiliste materjalide jaoks mõeldud kogumismahutitesse, mida saab seejärel autoklaavida ja ära põletada.

4.

Potentsiaalselt saastunud kulumaterjali jäätmekäitlus toimub asutuse suuniste ja juhtnööride kohaselt.

56

ET
7RRWHSĄKLVWHVWDQGDUGLWHMDVXXQLVWHNHKWLYDGYHUVLRRQLG
CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. [Labor ja diagnostika.] Digitale Ausgabe Labor & Diagnose 2020; Kapitel 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) [Digitaalne väljaanne: Labor ja diagnostika 2020; peatükk
19.3.2: Erotrütsüütide settereaktsioon (BSR)] (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)6ĞPEROLWHMDPËUJLVWXVWHYĄWL

Artikli number

Partii numberKõlblik kuni

CE-märgis

In vitro diagnostikavahend

Järgige kasutusjuhendit

Taaskasutamise korral: saastumisoht

Hoidke päikesevalguse eest kaitstult

Hoidke kuivas kohas

TootjaTootjariik

Tehnilised muudatused on võimalikud.
Kõigist tootega seotud ohujuhtumitest tuleb teavitada tootjat ja pädevat riiklikku asutust.

57

0RGHG HPSORLbş6$567('76ÜGLPHQWDWLRQVDQJXLQHDYHFODWHFKQLTXHPDQXHOOH
– Portoir de VS et pipettes VS

FR

Emploi prévu
Les portoirs de VS* et les pipettes VS SARSTEDT servent à la détermination diagnostique in vitro manuelle de la vitesse de sédimentation des cellules sanguines (VS) à partir du sang total citraté anticoagulé (rapportGHPÜODQJHGHVRLWbIUDFWLRQGHYROXPHGHFLWUDWHSRXUbIUDFWLRQVGHYROXPHGHVDQJ /HVUÜVXOWDWVGHPHVXUHREWHQXVFRUUHVSRQGHQWÇODPÜWKRGHGH:HVWHUJUHQ/HV\VWÛPHGHSUÜOÛYHPHQWVDQJXLQHPSOR\Üdétermine s'il faut utiliser du sang capillaire ou du sang veineux. Avec la Microvette® CB 200 BSG, utiliser du sang capillaire. Avec la S-Sedivette®, la S-Monovette® BSG ou le tube avec bouchon à vis VS, utiliser dusang veineux.
Les produits sont conçus pour une utilisation dans un environnement professionnel par un personnel médical professionnel et de laboratoire qualifié.
*VS = vitesse de sédimentation des cellules sanguines ou vitesse de sédimentation du sang

Description du produit/HVSRUWRLUVGH96 ÜJDOHPHQWDSSHOÜVSRUWRLUVGHVÜGLPHQWDWLRQ VRQWIDEULTXÜVHQSODVWLTXH6HORQODYHUVLRQLOVFRQYLHQQHQWDX[UÜFLSLHQWVGHSUÜOÛYHPHQWVDQJXLQ66HGLYHWWH®, S-Monovette® BSG, au tube avec
bouchon à vis VS ou à la Microvette®&%%6*,OVVRQWGLVSRQLEOHVDYHFRXVDQVSDURLDUULÛUHJUDGXÜHHWGLVSRVHQWGHbHPSODFHPHQWVGHPHVXUH/HVSLSHWWHV966$567('7HQSODVWLTXHSRXUYXHVRXQRQ
d'une graduation, sont disponibles en accessoires. La S-Monovette® BSG et le tube avec bouchon à vis VS, utilisés en combinaison avec la pipette VS SARSTEDT avec graduation, sont adaptés au portoir de VS sans
SDURLDUULÛUH6$567('76HORQODYHUVLRQOHVSRUWRLUVGH96DYHFSDURLDUULÛUH6$567('7FRQYLHQQHQWÇOD66HGLYHWWH®, ainsi qu'à la S-Monovette® BSG ou au tube avec bouchon à vis VS en combinaison avec la
SLSHWWH96DYHFUHSÛUH2 VDQVJUDGXDWLRQ RXÇOD0LFURYHWWH® CB 200 BSG combinée au capillaire de sédimentation.

Vue d’ensemble des articles

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Type

5ÜI

'ÜVLJQDWLRQ

À utiliser avec

90.1090

SARSTEDT Portoir de VS avec graduation

Adapté à la S-Sedivette®

90.1060

6$567('73RUWRLUGH96DYHFSDURLDUULÛUHJUDGXÜH

Adapté à la S-Monovette® BSG ou au tube avec bouchon à vis VS en combinaison
DYHFODSLSHWWH96DYHFUHSÛUH2 YDULDQWH(90.1060.062

6$567('73RUWRLUGH96VDQVSDURLDUULÛUH

Adapté à la S-Monovette® BSG ou au tube avec bouchon à vis VS en combinaison
avec la pipette VS avec échelle graduée imprimée (variante F)

90.1091

SARSTEDT Portoir de VS pour la Microvette® CB 200 BSG

Adapté à la Microvette® CB 200 BSG avec capillaire de sédimentation

86.1996

6$567('73LSHWWHVGHVÜGLPHQWDWLRQDYHFUHSÛUH2$GDSWÜHVDXSRUWRLUGH96DYHFSDURLDUULÛUHJUDGXÜH6$567('7 YDULDQWH%

86.1996.062

SARSTEDT Pipettes de sédimentation avec échelle graduée imprimée$GDSWÜHVDXSRUWRLUGH96VDQVSDURLDUULÛUH6$567('7 YDULDQWH&Consignes de sécurité et avertissements
1.

Pour la manipulation, veuillez respecter la description.

2.

3UÜFDXWLRQVJÜQÜUDOHVb8WLOLVH]GHVJDQWVHWXQÜTXLSHPHQWJÜQÜUDOGHSURWHFWLRQLQGLYLGXHOOHSRXUYRXVSURWÜJHUGHWRXWHH[SRVLWLRQÇGHVÜFKDQWLOORQVSRWHQWLHOOHPHQWLQIHFWLHX[HWGHVDJHQWVSDWKRJÛQHVWUDQVPLVVLEOHV3.

7UDLWH]WRXVOHVÜFKDQWLOORQVELRORJLTXHVHWOHVXVWHQVLOHVGHSUÜOÛYHPHQWFRQIRUPÜPHQWDX[SUHVFULSWLRQVHWDX[SURFÜGXUHVHQYLJXHXUDXVHLQGHYRWUHÜWDEOLVVHPHQW
En cas de contact avec des échantillons biologiques, consultez un médecin pour vous assurer de ne pas être infecté(e) par une maladie infectieuse.
Veuillez vous conformer aux directives et procédures de sécurité en vigueur au sein de votre établissement.

4.

Les pipettes de sédimentation sont des dispositifs à usage unique. Éliminez tous les produits dans des récipients d’élimination destinés aux substances biologiques dangereuses.

5.

1ŖXWLOLVH]MDPDLVOHVSLSHWWHVGHVÜGLPHQWDWLRQDSUÛVOŖH[SLUDWLRQGHOHXUGDWHOLPLWHGŖXWLOLVDWLRQ/DGXUÜHGHFRQVHUYDWLRQSUHQGıQOHGHUQLHUMRXUGXPRLVHWGHOŖDQQÜHLQGLTXÜV58

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StockageLes produits doivent être stockés à température ambiante.

3ULQFLSHSK\VLFRFKLPLTXH
En raison de leur densité supérieure à celle du plasma, les érythrocytes sédimentent lentement dans le sang anticoagulé. La sédimentation des érythrocytes est toutefois influencée par divers facteurs pouvant accélérer,ou à l'inverse ralentir, la vitesse de sédimentation. Outre la différence de densité, l'agrégation des érythrocytes, ainsi que leur charge électrique, comptent parmi les principaux facteurs d'influence. Sous l'effet d'une
charge négative, les érythrocytes se repoussent mutuellement, ce qui ralentit le processus de sédimentation. Une composition modifiée des protéines plasmatiques, en particulier l'augmentation de la concentration desSURWÜLQHVGHSKDVHDLJXßGDQVOHFDVGHSURFHVVXVLQIODPPDWRLUHVOHSRWHQWLHO]ÝWD DFWLRQUÜSXOVLYHGXHÇODFKDUJHQÜJDWLYH HVWUÜGXLWFHTXLIDYRULVHO DJUÜJDWLRQGHVÜU\WKURF\WHVDFFÜOÛUHDLQVLODVÜGLPHQWDWLRQGHV
cellules sanguines et entraîne par la suite une augmentation des valeurs de mesure de la VS+. À l'inverse, l'augmentation de la concentration en protéines plasmatiques chargées négativement entraîne un ralentissement
de la sédimentation des érythrocytes, et ainsi une diminution des valeurs de mesure de la VS.
*UHVVQHUHWDOb/H[LNRQGHU0HGL]LQLVFKHQ/DERUDWRULXPVGLDJQRVWLN1DFKVFKODJHZHUN OH[LTXHGXGLDJQRVWLFPÜGLFDODXODERUDWRLUHRXYUDJHGHUÜIÜUHQFH bHbÜGLWLRQb6SULQJHU,6%1+/HVYDOHXUVGHUÜIÜUHQFHGRLYHQWÝWUHGÜWHUPLQÜHVDXQLYHDXORFDOHQDFFRUGDYHFOHVUHFRPPDQGDWLRQVHQPDWLÛUHGHYDOHXUVGHUÜIÜUHQFH&RPSWHWHQXGHODKDXVVHSURJUHVVLYHGHOD96DYHFO ÉJHLOFRQYLHQWGHGÜILQLUGHVYDOHXUVVÜSDUÜHVSRXUFKDTXHGÜFHQQLHGHO ÉJHDGXOWHFKH]OHVKRPPHVHWFKH]OHVIHPPHV3OXVLHXUVDXWUHVYDULDEOHVLQIOXHQFHQWOD96HWSHXYHQWDLQVLDYRLUXQHLQFLGHQFHVXUOHVYDOHXUVGHUÜIÜUHQFHQRWDPPHQWOHWDX[G KÜPRJORELQHODSULVHGHPÜGLFDPHQWVOHF\FOHPHQVWUXHOODJURVVHVVHRXOHWDEDJLVPH/HWDEOHDXŝb9DOHXUVGHUÜIÜUHQFHVSRXUOD96VHORQODPÜWKRGHGH:HVWHUJUHQbŞSUÜVHQWHGHVYDOHXUVGHUÜIÜUHQFHSRXUOD96SRXYDQWVHUYLUGHJXLGHSRXUODGÜWHUPLQDWLRQGHYDOHXUVGHUÜIÜUHQFHORFDOHV

Valeurs de références pour la VS selon la méthode de Westergren**VS, valeur moyenne
OLPLWHVXSÜULHXUHGHODQRUPH
eJH DQQÜHV

Homme

Femme
Homme

Femme

18 – 30

3.1

5.1

< 7,1

< 10,731 – 40

3.4

5.6

< 7,8

< 11,041 – 50

4.6

6.2< 10,6< 13,2

51 – 60

5.6

9.4< 12,2< 18,660 – 70

5.6

9.4< 12,7< 20,2

> 70

5.6

10.1

< 30

< 35

8QH96QRUPDOHQ H[FOXWSDVODSUÜVHQFHGHPDODGLHVRUJDQLTXHVQRQLQIODPPDWRLUHVGHWURXEOHVGHIRQFWLRQQHPHQWGHVRUJDQHVRXGHWXPHXUVPDOLJQHV**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
%UXKQHWDOb/HKUEXFKGHU/DERUPHGL]LQ PDQXHOGHODPÜGHFLQHGHODERUDWRLUH b6FKDWWDXHUb,6%1;Restrictions
1.

&RQVHUYHUOHVÜFKDQWLOORQVGHVDQJÇWHPSÜUDWXUHDPELDQWH,OFRQYLHQWDORUVGHGÜWHUPLQHUOD96GDQVOHVbKHXUHVVXLYDQWOHSUÜOÛYHPHQWVDQJXLQVous pouvez conserver l'échantillon au réfrigérateur (4 °C) pendant une période prolongée (maximum 24 heures). Ensuite, l'échantillon doit être ramené à température ambiante avant d'être utilisé.

2.

Homogénéisez minutieusement l'échantillon de sang en l'agitant soigneusement avant de mesurer la vitesse de sédimentation globulaire.

3.

Cette mesure nécessite une température ambiante de 18 à 25 °C et doit se faire à l'abri des vibrations,
GHVFRXUDQWVG DLUHWGHODOXPLÛUHGLUHFWHGXVROHLORXFRQIRUPÜPHQWDX[SUHVFULSWLRQVQDWLRQDOHVRXVSÜFLıTXHVDXODERUDWRLUH

4.

Le principe de mesure est conforme à la norme CLSI H2-A5.

5.

La précision de mesure est de +/- 1 mm par rapport à la course de mesure.

6.

Les portoirs de VS SARSTEDT peuvent être nettoyés à l'aide d'un produit de désinfection à base d'éthanol / d'alcool isopropylique.

7.

/HUDSSRUWGHPÜODQJHGHDXQHLQĲXHQFHGLUHFWHVXUOHUÜVXOWDWGHO DQDO\VHHWGRLWÝWUHUHVSHFWÜ8.

Ne pas utiliser le portoir si la plaque graduée est déformée et si l'échelle graduée n'est pas clairement lisible.

59

FR
Prélèvement d’échantillon et manipulation
AVANT DE COMMENCER LA MESURE DE LA VS, VEUILLEZ LIRE LE PRÉSENT DOCUMENT DANS SON INTÉGRALITÉ.
0DWÜULHOGHWUDYDLOQÜFHVVDLUHSRXUODGÜWHUPLQDWLRQGHOD96
1.

Tube pour échantillon rempli avec l'échantillon sanguin (S-Sedivette®, S-Monovette® BSG, tube avec bouchon à vis VS ou Microvette® CB 200 BSG)*.

2.

Portoir de VS SARSTEDT adapté au tube pour échantillon et, le cas échéant, la pipette VS SARSTEDT appropriée.

3.

'HVJDQWVXQHEORXVHGHVOXQHWWHVGHSURWHFWLRQRXWRXWDXWUHYÝWHPHQWGHSURWHFWLRQDSSURSULÜSRXUYRXVSURWÜJHUGHVDJHQWVSDWKRJÛQHVWUDQVPLVVLEOHVSDUOŖÜFKDQWLOORQRXGHVPDWLÛUHVSRWHQWLHOOHPHQWLQIHFWLHXVHV

4.

5ÜYHLORXFKURQRPÛWUH

3RXUOHSUÜOÛYHPHQWVDQJXLQHWOHWUDQVSRUWGHO ÜFKDQWLOORQUHVSHFWHUOHPRGHG HPSORLGXWXEHSRXUÜFKDQWLOORQFRUUHVSRQGDQW 66HGLYHWWH®, S-Monovette® BSG, tube avec bouchon à vis VS ou Microvette® CB 200 BSG).
5ÜDOLVDWLRQGHODGÜWHUPLQDWLRQGHOD96
Instructions générales/HVGLĳÜUHQWHVYDULDQWHVGXSRUWRLUGH966$567('7HWGHVSLSHWWHV966$567('7VRQWGÜFULWHVFLGHVVRXVb
A: 8WLOLVDWLRQGXSRUWRLUGH966$567('7UÜIb
B: 8WLOLVDWLRQGXSRUWRLUGH966$567('7UÜIbDYHFOHVSLSHWWHV966$567('7UÜIb
C: 8WLOLVDWLRQGXSRUWRLUGH96UÜIbDYHFOHVSLSHWWHV966$567('7UÜIb
D: 8WLOLVDWLRQGXSRUWRLUGH966$567('7UÜIb

$b8WLOLVDWLRQGXSRUWRLUGH966$567('7UÜIb
/HSRUWRLUGH966$567('7 UÜIb HVWH[FOXVLYHPHQWGHVWLQÜÇÝWUHXWLOLVÜDYHFOD66HGLYHWWH® UÜIb[[[ 1.

+RPRJÜQÜLVH]PLQXWLHXVHPHQWOŖÜFKDQWLOORQHQOHUHWRXUQDQW ıJb2.

Le portoir de VS SARSTEDT doit être placé sur un support horizontal. Pour procéder à la mesure, placez la S-Sedivette® remplie en position verticale dans le portoir de VS SARSTEDT.
/HSRLQWGHUÜIÜUHQFHGHFKDTXHÜFKDQWLOORQGRLWÝWUHUÜJOÜÇO DLGHGHODYLVPROHWÜH ĲÛFKH  ıJb ).

3.

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/HUÜJOHUDXFKRL[VXUbPLQXWHV UHbYDOHXUGHPHVXUH HWbKHXUH HbYDOHXUGHPHVXUH RXVXUbKHXUH UHbYDOHXUGHPHVXUH HWbKHXUHV HbYDOHXUGHPHVXUH 

4.

8QHIRLVOHWHPSVÜFRXOÜDYHFbPLQXWHOLUHODGLVWDQFHHQPLOOLPÛWUHVHQWUHOHIRQGGXPÜQLVTXHSODVPDWLTXHHWOHKDXWGHODFRORQQHDYHFOHVÜU\WKURF\WHVVÜGLPHQWÜVVXUODSDURLDUULÛUHJUDGXÜH
Veillez à ce que la colonne d'érythrocytes ne contienne pas de leucocytes (couche leuco-plaquettaire). Notez la valeur numérique.

).

5x

60

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%b8WLOLVDWLRQGXSRUWRLUGH966$567('7UÜIbDYHFOHVSLSHWWHV966$567('7UÜIb
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+RPRJÜQÜLVH]PLQXWLHXVHPHQWOHVÜFKDQWLOORQVHQOHVUHWRXUQDQW ıJb

2.

Ouvrez la S-Monovette®%6*  OHWXEHDYHFERXFKRQÇYLV96HQWRXUQDQWOHERXFKRQGDQVOHVHQVLQYHUVHGHVDLJXLOOHVGŖXQHPRQWUH ıJ

3.

Introduisez la pipette VS dans la S-Monovette® BSG / le tube avec bouchon à vis VS. Poussez minutieusement la pipette VS vers le bas. La pipette VS se remplit alors de sang.
Vissez la gaine du piston de la pipette VS sur la S-Monovette®%6*  OHWXEHDYHFERXFKRQÇYLV96HQODWRXUQDQWGDQVOHVHQVGHVDLJXLOOHVG XQHPRQWUH ıJ ).

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4.

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5.

Pour la mesure, placez la S-Monovette®%6*  OHWXEHDYHFERXFKRQÇYLV96DYHFODSLSHWWH96GÜVRUPDLVYLVVÜHHQSRVLWLRQYHUWLFDOHVXUOHSRUWRLUGH96DYHFSDURLDUULÛUHJUDGXÜH6$567('7/HSRUWRLUGH966$567('7GRLWÝWUHSODFÜVXUXQVXSSRUWKRUL]RQWDO/HSRLQWGHUÜIÜUHQFHGHFKDTXHÜFKDQWLOORQGRLWÝWUHFRQWUăOÜHWOHFDVÜFKÜDQWUÜJOÜHQWRXUQDQWODJDLQHGXSLVWRQGHODSLSHWWH96 ıJb6.

'ÜPDUUH]ODPHVXUHHQUÜJODQWHWHQGÜPDUUDQWXQUÜYHLORXXQFKURQRPÛWUHSRXUGÜWHUPLQHUOHPRPHQWGHPHVXUH
/HUÜJOHUDXFKRL[VXUbPLQXWHV UHbYDOHXUGHPHVXUH HWbKHXUH HbYDOHXUGHPHVXUH RXVXUbKHXUH UHbYDOHXUGHPHVXUH HWbKHXUHV HbYDOHXUGHPHVXUH 

7.

8QHIRLVOHWHPSVÜFRXOÜDYHFbPLQXWHOLUHODGLVWDQFHHQPLOOLPÛWUHVHQWUHOHIRQGGXPÜQLVTXHSODVPDWLTXHHWOHKDXWGHODFRORQQHDYHFOHVÜU\WKURF\WHVVÜGLPHQWÜVVXUODSDURLDUULÛUHJUDGXÜH
Veillez à ce que la colonne d'érythrocytes ne contienne pas de leucocytes (couche leuco-plaquettaire). Notez la valeur numérique.

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BSG / ESR / VS-WESTERGREN

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1.

+RPRJÜQÜLVH]PLQXWLHXVHPHQWOHVÜFKDQWLOORQVHQOHVUHWRXUQDQW ıJb

2.

Ouvrez la S-Monovette®%6*  OHWXEHDYHFERXFKRQÇYLV96HQWRXUQDQWOHERXFKRQGDQVOHVHQVLQYHUVHGHVDLJXLOOHVGŖXQHPRQWUH ıJ

3.

Introduisez la pipette VS dans la S-Monovette® BSG / le tube avec bouchon à vis VS. Poussez minutieusement la pipette VS vers le bas. La pipette VS se remplit alors de sang.
Vissez la gaine du piston de la pipette VS sur la S-Monovette®%6*  OHWXEHDYHFERXFKRQÇYLV96HQODWRXUQDQWGDQVOHVHQVGHVDLJXLOOHVG XQHPRQWUH ıJ ).

).
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4.

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5.

Pour la mesure, placez la S-Monovette®%6*  OHWXEHDYHFERXFKRQÇYLV96DYHFODSLSHWWH96GÜVRUPDLVYLVVÜHHQSRVLWLRQYHUWLFDOHVXUOHSRUWRLUGH96VDQVSDURLDUULÛUH6$567('7/HSRUWRLUGH966$567('7GRLWÝWUHSODFÜVXUXQVXSSRUWKRUL]RQWDO/HSRLQWGHUÜIÜUHQFHGHFKDTXHÜFKDQWLOORQGRLWÝWUHFRQWUăOÜHWOHFDVÜFKÜDQWUÜJOÜHQWRXUQDQWODJDLQHGXSLVWRQGHODSLSHWWH96 ıJb6.

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/HUÜJOHUDXFKRL[VXUbPLQXWHV UHbYDOHXUGHPHVXUH HWbKHXUH HbYDOHXUGHPHVXUH RXVXUbKHXUH UHbYDOHXUGHPHVXUH HWbKHXUHV HbYDOHXUGHPHVXUH 

7.

8QHIRLVOHWHPSVÜFRXOÜDYHFbPLQXWHOLUHODGLVWDQFHHQPLOOLPÛWUHVHQWUHOHIRQGGXPÜQLVTXHSODVPDWLTXHHWOHKDXWGHODFRORQQHDYHFOHVÜU\WKURF\WHVVÜGLPHQWÜVVXUODO ÜFKHOOHJUDGXÜHLPSULPÜHVXUOD
pipette VS. Veillez à ce que la colonne d'érythrocytes ne contienne pas de leucocytes (couche leuco-plaquettaire). Notez la valeur numérique.

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SEDIPLUS®

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).

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80

BSG / ESR / VS-WESTERGREN

62

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'b8WLOLVDWLRQGXSRUWRLUGH966$567('7UÜIb
/HSRUWRLUGH96 UÜIb HVWH[FOXVLYHPHQWGHVWLQÜÇÝWUHXWLOLVÜDYHFOD0LFURYHWWH®&%%6* UÜIb[[[ 1.

+RPRJÜQÜLVH]PLQXWLHXVHPHQWOŖÜFKDQWLOORQHQOHUHWRXUQDQW ıJb

2.

Ouvrez la Microvette® CB 200 BSG en tirant le bouchon à pression vers le haut. Introduisez le capillaire de sédimentation dans la Microvette® CB 200 BSG.
3RXVVH]PLQXWLHXVHPHQWOHFDSLOODLUHGHVÜGLPHQWDWLRQYHUVOHEDV/HFDSLOODLUHGHVÜGLPHQWDWLRQVHUHPSOLWDORUVGHVDQJ ıJb ).

3.

Le portoir de VS SARSTEDT doit être placé sur un support horizontal. Pour procéder à la mesure, placez la Microvette® CB 200 BSG remplie avec le capillaire de sédimentation en position verticale sur le portoir
966$567('7/HSRLQWGHUÜIÜUHQFHGHFKDTXHÜFKDQWLOORQGRLWÝWUHUÜJOÜDYHFSUÜFLVLRQÇO DLGHGHODYLVPROHWÜH ĲÛFKH  ıJb ).

4.

'ÜPDUUH]ODPHVXUHHQUÜJODQWHWHQGÜPDUUDQWXQUÜYHLORXXQFKURQRPÛWUHSRXUGÜWHUPLQHUOHPRPHQWGHPHVXUH
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5.

8QHIRLVOHWHPSVÜFRXOÜDYHFbPLQXWHOLUHODGLVWDQFHHQPLOOLPÛWUHVHQWUHOHIRQGGXPÜQLVTXHSODVPDWLTXHHWOHKDXWGHODFRORQQHDYHFOHVÜU\WKURF\WHVVÜGLPHQWÜVVXUODSDURLDUULÛUHJUDGXÜH
Veillez à ce que la colonne d'érythrocytes ne contienne pas de leucocytes (couche leuco-plaquettaire). Notez la valeur numérique.

).

Élimination
1.

/HVGLUHFWLYHVJÜQÜUDOHVGŖK\JLÛQHHWOHVGLVSRVLWLRQVOÜJDOHVUHODWLYHVÇOŖÜOLPLQDWLRQFRQIRUPHGHPDWLÛUHVLQIHFWLHXVHVGRLYHQWÝWUHUHVSHFWÜHV2.

Les gants à usage unique limitent le risque d’infection.

3.

Les pipettes VS SARSTEDT contaminées ou remplies doivent être mises au rebut dans un récipient d'élimination pour substances biologiques dangereuses, qui peut ensuite être placé en autoclave et incinéré.

4.

Éliminer les consommables potentiellement contaminés conformément aux politiques et directives de l'établissement.

63

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1RUPHVHWGLUHFWLYHVVSÜFLıTXHVDXSURGXLWGDQVOHXUYHUVLRQHQYLJXHXU
CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
7KRPDV//DERUXQG'LDJQRVH /DERUDWRLUHHWGLDJQRVWLF xGLWLRQQXPÜULTXH/DERUXQG'LDJQRVHbFKDSLWUH%OXWNąUSHUFKHQVHQNXQJV5HDNWLRQ %65  UÜDFWLRQÇODVÜGLPHQWDWLRQJOREXODLUH (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)&OÜVGHV\PEROHHWGŖLGHQWLıFDWLRQb

Référence

Désignation du lot

Utilisable jusqu’au

Marque CE

Diagnostic in vitro

Respecter le mode d'emploi(QFDVGHUÜXWLOLVDWLRQb5LVTXHGHFRQWDPLQDWLRQConserver à l’abri du soleil

Stocker dans un endroit sec

FabricantPays de fabrication

Sous réserve de modifications techniques.
Tous les incidents sérieux liés au produit doivent être notifiés au fabricant et à l’autorité nationale compétente.

64

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Namjena5XÕQLVWDOFL]D6( LSLSHWH6$567('7]DVHGLPHQWDFLMXVOXĭH]DUXÕQRin vitroGLMDJQRVWLÕNRPMHUHQMHEU]LQHVHGLPHQWDFLMHHULWURFLWD 6( L]DQWLNRDJXOLUDQHSXQHNUYLVFLWUDWRP RPMHUPMHđDYLQHGLRFLWUDWDGLMHODNUYL 'RELYHQLUH]XOWDWLPMHUHQMDRGJRYDUDMXPHWRGLSR:HVWHUJUHQX2YLVQRRXSRWULMHEOMHQRPVXVWDYX]DSULNXSOMDQMHNUYLNRULVWLVHYHQVNDLOLNDSLODUQDNUY.DGMHULMHÕRVHSUXYHWDPD0LFURYHWWH® CB 200 BSG,
to je kapilarna krv, a prilikom rada s epruvetama S-Sedivette®, S-Monovette® BSG ili s epruvetom s navojnim grlom BSG upotrebljava se venska krv.
3URL]YRGLVXSUHGYLÙHQL]DSULPMHQXXSURIHVLRQDOQRPRNUXĭHQMXWHVXQDPLMHQMHQLPHGLFLQVNRPLVWUXÕQRPODERUDWRULMVNRPRVREOMX*BSG = njem. brzina sedimentacije eritrocita, hrv. brzina sedimentacije (SE)Opis proizvoda
6(VWDOFL QD]LYDMXVHLVWDOFLPD]DVHGLPHQWDFLMX SURL]YHGHQLVXRGSODVWLÕQLKPDWHULMDODLRYLVQRRL]YHGELQDPLMHQMHQLVX]DSULPMHQXVDVSUHPQLFLPD]DSULNXSOMDQMHNUYL66HGLYHWWH®, S-Monovette® BSG, epruvetamas navojnim grlom BSG ili epruvetama Microvette®&%%6*'RVWXSQLVXVPMHUQRPOMHVWYLFRPLOLEH]QMHQDSROHÙLQLVYDNLVSRPMHUQLKPMHVWD'RGDWQLSULERUVX6$567('7SODVWLÕQHSLSHWH]DVHGLPHQWDFLMXVPMHUQRPOMHVWYLFRPLOLEH]QMH=D6$567('7VWDODN]DVHGLPHQWDFLMXEH]SROHÙLQHSULNODGQHVXHSUXYHWD60RQRYHWWH® BSG ili epruveta s navojnim grlom BSG u kombinaciji sa SARSTEDT pipetom za sedimentaciju s
PMHUQRPOMHVWYLFRP6$567('7VWDOFL]DVHGLPHQWDFLMXVSROHÙLQRPVPMHUQRPOMHVWYLFRPRYLVQRRL]YHGELSULNODGQLVX]DHSUXYHWH66HGLYHWWH®NDRL]DVOMHGHÓHNRPELQDFLMH(SUXYHWH60RQRYHWWH® BSG ili epruvete s
navojnim grlom BSG s pipetom za sedimentaciju s O-oznakom (bez mjerne ljestvice) ili epruvete Microvette® CB 200 BSG s njihovim pipetama za sedimentaciju.

Pregled proizvoda

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Tip

Br. art.

OznakaZa uporabu s

90.1090

SARSTEDT stalak za SE s graduacijom

Prikladan za epruvetu S-Sedivette®

90.1060

6$567('7VWDODN]D6(VPMHUQRPOMHVWYLFRPQDSROHÙLQL

Prikladan za epruvete S-Monovette® BSG ili epruvete s navojnim grlom BSG u
kombinaciji s pipetom za sedimentaciju s O-oznakom (varijanta E)

90.1060.062

6$567('7VWDODN]D6(EH]SROHÙLQH

Prikladan za epruvete S-Monovette® BSG ili epruvete s navojnim grlom BSG u
kombinaciji s pipetom s otisnutom mjernom ljestvicom (varijanta F)

90.1091

SARSTEDT stalak za SE za Microvette® CB 200 BSG

Prikladan za epruvetu Microvette® CB 200 BSG s kapilarom za sedimentaciju

86.1996

SARSTEDT pipete za sedimentaciju s O-oznakom

3ULNODGQH]D6$567('7VWDODN]D6(VPMHUQRPOMHVWYLFRPQDSROHÙLQL YDULMDQWD%86.1996.062

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3ULNODGQH]D6$567('7VWDODN]D6(EH]SROHÙLQH YDULMDQWD&Informacije o sigurnosti i upozorenja
1.

3ULGUĭDYDMWHVHXSXWDL]RSLVDUXNRYDQMD

2.

2SÓHPMHUHRSUH]D1RVLWHUXNDYLFHLXRELÕDMHQXRVREQX]DđWLWQXRSUHPXNDNRELVWHVH]DđWLWLOLRGSRWHQFLMDOQHL]ORĭHQRVWLLQIHNWLYQLPX]RUFLPDLSDWRJHQLPD

3.

Rukujte svim biološkim uzorcima i priborom za uzimanje uzoraka u skladu sa smjernicama i postupcima vaše ustanove.
8VOXÕDMXGRGLUDVELRORđNLPX]RUFLPDSRWUDĭLWHOLMHÕQLÕNXSRPRÓMHUPRĭHGRÓLGRSULMHQRVD]DUD]QLKEROHVWL
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4.

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5.

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65

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đWRUH]XOWLUDEUĭLPWDORĭHQMHPNUYQLKVWDQLFDLSRVOMHGLÕQRYHÓLPPMHUQLPYULMHGQRVWLPD6(+1DVXSURWWRPHSRYHÓDQMHNRQFHQWUDFLMHQHJDWLYQRQDELMHQLKSOD]PDWVNLKSURWHLQDUH]XOWLUDVSRULMLPWDORĭHQMHPHULWURFLWDLSRVOMHGLÕQRQLĭLPYULMHGQRVWLPD6(D+Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. izdanje. 2019.; Springer. ISBN 978-3-662-48987-1

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Dob (godine)

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3,1

5,1

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< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

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**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

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1.

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2.

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3.

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4.

Princip mjerenja odgovara proceduri CLSI H2-A5.

5.

Preciznost mjerenja iznosi +/-1 mm mjernog puta.

6.

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8.

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2.

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A: Uporaba SARSTEDT stalka za SE, br. art.: 90.1090
B: Uporaba SARSTEDT stalka za SE, br. art.: 90.1060 sa SARSTEDT pipetama za sedimentaciju, br. art.: 86.1996
C: Uporaba stalka za SE, br. art.: 90.1060.062 sa SARSTEDT pipetama za sedimentaciju, br. art.: 86.1996.062
D: Uporaba SARSTEDT stalka za SE, br. art.: 90.1091

A: Uporaba SARSTEDT stalka za SE, br. art.: 90.1090
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1.

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SARSTEDT stalak za SE mora biti postavljen na vodoravnu podlogu. Prilikom mjerenja postavite napunjenu epruvetu S-Sedivette® uspravno na SARSTEDT stalak za SE.
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4.

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Pipetu za sedimentaciju uvedite u epruvetu S-Monovette®%6*  HSUXYHWXVQDYRMQLPJUORP%6*3LSHWX]DVHGLPHQWDFLMXRSUH]QRSULWLVQLWHSUHPDGROMH3ULWRPÓHVHSLSHWD]DVHGLPHQWDFLMXQDSXQLWLNUYOMX=DYUQLWHÕDKXUXNOLSDSLSHWH]DVHGLPHQWDFLMXVHSUXYHWRP60RQRYHWWH® BSG / epruvetom s navojnim grlom BSG okretanjem u smjeru kretanja kazaljke na satu (sl. ).

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i SARSTEDT pipetom za sedimentaciju (br. art.: 86.1996.062).
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2.

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Za mjerenje postavite epruvetu S-Monovette®%6*  HSUXYHWXVQDYRMQLPJUORP%6*VDGDVSULÕYUđÓHQRPSLSHWRP]DVHGLPHQWDFLMXXVSUDYQRQD6$567('7]D6(EH]SROHÙLQH
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D: Uporaba SARSTEDT stalka za SE, br. art.: 90.1091
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Mikroepruvetu Microvette®&%%6*RWYRULWHL]YODÕHQMHP]DWYDUDÕDSUHPDJRUH.DSLODUX]DVHGLPHQWDFLMXXYHGLWHXPLNURHSUXYHWX0LFURYHWWH® CB 200 BSG.
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3.

SARSTEDT stalak za SE mora biti postavljen na vodoravnu podlogu. Prilikom mjerenja postavite napunjenu mikroepruvetu Microvette® CB 200 BSG s kapilarom za sedimentaciju na stalak SARSTEDT za SE.
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Zbrinjavanje otpada
1.

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Jednokratne rukavice smanjuju rizik od infekcije.

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Zbrinjavanje potencijalnog potrošnog materijala treba provesti u skladu sa smjernicama i pravilima vaše ustanove.

70

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CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digitalno izdanje Labor & Diagnose 2020; poglavlje 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)2EMDđQMHQMDVLPERODLR]QDND

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80

90

100

110

Típus

Cikkszám

0HJQHYH]ÜV

Az alábbiakkal alkalmazandók:

90.1090

SARSTEDT BSG állványok skálával

S-Sedivette®FVĈKą]PHJIHOHOĈ

90.1060

SARSTEDT BSG állványok skálával ellátott hátfallal

S-Monovette®%6*YDJ\%6*FVDYDURVFVąYHNKH]PHJIHOHOĈN2MHOąOÜVVHOHOOÈWRWW
vérsüllyedési pipettákkal kombinálva (E változat).

90.1060.062

SARSTEDT BSG állványok hátfal nélkül

S-Monovette®%6*YDJ\%6*FVDYDURVFVąYHNKH]PHJIHOHOĈNUÈQ\RPWDWRWWVNÈOÈYDO
UHQGHONH]ĈYÜUVĞOO\HGÜVLSLSHWWÈNNDONRPELQÈOYD )YÈOWR]DW

90.1091

SARSTEDT BSG állványok Microvette® CB 200 BSG csövekhez

Microvette®&%%6*FVąYHNKH]PHJIHOHOĈYÜUVĞOO\HGÜVLNDSLOOÈULVVDO

86.1996

SARSTEDT vérsüllyedési pipetták O-jelöléssel

6NÈOÈYDOHOOÈWRWWKÈWIDOODOUHQGHONH]Ĉ6$567('7%6*ÈOOYÈQ\RNKR]PHJIHOHOĈ %YÈOWR]DW

86.1996.062

SARSTEDT vérsüllyedési pipetták rányomtatott skálával+ÈWIDOQÜONĞOL6$567('7%6*ÈOOYÈQ\RNKR]PHJIHOHOĈ &YÈOWR]DW%L]WRQVÈJLÜVıJ\HOPH]WHWĈXWDVìWÈVRN
1.

Tartsa be a kezelésre vonatkozó leírást.

2.

dOWDOÈQRVĂYLQWÜ]NHGÜVHN+DV]QÈOMRQYÜGĈNHV]W\ĢWÜVÈOWDOÈQRVHJ\ÜQLYÜGĈIHOV]HUHOÜVWKRJ\YÜGMHPDJÈWHJ\HVHWOHJHVIHUWĈ]ĈPLQWDDQ\DJJDOYDJ\NĂURNR]ĂNNDOV]HPEHQ

3.

Minden biológiai mintát és mintavételi segédeszközt az Ön intézményében érvényes irányelvek és eljárások szerint kezeljen.
)RUGXOMRQRUYRVKR]KDELROĂJLDLPLQWÈNNDOÜULQWNH]HWWPLYHOH]ÈOWDOIHUWĈ]ĈEHWHJVÜJHNHWNDSKDWHO
Tartsa be az Ön intézményében érvényes irányelveket és eljárásokat.

4.

A vérsüllyedési pipetták egyszeri használatra szolgának. Az eszközöket dobja a biológiai veszélyes anyagok tárolására szolgáló tartályba.

5.

$YÜUVĞOO\HGÜVLSLSHWWÈNDWDOHMÈUDWLLGĈQWěOPÈUQHPV]DEDGIHOKDV]QÈOQL$WHUPÜNV]DYDWRVVÈJDDPHJDGRWWÜYÜVKĂQDSXWROVĂQDSMÈQMÈUOH

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egymásnak ütköznek és az ülepedés csak lassan megy végbe. A plazmafehérje megváltozott összetétele – speciálisan gyulladásos folyamatok esetén az akut fázisú fehérjék koncentrációjának növekedése – csökkenti
D]ÜWDSRWHQFLÈOW DQHJDWìYWąOWÜVHNĞWNą]ĈKDWÈVD ÜVH]ÈOWDOHOĈVHJìWLDYąUąVYÜUVHMWHNHJ\HVĞOÜVÜWDPHO\DYÜUVHMWHNJ\RUVDEEĞOHSHGÜVLPDJDWDUWÈVÈKR]ÜVH]ÈOWDOPDJDVDEEYÜUVĞOO\HGÜVLÜUWÜNHNKH]YH]HW+. Ezzel
HOOHQWÜWEHQDQHJDWìYWąOWÜVĢSOD]PDIHKÜUMÜNNRQFHQWUÈFLĂMÈQDNQąYHNHGÜVHDYąUąVYÜUVHMWHNODVVDEEOHĞOHSHGÜVÜKH]ÜVH]ÈOWDODODFVRQ\DEEYÜUVĞOO\HGÜVLÜUWÜNHNKH]YH]HW+Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk (Az orvosi laboratóriumi diagnosztika kézikönyve); 3. kiadás. 2019; Springer. ISBN 978-3-662-48987-1$UHIHUHQFLDÜUWÜNHNHWKHO\LV]LQWHQNHOOPHJKDWÈUR]QLDUHIHUHQFLDÜUWÜNHNUHYRQDWNR]ĂDMÈQOÈVRNNDOąVV]KDQJEDQ7HNLQWHWWHODUUDKRJ\DYÜUVĞOO\HGÜVD]ÜOHWNRUHOĈUHKDODGWÈYDOIRNR]DWRVDQHPHONHGLNIHOQĈWWNRUEDQDIHOQĈWWÜOHWPLQGHQÜYWL]HGUHNĞOąQÜUWÜNHNHWNHOOPHJKDWÈUR]QLDIÜUILDNÜVDQĈNHVHWÜEHQ7ąEEPÈVYÈOWR]ĂLVEHIRO\ÈVROMDDYÜUVĞOO\HGÜVWÜVH]HNV]LQWÜQNLKDWQDNDUHIHUHQFLDÜUWÜNHNUHSODKHPRJORELQV]LQWMH
J\ĂJ\V]HUHNPHQVWUXÈFLĂVFLNOXVWHUKHVVÜJÜVGRKÈQ\]ÈV$Ś:HVWHUJUHQ(65PĂGV]HUUHIHUHQFLDÜUWÜNHLŘFWÈEOÈ]DWEDQD]RNDYÜUVĞOO\HGÜVLUHIHUHQFLDÜUWÜNHNYDQQDNIHOVRUROYDDPHO\HNHWDKHO\LUHIHUHQFLDÜUWÜNHNPHJKDWÈUR]ÈVÈQDNDODSMÈXOKDV]QÈOKDWQDN

Westergren-ESR módszer referenciaértékei**(65Ną]ÜSÜUWÜN
$]ÈWODJIHOVĈKDWÈUD
xOHWNRU ÜY

)ÜUı

1Ĉ
)ÜUı

1Ĉ

18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

$QRUPÈOLVYÜUVĞOO\HGÜVQHP]ÈUMDNLDQHPJ\XOODGÈVRVV]HUYLEHWHJVÜJHNHWDV]HUYLPĢNąGÜVL]DYDURNDWÜVDURVV]LQGXODWěGDJDQDWRNDW**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin (A laboratóriumi orvostudomány tankönyve); Schattauer, 1999; ISBN 3-7945-1856-X.RUOÈWR]ÈVRN
1.

$YÜUPLQWÈNDWV]REDKĈPÜUVÜNOHWHQNHOOWÈUROQL$%6*PHJKDWÈUR]ÈVÈQDNDYÜUYÜWHOXWÈQĂUÈQEHOĞOPHJNHOOWąUWÜQQLH
+ĢWĈV]HNUÜQ\EHQ Ɠ& DPLQWÈWKRVV]DEELGHLJ PD[LPXPĂUÈLJ OHKHWWÈUROQL$PLQWÈWD]WÈQIHOKDV]QÈOÈVHOĈWWKDJ\QLNHOOV]REDKĈPÜUVÜNOHWUHIHOPHOHJHGQL

2.

$YÜUPLQWÈWDYÜUVĞOO\HGÜVLVHEHVVÜJPÜUÜVHHOĈWWĂYDWRVDQÈWNHOOIRUGìWDQLD]DODSRVKRPRJHQL]ÈOÈVÜUGHNÜEHQ

3.

$PÜUÜVKH]şƓ&NąUQ\H]HWLKĈPÜUVÜNOHWUHYDQV]ĞNVÜJÜVDPLQWÈWĂYQLNHOODUÈ]NĂGÈVRNWĂOKX]DWWĂOÜVNą]YHWOHQQDSVXJÈU]ÈVWĂO
LOOHWYHDPÜUÜVQHND]RUV]ÈJEDQÜUYÜQ\HVÜVODERUDWĂULXPLHOĈìUÈVRNQDNPHJIHOHOĈHQNHOOWąUWÜQQLH4.

A mérési elv CLSI H2-A5-nek felel meg.

5.

A mérési pontosság a mérési út +/-1 mm.

6.

$6$567('7%6*ÈOOYÈQ\RNDWHWDQROL]RSURSDQRODODSěIHUWĈWOHQìWĈV]HUHNNHOOHKHWWLV]WìWDQL

7.

Az 1:4 arányú keverési arány közvetlenül befolyásolja az elemzési eredményt és be kell tartani.

8.

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Mintavétel és kezelés
2/9$66$(/9x*,*(=7$'2.80(1780270,(/¡77$9x56¶//<('x60x5x670(*.(=',$YÜUVĞOO\HGÜVPHJKDWÈUR]ÈVÈKR]V]ĞNVÜJHVHV]Ną]LJÜQ\HN
1.

Vérmintával megtöltött mintaedény (S-Sedivette®, S-Monovette® BSG, a BSG csavaros csövek vagy a Microvette® CB 200 BSG)*.

2.

$PLQWDHGÜQ\HNKH]LOOHV]NHGĈ6$567('7%6*ÈOOYÈQ\ÜVDGRWWHVHWEHQPHJIHOHOĈ6$567('7YÜUVĞOO\HGÜVLSLSHWWD

3.

.HV]W\ĢNąSHQ\YÜGĈV]HPĞYHJYDJ\PÈVYÜGĈUXKÈ]DWKRJ\PHJYÜGMHPDJÈWDPLQWDDQ\DJÈOWDOWHUMHV]WHWWNĂURNR]ĂNWĂOYDJ\HVHWOHJHVHQIHUWĈ]ĈDQ\DJRNWĂO

4.

xEUHV]WĈĂUDYDJ\VWRSSHUĂUD* A vérvételnél és a minta szállításánál tartsa be az adott mintaedény használati utasítását (S-Sedivette®, S-Monovette®%6*D%6*FVDYDURVFVĈYDJ\0LFURYHWWH® CB 200 BSG)*.
$YÜUVĞOO\HGÜVPHJKDWÈUR]ÈVÈQDNHOYÜJ]ÜVH
Általános utasítások$]DOÈEELDNEDQ6$567('7%6*ÈOOYÈQ\RNÜV6$567('7YÜUVĞOO\HGÜVLSLSHWWÈNNĞOąQEą]ĈYÈOWR]DWDLWìUMXNOH
A: SARSTEDT BSG állványok használata, cikkszám: 90.1090
B: SARSTEDT BSG állványok használata, cikkszám: 90.1060 SARSTEDT vérsüllyedési pipettával, cikkszám: 86.1996
C: BSG állványok használata, cikkszám: 90.1060.062 SARSTEDT vérsüllyedési pipettával, cikkszám: 86.1996.062
D: SARSTEDT BSG állványok használata, cikkszám: 90.1091

A: SARSTEDT BSG állványok használata, cikkszám: 90.1090
A SARSTEDT BSG állvány (cikkszám: 90.1090) kizárólag az S-Sedivette® FLNNV]ÈP[[[ FVĈYHOYDOĂKDV]QÈODWÈKR]PHJIHOHOĈ. kép).

1.

A mintát óvatosan fordítsa fejre (2.

A SARSTEDT BSG állványnak vízszintes alátéten kell állnia. A méréshez állítsa a megtöltött S-Sedivette®FVąYHWIĞJJĈOHJHVHQD6$567('7%6*ÈOOYÈQ\ED
Minden minta nulla pontját a hernyócsavarral (nyíl) kell beállítani ( . kép).

3.

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Tetszés szerint 30 percre (1. mérési érték) és 1 órára (2. mérési érték) vagy 1 órára (1. mérési érték) és 2 órára (2. mérési érték).

4.

$]LGĈSHUFHOWHOWÜYHOOHNHOOROYDVQLDSOD]PDPHQLV]NXV]DOMDÜVDOHĞOHSHGHWWYąUąVYÜUVHMWHNHWWDUWDOPD]ĂRV]ORSIHOVĈYÜJHNą]ąWWLWÈYROVÈJRWPLOOLPÜWHUEHQNLIHMH]YHDVNÈOÈYDOHOOÈWRWWKÈWIDOUĂO¶J\HOMHQDUUDKRJ\QHOHJ\HQHNIHKÜUYÜUVHMWHN %Xĳ\&RDW DYąUąVYÜUVHMWRV]ORSEDQ-HJ\H]]HIHODV]ÈPÜUWÜNHW

5x

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%6$567('7%6*ÈOOYÈQ\RNKDV]QÈODWDFLNNV]ÈP6$567('7YÜUVĞOO\HGÜVLSLSHWWÈYDOFLNNV]ÈPA SARSTEDT BSG állvány (cikkszám: 90.1060) kizárólag S-Monovette®%6* FLNNV]ÈP[[[ YDJ\%6*FVDYDURVFVĈYHO FLNNV]ÈP[[[ ÜVD6$567('7YÜUVĞOO\HGÜVLSLSHWWÈYDO FLNNV]ÈP YDOĂKDV]QÈODWUDPHJIHOHOĈ. kép).

1.

A mintákat óvatosan fordítsa fejre (2.

Nyissa ki az S-Monovette® BSG / BSG csavaros csövet, miközben azt az óramutató járásával ellentétes irányba fordítja (3.

Helyezze bele a vérsüllyedési pipettát az S-Monovette®%6*  %6*FVDYDURVFVĈEH1\RPMDĂYDWRVDQOHIHOÜDYÜUVĞOO\HGÜVLSLSHWWÈW$YÜUVĞOO\HGÜVLSLSHWWDNą]EHQPHJWHOLNYÜUUHO
Csavarja rá a vérsüllyedési pipetta dugattyús hüvelyét az S-Monovette®%6*  %6*FVDYDURVFVĈUHPLNą]EHQD]ĂUDPXWDWĂMÈUÈVÈYDOPHJHJ\H]ĈLUÈQ\EDIRUGìWMD . kép).

4.

A vérsüllyedési pipetta akkor van jól rácsavarva, ha a töltésszint jelzés a vérsüllyedési pipettán pontosan az O-jelzésnél van (5.

A méréshez állítsa az S-Monovette®%6*  D%6*FVDYDURVFVąYHWDPRVWUÈFVDYDUWYÜUVĞOO\HGÜVLSLSHWWÈYDOHJ\ĞWWIĞJJĈOHJHVHQDVNÈOÈYDOHOOÈWRWWKÈWIDOODOUHQGHONH]Ĉ6$567('7%6*ÈOOYÈQ\UD$6$567('7%6*ÈOOYÈQ\QDNYì]V]LQWHVDOÈWÜWHQNHOOÈOOQLD0LQGHQPLQWDQXOODSRQWMÈWHOOHQĈUL]QLNHOOÜVV]ĞNVÜJHVHWÜQDYÜUVĞOO\HGÜVLSLSHWWDGXJDWW\ěVKĞYHO\ÜQHNHOIRUGìWÈVÈYDONHOOEHÈOOìWDQL . kép).

6.

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Tetszés szerint 30 percre (1. mérési érték) és 1 órára (2. mérési érték) vagy 1 órára (1. mérési érték) és 2 órára (2. mérési érték).

7.

$]LGĈSHUFHOWHOWÜYHOOHNHOOROYDVQLDSOD]PDPHQLV]NXV]DOMDÜVDOHĞOHSHGHWWYąUąVYÜUVHMWHNHWWDUWDOPD]ĂRV]ORSIHOVĈYÜJHNą]ąWWLWÈYROVÈJRWPLOOLPÜWHUEHQNLIHMH]YHDVNÈOÈYDOHOOÈWRWWKÈWIDOUĂO¶J\HOMHQDUUDKRJ\QHOHJ\HQHNIHKÜUYÜUVHMWHN %Xĳ\&RDW DYąUąVYÜUVHMWRV]ORSEDQ-HJ\H]]HIHODV]ÈPÜUWÜNHWOSEDIPLUS®

OO. kép).

O. kép).

OOO

BSG / ESR / VS-WESTERGREN

75

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A SARSTEDT BSG állvány (cikkszám: 90.1060.062) kizárólag S-Monovette®%6* FLNNV]ÈP[[[ YDJ\%6*FVDYDURVFVĈYHO FLNNV]ÈP[[[ ÜVD6$567('7YÜUVĞOO\HGÜVLSLSHWWÈYDOFLNNV]ÈP YDOĂKDV]QÈODWUDPHJIHOHOĈ. kép).

1.

A mintákat óvatosan fordítsa fejre (2.

Nyissa ki az S-Monovette® BSG / BSG csavaros csövet, miközben azt az óramutató járásával ellentétes irányba fordítja (3.

Helyezze bele a vérsüllyedési pipettát az S-Monovette®%6*  %6*FVDYDURVFVĈEH1\RPMDĂYDWRVDQOHIHOÜDYÜUVĞOO\HGÜVLSLSHWWÈW$YÜUVĞOO\HGÜVLSLSHWWDNą]EHQPHJWHOLNYÜUUHO
Csavarja rá a vérsüllyedési pipetta dugattyús hüvelyét az S-Monovette®%6*  %6*FVDYDURVFVĈUHPLNą]EHQD]ĂUDPXWDWĂMÈUÈVÈYDOPHJHJ\H]ĈLUÈQ\EDIRUGìWMD . kép).

4.

A vérsüllyedési pipetta akkor van jól rácsavarva, ha a töltésszint jelzés a vérsüllyedési pipettán pontosan az O-jelzésnél van (5.

A méréshez állítsa az S-Monovette®%6*  D%6*FVDYDURVFVąYHWDPRVWUÈFVDYDUWYÜUVĞOO\HGÜVLSLSHWWÈYDOHJ\ĞWWIĞJJĈOHJHVHQDKÈWIDOQÜONĞOL6$567('7%6*ÈOOYÈQ\UD$6$567('7%6*ÈOOYÈQ\QDNYì]V]LQWHVDOÈWÜWHQNHOOÈOOQLD0LQGHQPLQWDQXOODSRQWMÈWHOOHQĈUL]QLNHOOÜVV]ĞNVÜJHVHWÜQDYÜUVĞOO\HGÜVLSLSHWWDGXJDWW\ěVKĞYHO\ÜQHNHOIRUGìWÈVÈYDONHOOEHÈOOìWDQL

6.

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Tetszés szerint 30 percre (1. mérési érték) és 1 órára (2. mérési érték) vagy 1 órára (1. mérési érték) és 2 órára (2. mérési érték).

7.

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BSG / ESR / VS-WESTERGREN

76

HU
D: SARSTEDT BSG állványok használata, cikkszám: 90.1091
A BSG állvány (cikkszám: 90.1091) kizárólag a Microvette®&%%6* FLNNV]ÈP[[[ FVĈYHOYDOĂKDV]QÈODWÈKR]PHJIHOHOĈ. kép).

1.

A mintát óvatosan fordítsa fejre (2.

Nyissa ki a Microvette® CB 200 BSG csövet, miközben a dugót felfelé kihúzza. Helyezze be a vérsüllyedési kapillárist a Microvette®&%%6*FVĈEHÓvatosan nyomja lefelé a vérsüllyedési kapillárist. A vérsüllyedési kapilláris közben megtelik vérrel ( . kép).

3.

A SARSTEDT BSG állványnak vízszintes alátéten kell állnia. A méréshez állítsa a megtöltött Microvette®&%%6*FVąYHWDYÜUVĞOO\HGÜVLNDSLOOÈULVVDOHJ\ĞWWIĞJJĈOHJHVHQ6$567('7%6*ÈOOYÈQ\ED
Minden minta nulla pontját a hernyócsavarral (nyíl) kell pontosan beállítani ( . kép).

4.

,QGìWVDHODPÜUÜVWPLNą]EHQD]ÜEUHV]WĈĂUÈWYDJ\DVWRSSHUĂUÈWD]QPÜUÜVLLGĈSRQWMÈKR]EHÈOOìWMDÜVHOLQGìWMD
Tetszés szerint 30 percre (1. mérési érték) és 1 órára (2. mérési érték) vagy 1 órára (1. mérési érték) és 2 órára (2. mérési érték).

5.

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1.

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2.

$]HOGREKDWĂNHV]W\ĢNPHJDNDGÈO\R]]ÈNDIHUWĈ]ÜVNRFNÈ]DWÈW3.

$IHUWĈ]ĈYDJ\PHJWąOWąWW6$567('7YÜUVĞOO\HGÜVLSLSHWWÈNDWELROĂJLDLODJYHV]ÜO\HVDQ\DJRNÈUWDOPDWODQìWÈVÈUDKDV]QÈOWPHJIHOHOĈWDUWÈO\RNEDNHOONLGREQLDPHO\HNHWD]WNąYHWĈHQDXWRNOÈYYDOIHUWĈWOHQìWHQLOHKHWYDJ\HOOHKHWÜJHWQL

4.

Az esetlegesen szennyezett, felhasznált anyag ártalmatlanítása az intézmény irányelvei szerint történik.

77

HU7HUPÜNUHYRQDWNR]ĂV]DEYÈQ\RNÜVLUÈQ\HOYHNÜUYÜQ\HVYÈOWR]DWD
CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. (Laboratórium és diagnózis.) Laboratórium és diagnózis digitális kiadás 2020; 19.3.2 fejezet Blutkörperchensenkungs-Reaktion (BSR)(Vérsüllyedési reakció)(www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)6]LPEĂOXPRNÜVMHOąOÜVHNPDJ\DUÈ]DWD

Cikkszám

Gyártási tételszám

Lejárat napja:

CE-jelölés

In-vitro diagnosztikai orvostechnikai eszköz

Olvassa el a használati utasítást!

³MEĂOLIHOKDV]QÈOÈVHVHWÜQ)HUWĈ]ÜVYHV]ÜO\1DSIÜQ\WĈOYÜGYHWÈURODQGĂ

Száraz helyen tartandó

Gyártó

Gyártási ország

A technikai változtatások jogát fenntartjuk.
Minden a termékkel kapcsolatosan bekövetkezett súlyos eseményt az illetékes nemzeti hatósághoz, hivatalhoz jelenteni kell.

78

Istruzioni d'uso – Eritrosedimentazione manuale– Portaprovette VES e pipette di sedimentazione SARSTEDT

IT

Destinazione d'uso
Il portaprovette VES e le pipette di sedimentazione SARSTEDT servono alla determinazione diagnostica manuale, in-vitro della velocità di eritrosedimentazione (VES) da sangue intero citrato anticoagulato (rapporto di
PLVFHODSDUWHFLWUDWRbSDUWLVDQJXH ,ULVXOWDWLRWWHQXWLGHOODPLVXUD]LRQHFRUULVSRQGRQRDOPHWRGRVHFRQGR:HVWHUJUHQ$VHFRQGDGHOVLVWHPDGLSUHOLHYRHPDWLFRYLHQHXWLOL]]DWRVDQJXHYHQRVRRFDSLOODUH
Nella Microvette® CB 200 VES si usa sangue capillare, in caso di utilizzo della S-Sedivette®, della S-Monovette® VES o della provetta con tappo a vite VES si utilizza sangue venoso.
I prodotti sono destinati all'uso in un ambiente professionale, da parte di personale medico e di laboratorio qualificato.
*VES = Velocità di eritrosedimentazione

Descrizione del prodotto
I portaprovette VES (detti anche portaprovette di sedimentazione) sono in plastica e, a seconda della versione, sono adatti alle provette per prelievi ematici S-Sedivette®, alla S-Monovette® VES, alla provetta con tappo avite VES o alla Microvette® CB 200 VES. Sono disponibili con o senza parete graduata e dispongono di 10 postazioni di misurazione. Le pipette di sedimentazione in plastica SARSTEDT sono utilizzate come accessori e
VRQRGLVSRQLELOLJUDGXDWHHQRQ3HULSRUWDSURYHWWH6$567('7VHQ]DSDUHWLÛDGDWWDOD60RQRYHWWH® VES o la provetta con tappo a vite VES insieme alla pipetta di sedimentazione SARSTEDT graduata. I portaprovette
SARSTEDT con parete graduata sono adatti a seconda della versione alla S-Sedivette®, così come per la combinazione: S-Monovette® VES o per provetta con tappo a vite VES con pipetta di sedimentazione con
marcatura ad O (senza graduazione) o con la Microvette® CB 200 VES con relativo capillare di sedimentazione.

Panoramica degli articoli

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Tipo

Codice art.

Descrizione

Da utilizzare con

90.1090

Portaprovette VES con graduazione SARSTEDT

Adatta alla S-Sedivette®

90.1060

Portaprovette VES con parete graduata SARSTEDT

Adatta alla S-Monovette® VES o alla provetta con tappo a vite VES insieme alla
pipetta di sedimentazione con marcatura ad O (variante E).

90.1060.062

Portaprovette VES senza parete SARSTEDT

Adatta alla S-Monovette® VES o alla provetta con tappo a vite VES insieme alla
pipetta di sedimentazione con graduazione stampata (variante F).

90.1091

Portaprovette VES SARSTEDT per Microvette® CB 200 VES

Adatto alla Microvette® CB 200 VES con capillare per sedimentazione

86.1996

Pipette di sedimentazione con marcatura ad O SARSTEDT

Adatte al portaprovette VES con parete graduata SARSTEDT (variante B)

86.1996.062

Pipette di sedimentazione con graduazione stampata SARSTEDT

Adatte ai portaprovette VES senza parete SARSTEDT (variante C)

Istruzioni di sicurezza e avvertenze
1.

Attenersi alle istruzioni per la manipolazione.

2.

Precauzioni generali: indossare guanti e dispositivi di protezione individuale generali per proteggersi da una possibile esposizione a materiale potenzialmente infettivo e ad agenti patogeni trasmessi.

3.

Trattare tutti i campioni biologici e gli strumenti per la raccolta nel rispetto delle direttive e delle procedure del proprio istituto.
In caso di contatto diretto con campioni biologici, consultare un medico, in quanto esiste la possibilità di trasmissione di malattie infettive.
Attenersi alle direttive e alle procedure di sicurezza del proprio istituto.

4.

Le pipette di sedimentazione sono prodotti monouso. Smaltire tutti i prodotti in contenitori per materiali a rischio biologico.

5.

Non utilizzare le pipette di sedimentazione dopo la data di scadenza. Il periodo di conservazione termina l'ultimo giorno del mese e dell'anno indicati.

79

IT
Conservazione
Conservare i prodotti a temperatura ambiente.

3ULQFLSLRFKLPLFRıVLFR*UD]LHDOORURPDJJLRUHVSHVVRUHULVSHWWRDOSODVPDJOLHULWURFLWLVLVHGLPHQWDQROHQWDPHQWHQHOVDQJXHDQWLFRDJXODWR/DVHGLPHQWD]LRQHGHJOLHULWURFLWLÛLQIOXHQ]DWDFRPXQTXHGDGLIIHUHQWLIDWWRULFKHQHSRVVRQR
velocizzare o rallentare la velocità. Tra i fattori più importanti si contano, oltre alla differenza di spessore, l’aggregazione degli eritrociti e la carica elettrica. La carica negativa degli eritrociti ne determina gli scontri tra diloro e la lentezza della sedimentazione. Una composizione modificata di plasmaproteine, in particolare l’aumento della concentrazione di proteine di fase acuta in caso di processi infiammatori, riduce il potenziale zeta
(effetto respingente della carica negativa) favorendo in questo modo l’aggregazione degli eritrociti, il che conduce a un comportamento di sedimentazione più rapido delle cellule ematiche e quindi a valori maggiori della
VES+. Al contrario, l’aumento di concentrazione di plasmaproteine con carica negativa determina una sedimentazione rallentata degli eritrociti e quindi valori inferiori della VES.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3a edizione. 2019; Springer. ISBN 978-3-662-48987-1

I valori di riferimento devono essere determinati a livello locale in accordo con le raccomandazioni per i valori di riferimento. In considerazione dell’aumento progressivo della VES con l’età, per ogni decennio di vita
GRYUHEEHURHVVHUHGHWHUPLQDWLYDORULVHSDUDWLSHUXRPLQLHGRQQH&LVRQRLQROWUHPROWHDOWUHYDULDELOLFKHLQIOXHQ]DQROD9(6HFKHSRVVRQRTXLQGLDYHUHHIIHWWLVXLYDORULGLULIHULPHQWRTXDOLDGHVOLYHOOLGLHPRJORELQD
PHGLFLQDOLFLFORGHOOHPHVWUXD]LRQLJUDYLGDQ]DHIXPR1HOODWDEHOODŗ9DORULGLULIHULPHQWR9(6VHFRQGRLOPHWRGR:HVWHUJUHQŘVRQRULSRUWDWLLYDORULGLULIHULPHQWRGHOOD9(6FKHSRVVRQRHVVHUHXWLOL]]DWLFRPHOLQHHJXLGDper la determinazione dei valori di riferimento locali.

Valori di riferimento VES secondo il metodo Westergren**Valore medio VES
Limite superiore della norma
Età (anni)

Uomo

Donna
Uomo

Donna

18 – 30

3.1

5.1

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31 – 40

3.4

5.6

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41 – 50

4.6

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51 – 60

5.6

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60 – 70

5.6

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Una VES normale non esclude malattie degli organi non infiammatorie, disturbi funzionali degli organi e tumori maligni.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Limitazioni
1.

La conservazione dei campioni ematici deve avvenire a temperatura ambiente. Le analisi della VES devono quindi avvenire entro le prime 4 ore dal prelievo ematico.
Il campione può essere conservato in frigorifero (4 °C) per un periodo di tempo più lungo (massimo 24 ore). Il campione deve essere quindi portato, prima dell’utilizzo, a temperatura ambiente.

2.

Il campione ematico deve essere omogeneizzato a fondo prima della misurazione della velocità di eritrosedimentazione capovolgendolo con attenzione.

3.

/DPLVXUD]LRQHULFKLHGHXQDWHPSHUDWXUDGHOOŖDPELHQWHSDULDşƓ&HGHYHHVVHUHHĳHWWXDWDLQPRGRSURWHWWRGDYLEUD]LRQLFRUUHQWLGŖDULDHUDGLD]LRQLVRODULGLUHWWHRYYHURVHFRQGROHGLVSRVL]LRQLVSHFLıFKHQD]LRQDOLHGHOODERUDWRULR

4.

Il principio di misurazione corrisponde al CLSI H2-A5.

5.

/DSUHFLVLRQHGHOODPLVXUD]LRQHFRUULVSRQGHDbPPGHOOŖLQWHUYDOOR

6.

I portaprovette VES SARSTEDT possono essere puliti con disinfettanti a base di etanolo / isopropanolo.

7.

,OUDSSRUWRGLPLVFHODGLLQĲXLVFHGLUHWWDPHQWHVXLULVXOWDWLGLDQDOLVLHGHYHHVVHUHULVSHWWDWR8.

,OSRUWDSURYHWWHGHYHHVVHUHXWLOL]]DWRVRODPHQWHVHORVFKHUPRFRQODVFDODQRQÛRQGXODWRÛTXHVWDÛSHUIHWWDPHQWHOHJJLELOH

80

ITPrelievo e manipolazione del campione
PRIMA DI INIZIARE LA MISURAZIONE DELLA VES, LEGGERE FINO IN FONDO QUESTO DOCUMENTO.
Materiale di lavoro necessario per la misurazione della VES
1.

Provetta riempita con il campione ematico (S-Sedivette®, S-Monovette® VES, provetta con tappo a vite VES o alla Microvette® CB 200 VES)*.

2.

Portaprovette VES SARSTEDT adatto alla provetta ed ev. pipetta di sedimentazione adatta SARSTEDT.

3.

Guanti, camici, protezioni per gli occhi o altri indumenti protettivi appropriati per proteggersi da agenti patogeni trasmessi dal campione o materiali potenzialmente infettivi.

4.

Sveglia o cronometro.

*Per il prelievo ematico e il trasporto del campione si devono osservare le istruzioni d’uso della relativa provetta (S-Sedivette®, S-Monovette® VES, provetta con tappo a vite VES o alla Microvette® CB 200 VES).
Esecuzione della misurazione della VES
Istruzioni generali
1HOVHJXLWRVRQRGHVFULWWHOHGLĳHUHQWLYDULDQWLGLSRUWDSURYHWWH9(66$567('7HSLSHWWHGLVHGLPHQWD]LRQH6$567('7
A: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1090
B: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1060 con pipette di sedimentazione SARSTEDT, codice art.: 86.1996
C: Utilizzo del portaprovette VES, codice art.: 90.1060.062 con pipette di sedimentazione SARSTEDT, codice art.: 86.1996.062
D: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1091

A: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1090,OSRUWDSURYHWWH9(66$567('7 FRGLFHDUW ÛHVFOXVLYDPHQWHDGDWWRSHUOŖXWLOL]]RFRQOD66HGLYHWWH® (codice art.: 06.1690.xxx).
1.

&DSRYROJHUHDWWHQWDPHQWHLOFDPSLRQH ıJ2.

Il portaprovette VES SARSTEDT deve stare su un piano orizzontale. Per le misurazioni posizionare verticalmente la S-Sedivette® sul portaprovette VES SARSTEDT.
,OSXQWR]HURGLRJQLFDPSLRQHGHYHHVVHUHUHJRODWRFRQODYLWH]LJULQDWD IUHFFLD  ıJ ).

3.

Iniziare la misurazione regolando per prima cosa una sveglia o un cronometro per i tempi di misurazione.
Regolazione, a scelta, a 30 minuti (1° valore misurato) e a 1 ora (2° valore misurato) o a 1 ora (1° valore misurato) e a 2 ore (2° valore misurato).

4.

Una volta trascorso il tempo, +/-1 minuto, viene letta la distanza in millimetri tra fondo del menisco del plasma ed estremità superiore della colonna con eritrociti sedimentati sulla parete graduata.
)DUHDWWHQ]LRQHFKHQHOODFRORQQDGHJOLHULWURFLWLQRQVLDQRFRQWHQXWLOHXFRFLWL EXĳ\FRDW 6HJQDUHLOYDORUHQXPHULFR

).

5x

81

IT
B: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1060 con pipette di sedimentazione SARSTEDT, codice art.: 86.1996,OSRUWDSURYHWWH9(66$567('7 FRGLFHDUW ÛHVFOXVLYDPHQWHDGDWWRSHUOŖXWLOL]]RFRQOD60RQRYHWWH® VES (codice art.: 05.1079.xxx) o la provetta con tappo a vite VES (codice art.: 47.410.xxx)
e la pipetta di sedimentazione SARSTEDT (codice art.: 86.1996).
1.

&DSRYROJHUHDWWHQWDPHQWHLFDPSLRQL ıJ2.

Aprire la S-Monovette®9(6  LOWDSSRGHOODSURYHWWD9(6UXRWDQGRORLQVHQVRDQWLRUDULR ıJ

3.

Inserire la pipetta di sedimentazione nella S-Monovette® VES / il tappo della provetta VES. Premere attentamente la pipetta di sedimentazione verso il basso. La pipetta di sedimentazione si riempie di sangue.
Avvitare il manicotto del pistone della pipetta di sedimentazione con la S-Monovette®9(6  ODSURYHWWDFRQWDSSRDYLWH9(6UXRWDQGRLQVHQVRRUDULR ıJ ).

4.

/DSLSHWWDGLVHGLPHQWD]LRQHÛDYYLWDWDFRUUHWWDPHQWHVHÛUDJJLXQWRHVDWWDPHQWHLOSXQWRGLULHPSLPHQWRVXOODVWHVVDVXOODPDUFDWXUDDG2 ıJ5.

Per la misurazione posizionare verticalmente la S-Monovette® VES / la provetta con tappo a vite VES con la pipetta di sedimentazione ora avvitata sul portaprovette SARSTEDT VES con parete graduata. Il
SRUWDSURYHWWH9(66$567('7GHYHVWDUHVXXQSLDQRRUL]]RQWDOH,OSXQWR]HURGLRJQLFDPSLRQHGHYHHVVHUHFRQWUROODWRHVHQHFHVVDULRUHJRODWRUXRWDQGRLOPDQLFRWWRGHOSLVWRQHGHOODSLSHWWDGLVHGLPHQWD]LRQH ıJ

6.

Iniziare la misurazione regolando per prima cosa una sveglia o un cronometro per i tempi di misurazione.
Regolazione, a scelta, a 30 minuti (1° valore misurato) e a 1 ora (2° valore misurato) o a 1 ora (1° valore misurato) e a 2 ore (2° valore misurato).

7.

Una volta trascorso il tempo, +/-1 minuto, viene letta la distanza in millimetri tra fondo del menisco del plasma ed estremità superiore della colonna con eritrociti sedimentati sulla parete graduata.
)DUHDWWHQ]LRQHFKHQHOODFRORQQDGHJOLHULWURFLWLQRQVLDQRFRQWHQXWLOHXFRFLWL EXĳ\FRDW 6HJQDUHLOYDORUHQXPHULFR).

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IT
C: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1060.062 con pipette di sedimentazione SARSTEDT, codice art.: 86.1996.062,OSRUWDSURYHWWH9(66$567('7 FRGLFHDUW ÛHVFOXVLYDPHQWHDGDWWRSHUOŖXWLOL]]RFRQOD60RQRYHWWH® VES (codice art.: 05.1079.xxx) o la provetta con tappo a vite VES (codice art.: 47.410.xxx)
e la pipetta di sedimentazione SARSTEDT (codice art.: 86.1996.062).
1.

&DSRYROJHUHDWWHQWDPHQWHLFDPSLRQL ıJ2.

Aprire la S-Monovette®9(6  LOWDSSRGHOODSURYHWWD9(6UXRWDQGRORLQVHQVRDQWLRUDULR ıJ

3.

Inserire la pipetta di sedimentazione nella S-Monovette® VES / il tappo della provetta VES. Premere attentamente la pipetta di sedimentazione verso il basso. La pipetta di sedimentazione si riempie di sangue.
Avvitare il manicotto del pistone della pipetta di sedimentazione con la S-Monovette®9(6  ODSURYHWWDFRQWDSSRDYLWH9(6UXRWDQGRLQVHQVRRUDULR ıJ ).

4.

/LSLSHWWDGLVHGLPHQWD]LRQHÛDYYLWDWDFRUUHWWDPHQWHVHÛUDJJLXQWRHVDWWDPHQWHLOSXQWRGLULHPSLPHQWRVXOODVWHVVDVXOODPDUFDWXUDDG2 ıJ5.

Per la misurazione posizionare verticalmente la S-Monovette® VES / la provetta con tappo a vite VES con la pipetta di sedimentazione ora avvitata sul portaprovette SARSTEDT VES senza parete. Il portaprovette9(66$567('7GHYHVWDUHVXXQSLDQRRUL]]RQWDOH,OSXQWR]HURGLRJQLFDPSLRQHGHYHHVVHUHFRQWUROODWRHVHQHFHVVDULRUHJRODWRUXRWDQGRLOPDQLFRWWRGHOSLVWRQHGHOODSLSHWWDGLVHGLPHQWD]LRQH ıJ ).

6.

Iniziare la misurazione regolando per prima cosa una sveglia o un cronometro per i tempi di misurazione.
Regolazione, a scelta, a 30 minuti (1° valore misurato) e a 1 ora (2° valore misurato) o a 1 ora (1° valore misurato) e a 2 ore (2° valore misurato).

7.

Una volta trascorso il tempo, +/-1 minuto, viene letta la distanza in millimetri tra fondo del menisco del plasma ed estremità superiore della colonna con eritrociti sedimentati con la scala graduata stampata sulla
SLSHWWDGLVHGLPHQWD]LRQH)DUHDWWHQ]LRQHFKHQHOODFRORQQDGHJOLHULWURFLWLQRQVLDQRFRQWHQXWLOHXFRFLWL EXĳ\FRDW 6HJQDUHLOYDORUHQXPHULFR

).

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SEDIPLUS®

0

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80

BSG / ESR / VS-WESTERGREN

83

IT
D: Utilizzo del portaprovette VES SARSTEDT, codice art.: 90.1091,OSRUWDSURYHWWH9(6 FRGLFHDUW ÛHVFOXVLYDPHQWHDGDWWRSHUOŖXWLOL]]RFRQOD0LFURYHWWH® CB 200 VES (codice art.: 18.1325.xxx).
1.

&DSRYROJHUHDWWHQWDPHQWHLOFDPSLRQH ıJ2.

Aprire la Microvette® CB 200 VES tirando il tappo a pressione verso l’alto. Inserire il capillare per la sedimentazione nella Microvette® CB 200 VES.
3UHPHUHDWWHQWDPHQWHLOFDSLOODUHSHUODVHGLPHQWD]LRQHYHUVRLOEDVVR,OFDSLOODUHSHUODVHGLPHQWD]LRQHVLULHPSLHGLVDQJXH ıJ ).

3.

Il portaprovette VES SARSTEDT deve stare su un piano orizzontale. Per le misurazioni posizionare verticalmente la Microvette® CB 200 VES con capillare di sedimentazione nel portaprovette VES SARSTEDT.
,OSXQWR]HURGLRJQLFDPSLRQHGHYHHVVHUHUHJRODWRHVDWWDPHQWHFRQODYLWH]LJULQDWD IUHFFLD  ıJ ).

4.

Iniziare la misurazione regolando per prima cosa una sveglia o un cronometro per i tempi di misurazione.
Regolazione, a scelta, a 30 minuti (1° valore misurato) e a 1 ora (2° valore misurato) o a 1 ora (1° valore misurato) e a 2 ore (2° valore misurato).

5.

Una volta trascorso il tempo, +/-1 minuto, viene letta la distanza in millimetri tra fondo del menisco del plasma ed estremità superiore della colonna con eritrociti sedimentati sulla parete graduata.
)DUHDWWHQ]LRQHFKHQHOODFRORQQDGHJOLHULWURFLWLQRQVLDQRFRQWHQXWLOHXFRFLWL EXĳ\FRDW 6HJQDUHLOYDORUHQXPHULFR).

Smaltimento1.

È necessario attenersi alle linee guida generali sull'igiene e alle disposizioni di legge per il corretto smaltimento del materiale infettivo.

2.

I guanti monouso prevengono il rischio di infezione.

3.

Le pipette di sedimentazione SARSTEDT contaminate o riempite devono essere smaltite in appositi contenitori per materiali a rischio biologico, che possono poi essere sterilizzati in autoclave e inceneriti.

4.

Lo smaltimento del materiale di consumo potenzialmente contaminato avviene in conformità alle direttive e alle linee guida dell'istituto.

84

IT
1RUPHHOLQHHJXLGDVSHFLıFKHGHOSURGRWWRQHOODORURYHUVLRQHYDOLGDCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Edizione digitale Labor & Diagnose 2020; Capitolo 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

Legenda dei simboli e dei contrassegni:

Codice articolo

Designazione della partita

Usare entro

Marchio CE

Diagnostica in vitro

Attenersi alle istruzioni d'uso

In caso di riutilizzo: rischio di contaminazione

Conservare al riparo dalla luce del sole

Conservare in un luogo asciutto

Produttore

Paese di fabbricazione

Con riserva di modifiche tecniche.
Eventuali incidenti gravi relativi al prodotto devono essere notificati al produttore e all’autorità nazionale competente.

85

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BSG / ESR / VS-WESTERGREN

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87

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㒁㧦GṨ㦚G₆⪳䟊G⚦㕃㔲㡺U

5x

88

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iaGzhyz{lk{GlzyG㓺䌶✲㦮G㌂㣿SG䛞⳿G⻞䢎aGzhyz{lk{G䂾ṫG䞒䘁㧊G㧞⓪G`WUXW]WSG䛞⳿G⻞䢎aG_]UX``]zhyz{lk{GlzyG㓺䌶✲O䛞⳿G⻞䢎aG`WUXW]WP⓪GzTt´GlzyO䛞⳿G⻞䢎aGW\UXW^`UPG⡦⓪G㓺䋂⮮G䓲ぢGlzyO䛞⳿G⻞䢎aG[^U[XWUPG⹥Gzhyz{lk{G䂾ṫG䞒䘁O䛞⳿G⻞䢎aG_]UX``]PὒG䞾℮G㌂㣿䞮⓪Gἓ㤆㠦ⰢG㩗䞿䞿┞┺UPU

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SEDIPLUS®

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PU

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BSG / ESR / VS-WESTERGREN

89

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PU

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5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

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5,6

10,1

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***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Apribojimai
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Thomas, L.: Labor und Diagnose. Skaitmeninis leidinys Labor & Diagnose 2020; Skyrius 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

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Galimi techniniai pakeitimai.
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VDMDXNđDQDVDWWLHFñEDGDùDFLWUÌWDGDùDVDVLÿX 6DÿHPWLHPàUñMXPXUH]XOWÌWLDWELOVW9HVWHUJUàQDPHWRGHL$WNDUñEÌQRL]PDQWRWÌVDVLQVSDÿHPđDQDVVLVWàPDVWLHNL]PDQWRWDVYHQR]ÌVYDLNDSLOÌUÌVDVLQLVIzmantojot Microvette®&%(*hWÌVLUNDSLOÌUÌVDVLQLVEHW66HGLYHWWH®, S-Monovette®(*hYDLVNUğYàMDPÌVWREULÿD(*hJDGñMXPÌL]PDQWRYHQR]ÌVDVLQLV,]VWUÌGÌMXPLSDUHG]àWLOLHWRđDQDLSURIHVLRQÌOÌYLGàXQWLHMÌOLHWRPHGLFñQDVVSHFLÌOLVWLHPXQODERUDWRULMDVVSHFLÌOLVWLHP(*h VDUNDQRDVLQVõHUPHQñđXJULPđDQDVÌWUXPVDUñHULWURFñWXJULPđDQDVÌWUXPVProdukta apraksts(*hVWDWñYL VDXNWLDUñSDUJULPđDQDVVWDWñYLHP VDVWÌYQRSODVWPDVDVXQDWNDUñEÌQRL]SLOGñMXPDLUSLHOÌJRWLDVLQVVDYÌNđDQDVWUDXNLHP66HGLYHWWH®, S-Monovette®(*hVNUğYàMDPDMDPVWREULÿDP(*hYDL0LFURYHWWH®
&%(*h7LHLUSLHHMDPLDUXQEH]VNDODVX]DL]PXJXUàMÌVVLHQLÿDVXQVQLHG]LHVSàMXYHLNWPàUñMXPXVYLHWÌV.ÌSLHGHUXPLLUSDUHG]àWDV6$567('7SODVWPDVDVJULPđDQDVSLSHWHVDUXQEH]VNDODV6$567('7JULPđDQDVVWDWñYDPEH]DL]PXJXUàMÌVVLHQLÿDVDWELOVW60RQRYHWWH®(*hYDLVNUğYàMDPLHVWREULÿL(*hVDYLHQRMXPÌDU6$567('7JULPđDQDVSLSHWLDUVNDOX6$567('7JULPđDQDVVWDWñYLDUVNDOXX]DL]PXJXUàMÌV
VLHQDVDWNDUñEÌQRL]SLOGñMXPDDWELOVW66HGLYHWWH®NÌDUñđÌGÌPNRPELQÌFLMÌP60RQRYHWWH®(*hYDLVNUğYàMDPLHPVWREULÿLHP(*hDUJULPđDQDVSLSHWLDU2PDUõàMXPX EH]VNDODV YDL0LFURYHWWH®&%(*hDUWÌVJULPđDQDVNDSLOÌUX,]VWUÌGÌMXPXSÌUVNDWVSEDIPLUS®

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

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40

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50

50

50

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50

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60

60

60

60

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

40

50

60

70

80

90

100

110

Tips

Produkta nr.

Nosaukums,]PDQWRMDPVNRSÌDU

90.1090

6$567('7(*hVWDWñYVDUJUDGXÌFLMX

Atbilst S-Sedivette®

90.1060

6$567('7(*hVWDWñYVDUVNDOXX]DL]PXJXUàMÌVVLHQLÿDV

Atbilst S-Monovette®(*hYDLVNUğYàMDPDMDPVWREULÿDP(*hVDYLHQRMXPÌDU
JULPđDQDVSLSHWLDU2PDUõàMXPX (YDULDQWV

90.1060.062

6$567('7(*hVWDWñYVEH]DL]PXJXUàMÌVVLHQLÿDV

Atbilst S-Monovette®(*hYDLVNUğYàMDPDMDPVWREULÿDP(*hVDYLHQRMXPÌDU
JULPđDQDVSLSHWLDUX]GUXNÌWXVNDOX )YDULDQWV

90.1091

6$567('7(*hVWDWñYVSDUHG]àWV0LFURYHWWH®&%(*hL]PDQWRđDQDL

Atbilst Microvette®&%(*hDUJULPđDQDVNDSLOÌUX

86.1996

6$567('7JULPđDQDVSLSHWHVDU2PDUõàMXPX

$WELOVW6$567('7(*hVWDWñYDPDUVNDOXX]DL]PXJXUàMÌVVLHQLÿDV %YDULDQWV

86.1996.062

6$567('7JULPđDQDVSLSHWHVDUX]GUXNÌWXVNDOX$WELOVW6$567('7(*hVWDWñYDPEH]DL]PXJXUàMÌVVLHQLÿDV &YDULDQWV'URđñEDVXQEUñGLQÌMXPDQRUÌGñMXPL
1.

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2.

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3.

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6DVNDURWLHVDUELRORçLVNLHPSDUDXJLHPYàUVLHWLHVSLHÌUVWDMRWÌYDUWLNWSÌUQHVWDVLQIHNFLMXVOLPñEDV,HYàURMLHWMğVXLHVWÌGHVGURđñEDVYDGOñQLMDVXQPHWRGLNX

4.

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5.

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100

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5HIHUHQFHVYàUWñEDVMÌQRVDNDORNÌOLDWELOVWRđLUHNRPHQGÌFLMÌPNDVL]VWUÌGÌWDVDWWLHFñEÌX]UHIHUHQFHVYàUWñEÌPHPRWYàUÌSURJUHVàMRđR(*hSLHDXJXPXNRL]UDLVDQRYHFRđDQDYñULHđLHPXQVLHYLHWàPDWWLHFñEÌX]NDWUXJDGXGHVPLWXSLHDXJXđÌYHFXPÌLHWHLFDPVQRWHLNWDWVHYLđõDVYàUWñEDV(*hLHWHNPàYDLUÌNLPDLQñJLHOLHOXPLXQWÌGàMÌGLWLHYDULHVSDLGRWUHIHUHQFHVYàUWñEDV SLHPàUDPKHPRJOREñQDOñPHQLVPHGLNDPHQWLPHQVWUXÌFLMXFLNOVJUğWQLHFñEDXQVPàõàđDQD 7DEXOÌŚ5HIHUHQFHVYàUWñEDVL]PDQWRMRW9HVWHUJUàQD(*hQRWHLNđDQDVPHWRGLŗLUQRUÌGñWDV(*hUHIHUHQFHVYàUWñEDVNXUDVLHVSàMDPVL]PDQWRWNÌYDGOñQLMDVORNÌORUHIHUHQFHVYàUWñEXQRWHLNđDQÌ

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Vecums (gadi)

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3,4

5,6

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4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

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> 70

5,6

10,1

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1.

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6.

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8.

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101

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1.

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2.

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3.

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4.

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A: 6$567('7(*hVWDWñYDOLHWRđDQDSURGXNWDQU
B: 6$567('7(*hVWDWñYDOLHWRđDQDSURGXNWDQUDU6$567('7JULPđDQDVSLSHWàPSURGXNWDQU
C: (*hVWDWñYDOLHWRđDQDSURGXNWDQUDU6$567('7JULPđDQDVSLSHWàPSURGXNWDQU
D: 6$567('7(*hVWDWñYDOLHWRđDQDSURGXNWDQU

$6$567('7(*hVWDWñYDOLHWRđDQDSURGXNWDQU
6$567('7(*hVWDWñYV SURGXNWDQU SLHPàURWVYLHQñJLL]PDQWRđDQDLNRSÌDU66HGLYHWWH® (produkta nr.: 06.1690.xxx).
1.

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3.

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4.

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5x

102

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1.

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2.

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3.

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4.

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5.

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6$567('7(*hVWDWñYDPMÌEğWQRYLHWRWDPX]KRUL]RQWÌODVYLUVPDV.DWUDSDUDXJDQXOOHVSXQNWVLUMÌSÌUEDXGDXQYDMDG]ñEDVJDGñMXPÌMÌQRUHJXOàJULHĭRWJULPđDQDVSLSHWHVPàçHQHVLHWYHUL

6.

6ÌFLHWPàUñMXPXDWELOVWRđLVDYLHPPàUñđDQDVODLNLHPLHVWDWRWXQDNWLYL]àMRWPRGLQÌWÌMXYDLKURQRPHWUX
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7.

.DGSDJÌMXVLPLQğWHQRVNDODVX]DL]PXJXUàMÌVVLHQLÿDVWLHNQRODVñWVDWWÌOXPVPLOLPHWURVQRSOD]PDVPHQLVNDGLEHQDOñG]NRORQQDVDUVHGLPHQWàWDMLHPHULWURFñWLHPDXJđJDODP
8]PDQLHWODLHULWURFñWXNRORQQÌQHEğWXOHLNRFñWX %Xĳ\&RDW 3LHUDNVWLHWVNDLWOLVNRYàUWñEX

. att.).

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bDWW att.).

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BSG / ESR / VS-WESTERGREN

103

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&6$567('7(*hVWDWñYDOLHWRđDQDSURGXNWDQUDU6$567('7JULPđDQDVSLSHWàPSURGXNWDQU
6$567('7(*hVWDWñYV SURGXNWDQU LUSLHPàURWVYLHQñJLL]PDQWRđDQDLNRSÌDU60RQRYHWWH®(*h SURGXNWDQU[[[ YDLVNUğYàMDPRVWREULÿX(*h SURGXNWDQU[[[ un ar SARSTEDT grimšanas pipeti (produkta nr.: 86.1996.062).
1.

5ğSñJLDSJULH]LHWSDUDXJXVRWUÌGL

2.

Atveriet S-Monovette®(*h  VNUğYàMDPRVWREULÿX(*hJULHĭRWVNUğYàMDPRYÌFLÿXSUHWàMLSXONVWHÿUÌGñWÌMXNXVWñEDVYLU]LHQDP

3.

%ñGLHWJULPđDQDVSLSHWL60RQRYHWWH®(*h  VNUğYàMDPDMÌVWREULÿÌ(*h8]PDQñJLVSLHGLHWJULPđDQDVSLSHWLX]OHMXªDMÌODLNÌJULPđDQDVSLSHWHSLHSLOGÌVDUDVLQñP
6DVNUğYàMLHWJULPđDQDVSLSHWHVPàçHQHVLHWYHULNRSÌDU60RQRYHWWH®(*h  VNUğYàMDPRVWREULÿX(*hJULHĭRWSXONVWHÿUÌGñWÌMXNXVWñEDVYLU]LHQÌ . att.).

4.

*ULPđDQDVSLSHWHLUSDUHL]LSLHVNUğYàWDNDGLUSUHFñ]LVDVQLHJWDX]SLOGHVDW]ñPHX]JULPđDQDVSLSHWHVSLH2PDUõàMXPD

5.

/DLYHLNWXPàUñMXPXQRYLHWRMLHW60RQRYHWWH®(*h  VNUğYàMDPRVWREULÿX(*hDUSLHVNUğYàWRJULPđDQDVSLSHWLYHUWLNÌOLX]6$567('7(*hVWDWñYDEH]DL]PXJXUàMÌVVLHQLÿDV
6$567('7(*hVWDWñYDPMÌEğWQRYLHWRWDPX]KRUL]RQWÌODVYLUVPDV.DWUDSDUDXJDQXOOHVSXQNWVLUMÌSÌUEDXGDXQYDMDG]ñEDVJDGñMXPÌMÌQRUHJXOàJULHĭRWJULPđDQDVSLSHWHVPàçHQHVLHWYHUL

6.

6ÌFLHWPàUñMXPXDWELOVWRđLVDYLHPPàUñđDQDVODLNLHPLHVWDWRWXQDNWLYL]àMRWPRGLQÌWÌMXYDLKURQRPHWUX
3àFL]YàOHVX]PLQğWàP PàUñMXPDYàUWñED XQVWXQGD PàUñMXPDYàUWñED YDLVWXQGD PàUñMXPDYàUWñED XQVWXQGDV PàUñMXPDYàUWñED 

7.

.DGLUSDJÌMXVLPLQğWHDUX]JULPđDQDVSLSHWHVX]GUXNÌWÌVVNDODVSDOñG]ñEXWLHNQRODVñWVDWWÌOXPVPLOLPHWURVQRSOD]PDVPHQLVNDGLEHQDOñG]NRORQQDVDUVHGLPHQWàWDMLHPHULWURFñWLHPDXJđJDODP
8]PDQLHWODLHULWURFñWXNRORQQÌQHEğWXOHLNRFñWX %Xĳ\&RDW 3LHUDNVWLHWVNDLWOLVNRYàUWñEX. att.).

0

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90

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10

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0

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SEDIPLUS®

0

10

10

20

att.).

10

0

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bDWW 

0

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0

. att.).

80

BSG / ESR / VS-WESTERGREN

104

LV
'6$567('7(*hVWDWñYDOLHWRđDQDSURGXNWDQU
(*hVWDWñYV SURGXNWDQU LUSLHPàURWVYLHQñJLL]PDQWRđDQDLNRSÌDU0LFURYHWWH®&%(*h SURGXNWDQU[[[ 1.

5ğSñJLDSJULH]LHWSDUDXJXRWUÌGL

2.

Atveriet Microvette®&%(*hYLU]LHQÌX]DXJđXL]YHONRWQRVOàG]RđRDL]EÌ]QL,HYLHWRMLHWJULPđDQDVNDSLOÌUX0LFURYHWWH®&%(*h8]PDQñJLVSLHGLHWJULPđDQDVNDSLOÌUXX]OHMXªDLODLNÌJULPđDQDVNDSLOÌUVSLHSLOGÌVDUDVLQñP . att.).

3.

6$567('7(*hVWDWñYDPMÌEğWQRYLHWRWDPX]KRUL]RQWÌODVYLUVPDV/DLYHLNWXPàUñMXPXQRYLHWRMLHWSLHSLOGñWR0LFURYHWWH®&%(*hDUJULPđDQDVNDSLOÌUXYHUWLNÌOLX]6$567('7%6*VWDWñYD.DWUDSDUDXJDQXOOHVSXQNWVSUHFñ]LMÌLHVWDWDL]PDQWRMRWULHYRWÌVJDOYLÿDVVNUğYL EXOWLÿD  . att.).

4.

6ÌFLHWPàUñMXPXDWELOVWRđLVDYLHPPàUñđDQDVODLNLHPLHVWDWRWXQDNWLYL]àMRWPRGLQÌWÌMXYDLKURQRPHWUX
3àFL]YàOHVX]PLQğWàP PàUñMXPDYàUWñED XQVWXQGD PàUñMXPDYàUWñED YDLVWXQGD PàUñMXPDYàUWñED XQVWXQGDV PàUñMXPDYàUWñED 

5.

.DGSDJÌMXVLPLQğWHQRVNDODVX]DL]PXJXUàMÌVVLHQLÿDVWLHNQRODVñWVDWWÌOXPVPLOLPHWURVQRSOD]PDVPHQLVNDGLEHQDOñG]NRORQQDVDUVHGLPHQWàWDMLHPHULWURFñWLHPDXJđJDODP
8]PDQLHWODLHULWURFñWXNRORQQÌQHEğWXOHLNRFñWX %Xĳ\&RDW 3LHUDNVWLHWVNDLWOLVNRYàUWñEX. att.).

8WLOL]ÌFLMD
1.

HPLHWYàUÌXQLHYàURMLHWYLVSÌUñJÌVKLJLàQDVYDGOñQLMDVXQWLHVñEXQRUPDVSDULQIHNFLR]DPDWHULÌODSDUHL]XOLNYLGÌFLMX

2.

9LHQUHL]OLHWRMDPLHFLPGLQRYàUđLQIHNFLMDVULVNX

3.

3LHVÌUÿRWLYDLSLHSLOGñWDV6$567('7JULPđDQDVSLSHWHVMÌOLNYLGàELRORçLVNLHPDWNULWXPLHPSLHPàURWRVDWNULWXPXNRQWHLQHURVNRSàFWDPYDUDSVWUÌGÌWDXWRNOÌYÌYDLVDGHG]LQÌW

4.

3RWHQFLÌOLSLHVÌUÿRWDSDUDXJXPDWHULÌODOLNYLGÌFLMXYHLFVDVNDÿÌDULHVWÌGHVYDGOñQLMÌPXQQRWHLNXPLHP

105

LV
6WDQGDUWLNDVDWWLHFDVX]NRQNUàWRL]VWUÌGÌMXPXXQYDGOñQLMDVDWWLHFñJLVSàNÌHVRđDMÌUHGDNFLMÌCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
7KRPDV//DERUXQG'LDJQRVH'LJLWÌOVL]GHYXPV/DERU 'LDJQRVHQRGDùD%OXWNąUSHUFKHQVHQNXQJV5HDNWLRQ %65  ZZZODERUXQGGLDJQRVHGHNKWPOBLG7H[W$QFKRUICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

6LPEROXXQDS]ñPàMXPXVNDLGURMXPV

Produkta numurs

Partijas nosaukums'HUñJXPDWHUPLÿđ

&(]ñPHIn-vitro diagnostika,HYàURWOLHWRđDQDVLQVWUXNFLMX/LHWRMRWDWNÌUWRWL3LHVÌUÿRMXPDULVNV8]JODEÌWQRVDXOHVVWDULHPDL]VDUJÌWÌYLHWÌ

8]JODEÌWVDXVÌYLHWÌ

5DĭRWÌMV

5DĭRWÌMYDOVWV

6DJODEÌWDVWLHVñEDVX]WHKQLVNÌPL]PDLÿÌP
3DUYLVLHPQRSLHWQLHPLQFLGHQWLHPNDVUDGXđLHVVDLVWñEÌDUL]VWUÌGÌMXPXMÌ]LÿRUDĭRWÌMDPXQDWWLHFñJDMDLYDOVWVLHVWÌGHL106

*HEUXLNVDDQZİ]LQJş6$567('70DQXHOHEORHGEH]LQNLQJş%6(UHNNHQHQVHGLPHQWDWLHSLSHWWHQNL*HEUXLNVGRHODe BSE*-rekken en de SARSTEDT-sedimentatiepipetten worden gebruikt voor de manuele, in vitro-diagnostische bepaling van de erytrocytbezinkingssnelheid (BSE) uit geanticoaguleerd citraatbloed (mengverhouding
1:4; 1 deel citraat + 4 delen bloed). De verkregen meetresultaten komen overeen met de methode volgens Westergren. Afhankelijk van het gebruikte bloedafnamesysteem wordt veneus of capillair bloed gebruikt.
Met de Microvette® CB 200 BSE wordt capillair bloed gebruikt, met de S-Sedivette®, de S-Monovette® BSE of de afnamebuis BSE wordt veneus bloed gebruikt.
De producten zijn bestemd voor gebruik in een professionele omgeving en door gespecialiseerd medisch personeel en laboratoriumpersoneel.
*BSE = erytrocytbezinkingssnelheid of bloedbezinkingssnelheid

3URGXFWEHVFKUİYLQJ
BSE-rekken (ook sedimentatierekken genoemd) zijn vervaardigd uit kunststof en zijn, naargelang de uitvoering, aangepast aan de bloedafnamepipetten S-Sedivette®, S-Monovette® BSE, de afnamebuis BSE of
Microvette® CB 200 BSE. Ze zijn verkrijgbaar met en zonder achterwand met schaalverdeling en bieden elk tien meetposities. De kunststof sedimentatiepipetten SARSTEDT, met en zonder schaalverdeling, dienen als
toebehoren. De S-Monovette® BSE of de afnamebuis BSE in combinatie met de SARSTEDT-sedimentatiepipet met schaalverdeling is geschikt voor het SARSTEDT-sedimentatierek zonder achterwand. De SARSTEDTsedimentatierekken met achterwand met schaalverdeling passen naargelang de uitvoering bij de S-Sedivette®, alsook bij de combinatie: S-Monovette® BSE of voor de afnamebuis BSE met de sedimentatiepipet met
O-markering (zonder schaalverdeling) of de Microvette® CB 200 BSE met sedimentatiecapillair.

Artikeloverzicht

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

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Type

Art.-nr.

Benaming

Te gebruiken met

90.1090

SARSTEDT BSE-rek met graduering

Passend voor de S-Sedivette®

90.1060

SARSTEDT BSE-rek met achterwand met schaalverdeling

Passend voor de S-Monovette® BSE of de afnamebuis BSE in combinatie met
sedimentatiepipet met O-markering (variant E)

90.1060.062

SARSTEDT BSE-rek zonder achterwand

Passend voor de S-Monovette® BSE of de afnamebuis BSE in combinatie met
sedimentatiepipet met opgedrukte schaalverdeling (variant F)

90.1091

SARSTEDT BSE-rek voor de Microvette® CB 200 BSE

Passend voor de Microvette® CB 200 BSE met sedimentatiecapillair

86.1996

SARSTEDT-sedimentatiepipetten met O-markering

Passend voor SARSTEDT BSE-rek met achterwand met schaalverdeling (variant B)

86.1996.062

SARSTEDT-sedimentatiepipetten met opgedrukte schaalverdeling

Passend voor SARSTEDT BSE-rek zonder achterwand (variant C)

Veiligheidsinstructies en waarschuwingen
1.

9ROJGHEHVFKUİYLQJYRRUJHEUXLN2.

$OJHPHQHYRRU]RUJVPDDWUHJHOHQ*HEUXLNKDQGVFKRHQHQHQDOJHPHQHSHUVRRQOİNHEHVFKHUPLQJVPLGGHOHQWHUEHVFKHUPLQJWHJHQPRJHOİNHEORRWVWHOOLQJDDQSRWHQWLHHOLQIHFWLHX]HPRQVWHUVHQRYHUJHGUDJHQSDWKRJHQHQ

3.

%HKDQGHODOOHELRORJLVFKHPRQVWHUVHQDIQDPHKXOSPLGGHOHQYROJHQVGHULFKWOİQHQHQGHSURFHGXUHVYDQXZLQVWHOOLQJ
=RHNPHGLVFKHKXOSLQJHYDOYDQFRQWDFWPHWELRORJLVFKHPRQVWHUVDDQJH]LHQKLHUGRRUEHVPHWWHOİNH]LHNWHQRYHUJHEUDFKWNXQQHQZRUGHQ
'HYHLOLJKHLGVULFKWOİQHQHQSURFHGXUHVYDQXZLQVWHOOLQJPRHWHQDOWİGZRUGHQRSJHYROJG

4.

'HVHGLPHQWDWLHSLSHWWHQ]İQEHGRHOGYRRUHHQPDOLJJHEUXLN*RRLDOOHSURGXFWHQZHJLQFRQWDLQHUVYRRUJHYDDUOİNHELRORJLVFKHVWRĳHQ

5.

'HVHGLPHQWDWLHSLSHWWHQPRJHQQLHWPHHUJHEUXLNWZRUGHQQDKHWYHUVWUİNHQYDQGHKRXGEDDUKHLGVGDWXP'HKRXGEDDUKHLGHLQGLJWRSGHODDWVWHGDJYDQGHDDQJHJHYHQPDDQGHQMDDU

107

NL
%HZDUHQ
De producten moeten bij kamertemperatuur worden bewaard.

Fysisch-chemisch principe
De hogere dichtheid van erytrocyten in vergelijking met plasma zorgt ervoor dat ze langzaam bezinken in geanticoaguleerd bloed. De sedimentatie van de erytrocyten wordt echter beïnvloed door verschillende factoren
die de sedimentatiesnelheid kunnen versnellen of vertragen. Naast het verschil in dichtheid zijn de belangrijkste variabelen de aggregatie van de erytrocyten en hun elektrische lading. De negatieve lading van deerytrocyten zorgt ervoor dat ze elkaar afstoten en dat de sedimentatie traag verloopt. Een verandering in de samenstelling van de plasma-eiwitten, met name een toename van de concentratie van acute-fase-eiwitten bij
ontstekingsprocessen, vermindert het zetapotentiaal (afstotend effect van de negatieve lading) en bevordert zo de aggregatie van de erytrocyten, wat leidt tot een sneller sedimentatiegedrag van de bloedcellen en dus
tot verhoogde BSE-waarden+. De toename van de concentratie van negatief geladen plasma-eiwitten leidt daarentegen tot een tragere sedimentatie van de erytrocyten en dus tot lagere BSE-waarden.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk (Lexicon van de medische laboratoriumdiagnostiek Referentiewerk); 3e oplage. 2019; Springer. ISBN 978-3-662-48987-1

De referentiewaarden moeten op lokaal niveau vastgelegd worden overeenkomstig de aanbevelingen voor referentiewaarden. Gezien de progressieve stijging van de BSE met de leeftijd, moeten voor elk decennium van
het volwassen leven bij mannen en vrouwen afzonderlijke waarden vastgelegd worden. Verscheidene andere variabelen beïnvloeden de BSE en kunnen dus van invloed zijn op de referentiewaarden, bijvoorbeeld het
KHPRJORELQHJHKDOWHPHGLFDWLHPHQVWUXDWLHF\FOXV]ZDQJHUVFKDSHQURNHQ'HWDEHO 5HIHUHQWLHZDDUGHQYRRUGH%6(PHWKRGHYDQ:HVWHUJUHQ EHYDWUHIHUHQWLHZDDUGHQYRRUGH%6(GLHJHEUXLNWNXQQHQZRUGHQDOV
leidraad voor het vaststellen van lokale referentiewaarden.

5HIHUHQWLHZDDUGHQYRRUGH%6(PHWKRGHYDQ:HVWHUJUHQ
BSE-gemiddelde/HHIWİG MDDU

bovengrens van de norm
Man

Vrouw
Man

Vrouw

18 -30

3,1

5,1

< 7,1

< 10,731 - 40

3,4

5,6

< 7,8

< 11,041 - 50

4,6

6,2< 10,6< 13,251 - 60

5,6

9,4< 12,2< 18,660 - 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

Een normale BSE sluit niet uit dat er sprake is van niet-inflammatoire orgaanziekten, orgaanfunctiestoornissen en kwaadaardige tumoren.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin (Leerboek laboratoriumgeneeskunde); Schattauer, 1999; ISBN 3-7945-1856-X%HSHUNLQJHQ
1.

%ORHGPRQVWHUVPRHWHQEİNDPHUWHPSHUDWXXUEHZDDUGZRUGHQ'HEHSDOLQJYDQ%6(PRHWGDQSODDWVYLQGHQELQQHQGHHHUVWHYLHUXXUQDGHEORHGDIQDPH
Het monster kan gedurende een langere periode (maximaal 24 uur) in de koelkast (4 °C) bewaard worden. Het monster moet dan voor gebruik op kamertemperatuur gebracht worden.

2.

Het bloedmonster moet voor de meting van de erytrocytbezinkingssnelheid gehomogeniseerd worden door zorgvuldig omkeren.

3.

'HPHWLQJYHUHLVWHHQRPJHYLQJVWHPSHUDWXXUYDQƓ&HQPRHWEHVFKHUPGZRUGHQWHJHQWULOOLQJHQWRFKWHQGLUHFW]RQOLFKWRIYROJHQVGHVSHFLıHNHULFKWOİQHQYDQKHWODQGHQKHWODERUDWRULXPXLWJHYRHUGZRUGHQ

4.

Het meetprincipe komt overeen met CLSI H2-A5.

5.

De meetnauwkeurigheid bedraagt +/-1 mm van het meetpad.

6.

De SARSTEDT BSE-rekken kunnen gereinigd worden met ontsmettingsmiddelen op basis van ethanol of isopropanol.

7.

De mengverhouding van 1:4 is rechtstreeks van invloed op het analyseresultaat en moet in acht genomen worden.

8.

+HWUHNPDJDOOHHQJHEUXLNWZRUGHQDOVGHVFKDDODIGHNNLQJQLHWJROYHQGLVHQGHVFKDDOGXLGHOİNOHHVEDDULV

108

NL
Monsterafname en gebruik
LEES DIT DOCUMENT VOLLEDIG VOORDAT U MET DE BSE-METING BEGINT.
Benodigdheden voor de BSE-bepaling
1.

Met bloedmonster gevuld monsterbuisje (S-Sedivette®, S-Monovette® BSE, afnamebuis BSE of Microvette® CB 200 BSE)*.

2.

6$567('7%6(UHNSDVVHQGEİKHWPRQVWHUEXLVMHHQLQGLHQQRGLJGHEİEHKRUHQGH6$567('7VHGLPHQWDWLHSLSHW3.

+DQGVFKRHQHQMDVRRJEHVFKHUPLQJRIDQGHUHJHVFKLNWHYHLOLJKHLGVNOHGLQJWHUEHVFKHUPLQJWHJHQGRRUPRQVWHUPDWHULDDORYHUJHGUDJHQSDWKRJHQHQRIPRJHOİNLQIHFWLHXVPDWHULDDO

4.

Wekker of timer.

*Voor de bloedafname en het bloedtransport moeten de gebruiksaanwijzingen van het desbetreffende monsterbuisje (S-Sedivette®, S-Monovette® BSE, afnamebuis BSE of Microvette® CB 200 BSE) in acht genomen worden.
Uitvoering van de BSE-bepaling
Algemene instructies
De verschillende varianten van de SARSTEDT BSE-rekken en SARSTEDT-sedimentatiepipetten worden hieronder beschreven:
A: Gebruik van SARSTEDT BSE-rek, art.-nr.: 90.1090
B: Gebruik van SARSTEDT BSE-rek, art.-nr.: 90.1060 met SARSTEDT-sedimentatiepipetten, art.-nr.: 86.1996
C: Gebruik van BSE-rek, art.-nr.: 90.1060.062 met SARSTEDT-sedimentatiepipetten, art.-nr.: 86.1996.062
D: Gebruik van SARSTEDT BSE-rek, art.-nr.: 90.1091

A: Gebruik van SARSTEDT BSE-rek art.-nr.: 90.1090
Het SARSTEDT BSE-rek (art.-nr.: 90.1090) is uitsluitend voor gebruik met de S-Sedivette® (art.-nr.: 06.1690.xxx) geschikt.
).

1.

Meng het monster voorzichtig ondersteboven (afb.

2.

Het SARSTEDT BSE-rek moet op een horizontaal oppervlak staan. Voor de meting zet u de gevulde S-Sedivette® verticaal in het SARSTEDT BSE-rek.
+HWQXOSXQWYDQHONPRQVWHUPRHWPHWGHNDUWHOVFKURHI SİO LQJHVWHOGZRUGHQ DIE ).

3.

6WDUWGHPHWLQJGRRUHHQZHNNHURIHHQWLPHULQWHVWHOOHQHQWHVWDUWHQYRRUXZPHHWWİGHQNaar keuze in te stellen op 30 minuten (1e meting) en 1 uur (2e meting) of 1 uur (1e meting) en 2 uur (2e meting).

4.

1DGDWGHWİGPLQXXWYHUVWUHNHQLVZRUGWGHDIVWDQGLQPLOOLPHWHUWXVVHQGHRQGHUNDQWYDQGHSODVPDVFKİIHQGHERYHQNDQWYDQGHNRORPPHWGHJHVHGLPHQWHHUGHHU\WURF\WHQDIJHOH]HQRSGHDFKWHUZDQGPHW
VFKDDOYHUGHOLQJ=RUJHUYRRUGDWHU]LFKJHHQOHXNRF\WHQ EXĳ\FRDW LQGHHU\WURF\WHQNRORPEHYLQGHQ1RWHHUGHQXPHULHNHZDDUGH

5x

109

NL
B: Gebruik van SARSTEDT BSE-rek art.-nr.: 90.1060 met SARSTEDT-sedimentatiepipetten art.-nr.: 86.1996
Het SARSTEDT BSE-rek (art.-nr.: 90.1060) is uitsluitend voor gebruik met de S-Monovette® BSE (art.-nr.: 05.1079.xxx) of de afnamebuis BSE (art.-nr.: 47.410.xxx) en de SARSTEDT-sedimentatiepipet (art.-nr.: 86.1996) geschikt.
).

1.

Meng de monsters zorgvuldig ondersteboven (afb.

2.

Open de S-Monovette® BSE / de afnamebuis BSE, door de schroefdop tegen de klok in te draaien (afb.

3.

Plaats de sedimentatiepipet in de S-Monovette®%6(  GHDIQDPHEXLV%6('UXNGHVHGLPHQWDWLHSLSHWYRRU]LFKWLJRPODDJ'HVHGLPHQWDWLHSLSHWYXOW]LFKGDDUEİPHWEORHG
Schroef de zuigerhuls van de sedimentatiepipet op de S-Monovette® BSE / de afnamebuis BSE door deze met de klok mee te draaien (afb. ).

4.

'HVHGLPHQWDWLHSLSHWLVFRUUHFWYDVWJHVFKURHIGDOVGHYXOVWUHHSRSGHVHGLPHQWDWLHSLSHWEİ2PDUNHULQJH[DFWEHUHLNWLV DIE

5.

Voor de meting plaatst u de S-Monovette® BSE / de afnamebuis BSE met de nu vastgeschroefde sedimentatiepipet verticaal op het SARSTEDT BSE-rek met achterwand met schaalverdeling. Het SARSTEDT%6(UHNPRHWRSHHQKRUL]RQWDDORSSHUYODNVWDDQ+HWQXOSXQWYDQHONPRQVWHUPRHWJHFRQWUROHHUGHQ]RQRGLJEİJHVWHOGZRUGHQGRRUGH]XLJHUKXOVYDQGHVHGLPHQWDWLHSLSHWWHYHUGUDDLHQ DIE ).

6.

6WDUWGHPHWLQJGRRUHHQZHNNHURIHHQWLPHULQWHVWHOOHQHQWHVWDUWHQYRRUXZPHHWWİGHQNaar keuze in te stellen op 30 minuten (1e meting) en 1 uur (2e meting) of 1 uur (1e meting) en 2 uur (2e meting).

7.

1DGDWGHWİGPLQXXWYHUVWUHNHQLVZRUGWGHDIVWDQGLQPLOOLPHWHUWXVVHQGHRQGHUNDQWYDQGHSODVPDVFKİIHQGHERYHQNDQWYDQGHNRORPPHWGHJHVHGLPHQWHHUGHHU\WURF\WHQDIJHOH]HQRSGHDFKWHUZDQGPHW
VFKDDOYHUGHOLQJ=RUJHUYRRUGDWHU]LFKJHHQOHXNRF\WHQ EXĳ\FRDW LQGHHU\WURF\WHQNRORPEHYLQGHQ1RWHHUGHQXPHULHNHZDDUGHO

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C: Gebruik van SARSTEDT BSE-rek art.-nr.: 90.1060.062 met SARSTEDT-sedimentatiepipetten art.-nr.: 86.1996.062
Het SARSTEDT BSE-rek (art.-nr.: 90.1060.062) is uitsluitend voor gebruik met de S-Monovette® BSE (art.-nr.: 05.1079.xxx) of de afnamebuis BSE (art.-nr.: 47.410.xxx) en de SARSTEDT-sedimentatiepipet(art.-nr.: 86.1996.062) geschikt.
).

1.

Meng de monsters zorgvuldig ondersteboven (afb.

2.

Open de S-Monovette® BSE / de afnamebuis BSE, door de schroefdop tegen de klok in te draaien (afb.

3.

Plaats de sedimentatiepipet in de S-Monovette®%6(  GHDIQDPHEXLV%6('UXNGHVHGLPHQWDWLHSLSHWYRRU]LFKWLJRPODDJ'HVHGLPHQWDWLHSLSHWYXOW]LFKGDDUEİPHWEORHG
Schroef de zuigerhuls van de sedimentatiepipet op de S-Monovette® BSE / de afnamebuis BSE door deze met de klok mee te draaien (afb. ).

4.

'HVHGLPHQWDWLHSLSHWLVFRUUHFWYDVWJHVFKURHIGDOVGHYXOVWUHHSRSGHVHGLPHQWDWLHSLSHWEİPDUNHULQJH[DFWEHUHLNWLV DIE

5.

Voor de meting plaatst u de S-Monovette® BSE / de afnamebuis BSE met de nu vastgeschroefde sedimentatiepipet verticaal op het SARSTEDT BSE-rek zonder achterwand. Het SARSTEDT%6(UHNPRHWRSHHQKRUL]RQWDDORSSHUYODNVWDDQ+HWQXOSXQWYDQHONPRQVWHUPRHWJHFRQWUROHHUGHQ]RQRGLJEİJHVWHOGZRUGHQGRRUGH]XLJHUKXOVYDQGHVHGLPHQWDWLHSLSHWWHYHUGUDDLHQ DIE

6.

6WDUWGHPHWLQJGRRUHHQZHNNHURIHHQWLPHULQWHVWHOOHQHQWHVWDUWHQYRRUXZPHHWWİGHQNaar keuze in te stellen op 30 minuten (1e meting) en 1 uur (2e meting) of 1 uur (1e meting) en 2 uur (2e meting).

7.

1DGDWGHWİGPLQXXWYHUVWUHNHQLVZRUGWGHDIVWDQGLQPLOOLPHWHUWXVVHQGHRQGHUNDQWYDQGHSODVPDVFKİIHQGHERYHQNDQWYDQGHNRORPPHWGHJHVHGLPHQWHHUGHHU\WURF\WHQDIJHOH]HQPHWGHVFKDDOYHUGHOLQJ
RSGHVHGLPHQWDWLHSLSHW=RUJHUYRRUGDWHU]LFKJHHQOHXNRF\WHQ EXĳ\FRDW LQGHHU\WURF\WHQNRORPEHYLQGHQ1RWHHUGHQXPHULHNHZDDUGH

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111

NL
D: Gebruik van SARSTEDT BSE-rek art.-nr.: 90.1091
Het BSE-rek (art.-nr.: 90.1091) is uitsluitend voor gebruik met de Microvette® CB 200 BSE (art.-nr.: 18.1325.xxx) geschikt.
).

1.

Meng het monster voorzichtig ondersteboven (afb.

2.

Open de Microvette® CB 200 BSE door de dop naar boven uit te trekken. Plaats het sedimentatiecapillair in de Microvette® CB 200 BSE.
Druk het sedimentatiecapillair voorzichtig omlaag. Het sedimentatiecapillair vult zich met bloed (afb. ).

3.

Het SARSTEDT BSE-rek moet op een horizontaal oppervlak staan. Voor de meting plaatst u de gevulde Microvette® CB 200 BSE met sedimentatiecapillair verticaal in het SARSTEDT BSE-rek.
+HWQXOSXQWYDQHONPRQVWHUPRHWPHWGHNDUWHOVFKURHI SİO H[DFWZRUGHQLQJHVWHOG DIE ).

4.

6WDUWGHPHWLQJGRRUHHQZHNNHURIHHQWLPHULQWHVWHOOHQHQWHVWDUWHQYRRUXZPHHWWİGHQNaar keuze in te stellen op 30 minuten (1e meting) en 1 uur (2e meting) of 1 uur (1e meting) en 2 uur (2e meting).

5.

1DGDWGHWİGPLQXXWYHUVWUHNHQLVZRUGWGHDIVWDQGLQPLOOLPHWHUWXVVHQGHRQGHUNDQWYDQGHSODVPDVFKİIHQGHERYHQNDQWYDQGHNRORPPHWGHJHVHGLPHQWHHUGHHU\WURF\WHQDIJHOH]HQRSGHDFKWHUZDQGPHW
VFKDDOYHUGHOLQJ=RUJHUYRRUGDWHU]LFKJHHQOHXNRF\WHQ EXĳ\FRDW LQGHHU\WURF\WHQNRORPEHYLQGHQ1RWHHUGHQXPHULHNHZDDUGH

9HUZİGHULQJ
1.

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2.

Wegwerphandschoenen voorkomen het risico op infectie.

3.

*HFRQWDPLQHHUGHRIJHYXOGH6$567('7VHGLPHQWDWLHSLSHWWHQPRHWHQYHUZİGHUGZRUGHQLQJHVFKLNWHFRQWDLQHUVYRRUJHYDDUOİNHELRORJLVFKHVWRĳHQGLHYHUYROJHQVJHDXWRFODYHHUGHQYHUEUDQGNXQQHQZRUGHQ4.

:HJJRRLHQYDQKHWSRWHQWLHHOJHFRQWDPLQHHUGHYHUEUXLNVPDWHULDDOJHEHXUWFRQIRUPGHULFKWOİQHQYDQGHLQVWHOOLQJ

112

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3URGXFWVSHFLıHNHQRUPHQHQULFKWOİQHQLQGHKXLGLJHJHOGLJHYHUVLHCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digitale uitgave Labor & Diagnose 2020; hoofdstuk 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) [Erytrocytbezinkingssnelheid (BSE)](www.labor-und-diagnose-2020.de/k19.
html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

Informatie over symbolen en markeringen:

Artikelnummer

Lotnummer

EXP

CE-markering

Voor in-vitro diagnostiek*HEUXLNVDDQZİ]LQJRSYROJHQ%İKHUJHEUXLN5LVLFRRSEHVPHWWLQJ

Niet in het zonlicht bewaren

Droog bewaren

FabrikantLand van productie

Technische wijzigingen onder voorbehoud.
Alle ernstige incidenten met betrekking tot het product worden gemeld aan de fabrikant en de bevoegde nationale instantie.

113

Bruksanvisning – SARSTEDT Manuell blodsenkning – SR-stativ og senkningspipetterNO%UXNVIRUPÎO
De manuelle SR*-stativene og SARSTEDT senkningspipettene benyttes for manuell in-vitro diagnostiske bestemmelser av senkningsreaksjonen for blodlegemer (SR) fra antikoagulert citrat-fullblod (blandingsforhold 1:4,
1 del citrat + 4 deler blod). De oppnådde måleresultatene tilsvarer Westergrens metode. Avhengig av blodprøvetakingssystemet som benyttes, anvendes venøst eller kapillært blod. I Microvette® CB 200 SR anvendes
kapillært blod, ved bruk av S-Sedivette®, S-Monovette® SR eller rør med skruhette SR anvendes venøst blod.
Produktene er ment brukt i profesjonelt miljø og av medisinsk fagpersonale og laboratoriepersonale.
*SR = Senkningshastighet for blodlegemer eller blodsenkningshastighet

Produktbeskrivelse
SR-stativ (også kalt senkningsstativ) består av plast og er avstemt i hver enkelt utførelse i forhold til blodprøvetakingsbeholderne S-Sedivette®, S-Monovette® SR, rør med skru SR eller Microvette® CB 200 SR. De leveres
med og uten skalert bakvegg og har 10 måleplasser i hvert stativ. Som tilbehør benyttes SARSTEDT senkningspipetter av plast, med og uten skala. Til SARSTEDT senkningsstativ uten bakvegg passer S-Monovette® SReller rør med skrukork SR kombinert med SARSTEDT senkningspipetter med skala. SARSTEDT senkningsstativ med skalert bakvegg passer avhengig av utførelsen til S-Sedivette®, samt for kombinasjon: S-Monovette®
SR eller med rør med skrukork SR med senkningspipette med O-merking (uten skala) eller Microvette® CB 200 SR med tilhørende senkningskapillarrør.

Artikkeloversikt

SEDIPLUS®

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BSG / ESR / VS-WESTERGREN

7080

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Type

Art.nr.

Betegnelse

Til bruk med

90.1090

SARSTEDT SR-stativ med skala

Passer for S-Sedivette®

90.1060

SARSTEDT SR-stativ med skalert bakvegg

Passer for S-Monovette® SR eller skruerør SR kombinert
med senkningspipette med O-merking (variant E)

90.1060.062

SARSTEDT SR-stativ uten bakvegg

Passer for S-Monovette® SR eller rør med skrukork SR kombinert
med senkningspipette med påtrykt skala (variant F)

90.1091

SARSTEDT SR-stativ for Microvette® CB 200 SR

Passer for Microvette® CB 200 SR med senkningskapillarrør

86.1996

SARSTEDT senkningspipetter med O-merking

Passer for SARSTEDT SR-stativ med skalert bakvegg (variant B)

86.1996.062

SARSTEDT senkningspipetter med påtrykt skala

Passer for SARSTEDT SR-stativ uten bakvegg (variant C)

Sikkerhetsmerknader og advarsler
1.

Overhold alltid håndteringsbeskrivelsene.

2.

*HQHUHOOHIRUVLNWLJKHWVWLOWDN%UXNKDQVNHURJJHQHUHOWSHUVRQOLJYHUQHXWVW\UIRUÎEHVN\WWHGHJPRWHQPXOLJHNVSRQHULQJIRUSRWHQVLHOWVPLWWVRPWSUĉYHPDWHULDOHRJRYHUIĉULQJDYV\NGRPVIUHPNDOOHQGHVPLWWHVWRĳHU

3.

Behandle alle biologiske prøver og hjelpemidler til prøvetakning i henhold til gjeldende retningslinjer og prosedyrer ved din helseinstitusjon.
Ved kontakt med biologiske prøver må du kontakte lege, ettersom dette kan føre til at smittsomme sykdommer overføres.
Sikkerhetsretningslinjene og -prosessene til helseinstitusjonen din skal overholdes.

4.

Senkningspipettene er beregnet til engangsbruk. Alle produkter skal kasseres i avfallsbeholdere for smittefarlig biologisk materiale.

5.

Senkningspipettene skal ikke brukes etter at holdbarhetsdatoen er utløpt. Holdbarhetsdatoen er den siste dagen i angitt måned og år.

114

NO
Oppbevaring
Produktene skal oppbevares ved romtemperatur.

Fysikalsk-kjemisk prinsippPå grunn av den høyere tettheten av erytrocytter sammenlignet med plasma synker dette langsomt i antikoagulert blod. Sedimenteringen av erytrocytter påvirkes imidlertid av forskjellige faktorer som kan akselerere eller
senke tempoet i senkningshastigheten. I tillegg til tetthetsforskjellen er erytrocytt-oppsamlingen og den elektriske ladingen de viktigste påvirkningsfaktorene. Den negative ladingen i erytrocyttene medfører at disse støtes
vekk fra hverandre og at sedimenteringen går langsomt. En endret sammensetning av plasmaproteinene, spesielt økningen av konsentrasjonen i akuttfase-proteiner ved betente prosesser, reduserer zeta-potensialet(avstøtende virkning ved negativ lading) og fremmer dermed oppsamlingen av erytrocytter, dette fører til en raskere sedimentering av blodcellene og dermed til økte SR-måleverdier+. I motsetning til dette medførerøkningen av konsentrasjonen av negativt ladede plasmaproteiner til langsommere sedimentering av erytrocytter og dermed til lavere SR-måleverdier.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. opplag. 2019; Springer. ISBN 978-3-662-48987-1

Referanseverdier skal fastsettes på det aktuelle stedet i samsvar med anbefalinger for referanseverdier. I forbindelse med den progressive økningen av SR med alderen må det fastsettes forskjellige verdier for mennog kvinner for hvert tiår i voksent liv. Flere andre variabler påvirker SR som dermed kan påvirke referanseverdiene, f.eks. hemoglobinspeilet, medikamenter, menstruasjonssyklus, svangerskap og røyking. I tabellen
ŝ5HIHUDQVHYHUGLHUIRU:HVWHUJUHQ(65PHWRGHQŞHUGHWRSSIĉUWUHIHUDQVHYHUGLHUIRU65VRPNDQEUXNHVVRPYHLOHGQLQJYHGIDVWVHWWHOVHDYORNDOHUHIHUDQVHYHUGLHU

Referanseverdier for Westergren-ESR-metoden**
ESR-middelverdiøvre grense for normen
Alder (år)

Mann

KvinneMann

Kvinne18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

En normal SR utelukker ikke ikke-betente organsykdommer, funksjonsforstyrrelser i organer og ondartede svulster.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X%HJUHQVQLQJHU
1.

Oppbevaring av blodprøver skal skje ved romtemperatur. Bestemmelsen av SR skal deretter skje i løpet av de første 4 timene etter blodprøvetakingen.
I kjøleskap (4 °C) kan prøven oppbevares over et lengre tidsrom (maksimalt 24 timer). Prøven må i så fall bringes til romtemperatur før bruk.

2.

Blodprøven skal homogeniseres med grundig vending før måling av blodsenkningshastigheten.

3.

Målingen krever omgivelsestemperatur på 18 – 25 °C, og må skje beskyttet mot vibrasjoner, lufttrekk og direkte solstråling eller i henhold til angivelser i det enkelte land eller laboratorium.

4.

Måleprinsippet tilsvarer CLSI H2-A5.

5.

Målenøyaktigheten er +/-1 mm på skalaen.

6.

SARSTEDT SR-stativ kan rengjøres med desinfeksjonsmidler med etanol / isopropanol.

7.

Blandingsforholdet på 1:4 påvirker umiddelbart analyseresultatet, og må overholdes.

8.

Stativet må bare brukes når skalaplaten ikke er buet og skalaen kan leses entydig.

115

NO
Prøvetaking og håndtering
LES GJENNOM HELE DETTE DOKUMENTET FØR DU STARTER SR-MÅLINGEN.
Arbeidsmateriale som behøves til SR-bestemmelse
1.

Prøvebeholder som er fylt med blodprøve (S-Sedivette®, S-Monovette® SR, rør med skrukork SR eller Microvette® CB 200 SR)*.

2.

SARSTEDT SR-stativ som passer til prøvebeholder og evt. en passende SARSTEDT senkningspipette.

3.

Hansker, kittel, øyevern eller andre egnede verneklær som beskyttelse mot patogener som kan smitte over fra prøvematerialet eller potensielt infeksiøst materiale.

4.

Tidsur eller stoppeklokke.

*For blodprøvetaking og prøvetransport må bruksanvisningen for den aktuelle prøvebeholderen (S-Sedivette®, S-Monovette® SR, rør med skrukork SR eller Microvette® CB 200 SR) følges.
*MHQQRPIĉULQJDY65EHVWHPPHOVH
Generelle merknader,GHWIĉOJHQGHEHVNULYHVGHIRUVNMHOOLJHYDULDQWHQHDY6$567('765VWDWLYRJ6$567('7VHQNQLQJVSLSHWWHU
A: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1090
B: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1060 med SARSTEDT senkningspipetter, art.nr.: 86.1996
C: Bruksformål for SR-stativ, art.nr.: 90.1060.062 med SARSTEDT senkningspipetter, art.nr.: 86.1996.062
D: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1091

A: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1090
SARSTEDT SR-stativ (art.nr.: 90.1090) er utelukkende egnet for bruk med S-Sedivette® (art.nr.: 06.1690.xxx).
1.

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2.

SARSTEDT SR-stativ må stå på et vannrett underlag. For måling plasseres den fylte S-Sedivette® loddrett i SARSTEDT SR-stativet.
1XOOSXQNWHWIRUKYHUSUĉYHPÎLQQVWLOOHVPHGıQJHUVNUXHQ SLO  ıJ ).

3.

Start målingen samtidig som du innstiller og starter et tidsur eller en stoppeklokke for ditt måletidspunkt.
Valgbart på 30 minutter (1. måleverdi) og 1 time (2. måleverdi) eller 1 time (1. måleverdi) og 2 timer (2. måleverdi).

4.

Etter utløp av tiden +/-1 minutt brukes bakveggen med skalaen til å avlese avstanden i millimeter mellom bunnen på plasmalaget og den øvre enden av stolpen med de sedimenterte erytrocyttene.
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).

5x

116

NO
B: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1060 med SARSTEDT senkningspipetter, art.nr.: 86.1996
SARSTEDT SR-stativ (art.nr.: 90.1060) er utelukkende egnet for bruk med S-Monovette® SR (art.nr.: 05.1079.xxx) eller rør med skrukork SR (art.nr.: 47.410.xxx) og SARSTEDT senkningspipette (art.nr.: 86.1996).
1.

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2.

Åpne S-Monovette®65  UĉUPHGVNUXNRUN65YHGÎGUHLHVNUXNRUNPRWNORNNHQ ıJ3.

Før senkningspipetten inn i S-Monovette® SR / røret med skrukork SR. Trykk senkningspipetten forsiktig nedover. Senkningspipetten fylles nå med blod.
Skru fast stempelhylsen til senkningspipetten på S-Monovette®65  UĉUPHGVNUXNRUN65YHGÎGUHLHPHGNORNNHQ ıJ ).

4.

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Ved målingen stilles S-Monovette® SR / rør med skrukork SR med den påskrudde senkningspipetten loddrett på SARSTEDT SR-stativet med skalert bakvegg.
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6.

Start målingen samtidig som du innstiller og starter et tidsur eller en stoppeklokke for ditt måletidspunkt.
Valgbart på 30 minutter (1. måleverdi) og 1 time (2. måleverdi) eller 1 time (1. måleverdi) og 2 timer (2. måleverdi).

7.

Etter utløp av tiden +/-1 minutt brukes bakveggen med skalaen til å avlese avstanden i millimeter mellom bunnen på plasmalaget og den øvre enden av stolpen med de sedimenterte erytrocyttene.
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C: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1060.062 med SARSTEDT senkningspipetter, art.nr.: 86.1996.062
SARSTEDT SR-stativ (art.nr.: 90.1060.062) er utelukkende egnet for bruk med S-Monovette® SR (art.nr.: 05.1079.xxx) eller rør med skrukork SR (art.nr.: 47.410.xxx) og SARSTEDT senkningspipette(art.nr.: 86.1996.062).
1.

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2.

Åpne S-Monovette®65  UĉUPHGVNUXNRUN65YHGÎGUHLHVNUXNRUNHQPRWNORNNHQ ıJ3.

Før senkningspipetten inn i S-Monovette® SR / røret med skrukork SR. Trykk senkningspipetten forsiktig nedover. Senkningspipetten fylles nå med blod.
Skru fast stempelhylsen til senkningspipetten på S-Monovette®65  UĉUPHGVNUXNRUN65YHGÎGUHLHPHGNORNNHQ ıJ ).

4.

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Ved målingen stilles S-Monovette® SR / rør med skrukork SR med den påskrudde senkningspipetten loddrett på SARSTEDT SR-stativet uten bakvegg.
6$567('765VWDWLYPÎVWÎSÎHWYDQQUHWWXQGHUODJ1XOOSXQNWHWIRUKYHUSUĉYHPÎNRQWUROOHUHVRJYHGEHKRYLQQVWLOOHVYHGÎGUHLHNROEHK\OVHQSÎVHQNQLQJVSLSHWWHQ ıJ

6.

Start målingen samtidig som du innstiller og starter et tidsur eller en stoppeklokke for ditt måletidspunkt.
Valgbart på 30 minutter (1. måleverdi) og 1 time (2. måleverdi) eller 1 time (1. måleverdi) og 2 timer (2. måleverdi).

7.

Etter utløp av tiden +/-1 minutt avleses avstanden i millimeter mellom bunnen på plasmalaget og den øvre enden av stolpen med de sedimenterte erytrocyttene med den påtrykte skalaen på senkningspipetten.
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).

0

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0

0

0

0

10

10

10

90

90

80

80

80

100

100

90

90

90

110

100

100

100

110

110

110

10

100

100

110

110

110

10

0

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

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20

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20

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100

100

100

100

100

100

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100

110

110

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110

110

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118

NO
D: Bruksformål for SARSTEDT SR-stativ, art.nr.: 90.1091
SR-stativet (art.nr.: 90.1091) er utelukkende egnet for bruk med Microvette® CB 200 SR (art.nr.: 18.1325.xxx).
1.

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2.

Åpne Microvette® CB 200 SR ved å trekke ut pluggen oppover. Før senkningskapillarrørene inn i Microvette® CB 200 SR.
7U\NNIRUVLNWLJQHGVHQNQLQJVNDSLOODUUĉUHQH6HQNQLQJVNDSLOODUUĉUHQHI\OOHVQÎPHGEORG ıJ ).

3.

SARSTEDT SR-stativ må stå på et vannrett underlag. For måling plasseres den fylte Microvette® CB 200 SR med senkningskapillarrør loddrett på SARSTEDT SR-stativet.
1XOOSXQNWHWIRUKYHUSUĉYHPÎLQQVWLOOHVQĉ\DNWLJPHGıQJHUVNUXHQ SLO  ıJ ).

4.

Start målingen samtidig som du innstiller og starter et tidsur eller en stoppeklokke for ditt måletidspunkt.
Valgbart på 30 minutter (1. måleverdi) og 1 time (2. måleverdi) eller 1 time (1. måleverdi) og 2 timer (2. måleverdi).

5.

Etter utløp av tiden +/-1 minutt brukes bakveggen med skalaen til å avlese avstanden i millimeter mellom bunnen på plasmalaget og den øvre enden av stolpen med de sedimenterte erytrocyttene.
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).

Avfallshåndtering
1.

De generelle retningslinjene for hygiene samt de lovfestede bestemmelsene for forskriftsmessig destruksjon av infeksiøst materiale skal tas hensyn til og overholdes.

2.

Engangshansker forhindrer faren for infeksjon.

3.

Kontaminerte eller fylte SARSTEDT senkingsenkningspipetter må destrueres i egnede avfallsbeholdere for smittefarlig biologisk materiale, som kan autoklaveres og forbrennes etter bruk.

4.

$YIDOOVKÎQGWHULQJDYGHWSRWHQVLHOWIRUXUHQVHGHIRUEUXNVPDWHULDOHWıQQHUVWHGLKHQKROGWLOLQVWLWXVMRQHQVUHWQLQJVOLQMHURJIRUVNULIWHU

119

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3URGXNWVSHVLıNNHVWDQGDUGHURJUHWQLQJVOLQMHULGHUHVWLOHQKYHUWLGJ\OGLJHYHUVMRQCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digital utgave Labor & Diagnose 2020; Kapittel 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute))RUNODULQJDYV\PEROHURJNMHQQHWHJQ

Artikkelnummer

Produksjonsnummer

Brukes før

CE-merke

In-vitro-diagnostisk utstyr

Overhold bruksanvisningen

Ved gjentatt bruk: Fare for kontaminasjon

Oppbevares beskyttet mot sollys

Lagres tørt

Produsent

Produksjonsland

Med forbehold om tekniske endringer.
Alle alvorlige hendelser knyttet til produktet skal varsles til produsenten og til nasjonale myndigheter.

120

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Przeznaczenie
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V\VWHPXGRSRELHUDQLDNUZLPRĮQDVWRVRZDÓNUHZĮ\OQÐOXENDSLODUQÐ:UD]LHVWRVRZDQLD0LFURYHWWH® CB 200 ESR wykorzystywana jest krew kapilarna, natomiast w przypadku S-Sedivette®, S-Monovette® ESR lub]DNUãFDQ\FKSUREĂZHN(65QDOHĮ\Z\NRU]\VWDÓNUHZĮ\OQÐ
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90.1090

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90.1060

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4.

3LSHW\GRVHG\PHQWDFMLVÐSU]H]QDF]RQHGRMHGQRUD]RZHJRXĮ\WNX:V]\VWNLHSURGXNW\QDOHĮ\XW\OL]RZDÓZSRMHPQLNDFKSU]H]QDF]RQ\FKGRXVXZDQLDPDWHULDúĂZQLHEH]SLHF]Q\FKELRORJLF]QLH

5.

1LHQDOHĮ\XĮ\ZDÓSLSHWGRVHG\PHQWDFMLSRXSú\ZLHWHUPLQXSU]\GDWQRďFLGRXĮ\FLD7HUPLQSU]\GDWQRďFLGRXĮ\FLDNRüF]\VLãRVWDWQLHJRGQLDZVND]DQHJRPLHVLÐFDLURNX

121

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Przechowywanie
3URGXNWQDOHĮ\SU]HFKRZ\ZDÓZWHPSHUDWXU]HSRNRMRZHM

=DVDGDı]\NRFKHPLF]QD=HZ]JOãGXQDWRĮHHU\WURF\W\PDMÐZLãNV]ÐJãVWRďÓQLĮRVRF]HXOHJDMÐRQHSRZROLVHG\PHQWDFMLZHNUZL]GRGDWNLHPDQW\NRDJXODQWX1DVHG\PHQWDFMãHU\WURF\WĂZZSú\ZDMHGQDNZLHOHUĂĮQ\FKF]\QQLNĂZNWĂUHPRJÐSU]\VSLHV]\ÓOXEVSRZROQLÓMHMWHPSR2SUĂF]UĂĮQ\FKJãVWRďFLGRQDMZDĮQLHMV]\FK]PLHQQ\FKF]\QQLNĂZZSú\ZDMÐF\FKQDVHG\PHQWDFMãQDOHĮ\DJUHJDFMDHU\WURF\WĂZLLFKúDGXQHNHOHNWU\F]Q\(U\WURF\W\RúDGXQNXXMHPQ\PRGS\FKDMÐVLãRGVLHELHDVHG\PHQWDFMDSU]HELHJDSRZROL=PLDQDZVNúDG]LHELDúHNRVRF]DSU]HGHZV]\VWNLPZ]URVWVWãĮHQLDELDúHNZID]LHRVWUHMSURFHVĂZ]DSDOQ\FK]PQLHMV]DSRWHQFMDú]HWD
G]LDúDQLHRGS\FKDMÐFHúDGXQNĂZXMHPQ\FK FRVSU]\MDDJUHJDFMLHU\WURF\WĂZLSURZDG]LGRV]\EV]HMVHG\PHQWDFMLNUZLQHNL]ZLãNV]HQLDZDUWRďFLSRPLDURZ\FK(65+:RGUĂĮQLHQLXGRWHJR]MDZLVND]ZLãNV]HQLH
VWãĮHQLDELDúHNRVRF]DRúDGXQNXXMHPQ\PSURZDG]LGRVSRZROQLHQLDVHG\PHQWDFMLHU\WURF\WĂZFRSU]HNúDGDVLãQDQLĮV]HZDUWRďFLSRPLDURZH(65+Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk (Leksykon medycznej diagnostyki laboratoryjnej, publikacja encyklopedyczna); wydanie 3. 2019; Springer. ISBN 978-3-662-48987-1:DUWRďFLRGQLHVLHQLDXVWDODQHVÐQDSR]LRPLHORNDOQ\P]JRGQLH]]DOHFHQLDPLZ]DNUHVLHZDUWRďFLRGQLHVLHQLD8Z]JOãGQLDMÐF]ZLãNV]HQLH(65ZUD]]ZLHNLHPQDOHĮ\XVWDOLÓRVREQHZDUWRďFLGODPãĮF]\]QLNRELHWGODNDĮGHMGHNDG\GRURVúHJRĮ\FLD1D(65ZSú\ZDZLHOHLQQ\FK]PLHQQ\FKF]\QQLNĂZNWĂUHZSú\ZDMÐW\PVDP\PQDZDUWRďFLRGQLHVLHQLD6ÐWRQDSU]\NúDGSR]LRP\KHPRJORELQ\SU]\MPRZDQHOHNLF\NOPHQVWUXDF\MQ\FLÐĮDLSDOHQLH7DEHODŚ:DUWRďFLRGQLHVLHQLD]JRGQLH]PHWRGÐ(65:HVWHUJUHQDŘSRGDMHZDUWRďFLRGQLHVLHQLDGOD(65NWĂUHVWDQRZLÐZVND]ĂZNãSRGF]DVXVWDODQLDORNDOQ\FKZDUWRďFLRGQLHVLHQLD:DUWRďFLRGQLHVLHQLD]JRGQLH]PHWRGÐ(65:HVWHUJUHQD:DUWRďÓďUHGQLD(65Wiek (w latach)0ãĮF]\]QD

Górna granica normy
Kobieta0ãĮF]\]QD

Kobieta

18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

(65ZQRUPLHQLHZ\NOXF]DQLH]DSDOQ\FKFKRUĂEQDU]ÐGĂZG\VIXQNFMLQDU]ÐGĂZDQLQRZRWZRUĂZ]úRďOLZ\FK**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
%UXKQHWDO3RGUãF]QLNPHG\F\Q\ODERUDWRU\MQHM6FKDWWDXHU,6%1;Ograniczenia
1.

=DOHFDQHMHVWSU]HFKRZ\ZDQLHSUĂEHNNUZLZWHPSHUDWXU]HSRNRMRZHM2]QDF]DQLH(65QDOHĮ\SU]HSURZDG]LÓZFLÐJXJRG]LQRGSREUDQLDNUZL
3UĂENãPRĮQDSU]HFKRZ\ZDÓZORGĂZFH Ɠ& SU]H]GúXĮV]\F]DV PDNV\PDOQLHJRG]LQ\ 3U]HGZ\NRU]\VWDQLHPSUĂENLQDOHĮ\MÐRJU]DÓGRWHPSHUDWXU\SRNRMRZHM

2.

:FHOX]PLHU]HQLDSUãGNRďFLVHG\PHQWDFMLNUZLQHNSUĂENãNUZLQDOHĮ\GRNúDGQLHKRPRJHQL]RZDÓSRSU]H]MHMGRNúDGQHZ\PLHV]DQLH

3.

3RPLDUQDOHĮ\SU]HSURZDG]LÓZWHPSHUDWXU]HRWRF]HQLDşƓ&ZZDUXQNDFKFKURQLRQ\FKSU]HGZLEUDFMDPLSU]HFLÐJDPLLEH]SRďUHGQLPLSURPLHQLDPLVúRQHF]Q\PLOXE]JRGQLH]Z\PDJDQLDPLRERZLÐ]XMÐF\PLZGDQ\PNUDMXOXESODFĂZFH

4.

Metoda pomiaru odpowiada CLSI H2-A5.

5.

'RNúDGQRďÓSRPLDUXZ\QRVLPP

6.

6WDW\Z(656$567('7PRĮQDF]\ďFLÓ]DSRPRFÐďURGNĂZGRGH]\QIHNFMLQDED]LHHWDQROXL]RSURSDQROX

7.

6WRVXQHNPLHV]DQLDEH]SRďUHGQLRZSú\ZDQDZ\QLNLDQDOL]\LQDOHĮ\JRSU]HVWU]HJDÓ

8.

=HVWDW\ZXPRĮQDNRU]\VWDÓZ\úÐF]QLHZWHG\JG\RVúRQDVNDOLQLHMHVWSRIDORZDQDDVNDODMHVWZ\UDĬQLHF]\WHOQD

122

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3RELHUDQLHSUĂEHNLREFKRG]HQLHVLã]QLPL
1$/(Æ<35=(&=<7$o7(1'2.80(17:&$2¨&,35=('52=32&=&,(0320,$5:(65
0DWHULDúSRWU]HEQ\GRR]QDF]DQLD(65
1.

1DSHúQLRQHQDF]\QLHQDSUĂENã 66HGLYHWWH®, S-Monovette®(65]DNUãFDQDSUREĂZND(65OXE0LFURYHWWH® CB 200 ESR)*.

2.

6WDW\Z(656$567('7RGSRZLHGQLGRVWRVRZDQ\FKQDF]\üQDSUĂENLLHZRGSRZLHGQLDSLSHWDGRVHG\PHQWDFML6$567('7

3.

5ãNDZLFHIDUWXFKRFKURQDRF]XOXELQQDRGSRZLHGQLDRG]LHĮRFKURQQDGR]DEH]SLHF]HQLDSU]HGSDWRJHQDPLSU]HQRV]RQ\PLZPDWHULDOHSUĂENLOXESRWHQFMDOQLH]DNDĬQ\PLPDWHULDúDPL

4.

Budzik lub stoper.

3RGF]DVSRELHUDQLDNUZLLWUDQVSRUWXSUĂENLQDOHĮ\SU]HVWU]HJDÓLQVWUXNFMLREVúXJLVWRVRZDQHJRQDF]\QLDQDSUĂENã 66HGLYHWWH®, S-Monovette®(65]DNUãFDQDSUREĂZND(65OXE0LFURYHWWH® CB 200 ESR)*.
Przebieg oznaczania ESR
Informacje ogólne
3RQLĮHMRSLVDQRUĂĮQHZDULDQW\VWDW\ZĂZ(656$567('7RUD]SLSHWGRVHG\PHQWDFML6$567('7
A: Stosowanie statywu ESR SARSTEDT, nr art.: 90.1090
B: Stosowanie statywu ESR SARSTEDT, nr art.: 90.1060 wraz z pipetami do sedymentacji SARSTEDT, nr art.: 86.1996
C: Stosowanie statywu ESR, nr art.: 90.1060.062 wraz z pipetami do sedymentacji SARSTEDT, nr art.: 86.1996.062
D: Stosowanie statywu ESR SARSTEDT, nr art.: 90.1091

A: Stosowanie statywu ESR SARSTEDT, nr art.: 90.1090
6WDW\Z(656$567('7 QUDUW VúXĮ\Z\úÐF]QLHGRVWRVRZDQLD]SUREĂZNDPL66HGLYHWWH® (nr art.: 06.1690.xxx).
1.

2VWURĮQLHREUĂFLÓSUĂENãGRJĂU\GQHP U\V

2.

6WDW\Z(656$567('7QDOHĮ\SRVWDZLÓQDZ\SR]LRPRZDQ\PSRGúRĮX:FHOXGRNRQDQLDSRPLDUXXVWDZLÓQDSHúQLRQÐSUREĂZNã66HGLYHWWH® pionowo w statywie ESR SARSTEDT.
3XQNW]HURZ\NDĮGHMSUĂENLQDOHĮ\QDVWDZLÓďUXEÐUDGHúNRZDQÐ VWU]DúND  U\V ).

3.

3RPLDUQDOHĮ\UR]SRF]ÐÓRGXVWDZLHQLDEXG]LNDOXEVWRSHUDQDF]DVSRPLDUXLZúÐF]HQLDJR
2SFMRQDOQLHPLQXW ZDUWRďÓSRPLDUX LJRG]LQD ZDUWRďÓSRPLDUX OXEJRG]LQD ZDUWRďÓSRPLDUX LJRG]LQ\ ZDUWRďÓSRPLDUX 

4.

3RXSú\ZLHRNRúRPLQXW\QDW\OQHMďFLDQFH]HVNDOÐEãG]LHPRĮQDRGF]\WDÓSRGDQÐZPLOLPHWUDFKRGOHJúRďÓPLãG]\GQHPPHQLVNXRVRF]DRUD]JĂUQÐNUDZãG]LÐNROXPQ\HU\WURF\WĂZSRVHG\PHQWDFML
1DOHĮ\GRSLOQRZDÓDE\ZNROXPQLHHU\WURF\WĂZQLHE\úRĮDGQ\FKOHXNRF\WĂZ %Xĳ\&RDW =DSLVDÓZDUWRďÓOLF]ERZÐ

).

5x

123

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%6WRVRZDQLHVWDW\ZX(656$567('7QUDUWZUD]]SLSHWDPLGRVHG\PHQWDFML6$567('7QUDUW
6WDW\Z(656$567('7 QUDUW VúXĮ\Z\úÐF]QLHGRVWRVRZDQLD]SUREĂZNDPL60RQRYHWWH®(65 QUDUW[[[ OXE]]DNUãFDQ\PLSUREĂZNDPL(65 QUDUW[[[ L]SLSHWÐGRVHG\PHQWDFML6$567('7 QUDUW 1.

2VWURĮQLHREUĂFLÓSUĂENLGRJĂU\GQHP U\V

2.

2WZRU]\ÓSUREĂZNã60RQRYHWWH®(65  ]DNUãFDQÐSUREĂZNã(65REUDFDMÐF]DNUãWNãZNLHUXQNXSU]HFLZQ\PGRUXFKXZVND]ĂZHN]HJDUD U\V

3.

:SURZDG]LÓSLSHWãGRVHG\PHQWDFMLGRSUREĂZNL60RQRYHWWH®(65  ]DNUãFDQHMSUREĂZNL(652VWURĮQLHGRFLVQÐÓSLSHWãGRVHG\PHQWDFMLGRGRúX3LSHWDGRVHG\PHQWDFMLQDSHúQLVLãNUZLÐ
3U]\NUãFLÓWXOHMãWúRNDSLSHW\GRVHG\PHQWDFMLGRSUREĂZNL60RQRYHWWH®(65  ]DNUãFDQHMSUREĂZNL(65ZNLHUXQNX]JRGQ\P]UXFKHPZVND]ĂZHN]HJDUD U\V ).

4.

3LSHWDGRVHG\PHQWDFMLMHVWGREU]HSU]\NUãFRQDMHďOLR]QDF]HQLHQDSHúQLHQLDQDSLSHFLHGRVHG\PHQWDFMLMHVWGRNúDGQLHZ\UĂZQDQH]R]QDF]HQLHP2 U\V

5.

:FHOXGRNRQDQLDSRPLDUXSUREĂZNã60RQRYHWWH®(65  ]DNUãFDQÐSUREĂZNã(65]SU]\NUãFRQÐSLSHWÐGRVHG\PHQWDFMLQDOHĮ\XVWDZLÓSLRQRZRQDVWDW\ZLH(656$567('7]HVNDOÐQDW\OQHMďFLDQFH
6WDW\Z(656$567('7QDOHĮ\SRVWDZLÓQDZ\SR]LRPRZDQ\PSRGúRĮX3XQNW]HURZ\NDĮGHMSUĂENLQDOHĮ\VSUDZG]LÓLZUD]LHSRWU]HE\XVWDZLÓREUDFDMÐFWXOHMãWúRNDSLSHW\GRVHG\PHQWDFML U\V ).

6.

3RPLDUQDOHĮ\UR]SRF]ÐÓRGXVWDZLHQLDEXG]LNDOXEVWRSHUDQDF]DVSRPLDUXLZúÐF]HQLDJR
2SFMRQDOQLHPLQXW ZDUWRďÓSRPLDUX LJRG]LQD ZDUWRďÓSRPLDUX OXEJRG]LQD ZDUWRďÓSRPLDUX LJRG]LQ\ ZDUWRďÓSRPLDUX 

7.

3RXSú\ZLHRNRúRPLQXW\QDW\OQHMďFLDQFH]HVNDOÐEãG]LHPRĮQDRGF]\WDÓSRGDQÐZPLOLPHWUDFKRGOHJúRďÓPLãG]\GQHPPHQLVNXRVRF]DRUD]JĂUQÐNUDZãG]LÐNROXPQ\HU\WURF\WĂZSRVHG\PHQWDFML
1DOHĮ\GRSLOQRZDÓDE\ZNROXPQLHHU\WURF\WĂZQLHE\úRĮDGQ\FKOHXNRF\WĂZ %Xĳ\&RDW =DSLVDÓZDUWRďÓOLF]ERZÐ).

O

SEDIPLUS®

O

O

O

O

).

O

).

O

BSG / ESR / VS-WESTERGREN

124

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6WDW\Z(656$567('7 QUDUW VúXĮ\Z\úÐF]QLHGRVWRVRZDQLD]SUREĂZNDPL60RQRYHWWH®(65 QUDUW[[[ OXE]]DNUãFDQ\PLSUREĂZNDPL(65 QUDUW[[[ L]SLSHWÐGRVHG\PHQWDFML6$567('7 QUDUW 
1.

2VWURĮQLHREUĂFLÓSUĂENLGRJĂU\GQHP U\V

2.

2WZRU]\ÓSUREĂZNã60RQRYHWWH®(65  ]DNUãFDQÐSUREĂZNã(65REUDFDMÐF]DNUãWNãZNLHUXQNXSU]HFLZQ\PGRUXFKXZVND]ĂZHN]HJDUD U\V

3.

:SURZDG]LÓSLSHWãGRVHG\PHQWDFMLGRSUREĂZNL60RQRYHWWH®(65  ]DNUãFDQHMSUREĂZNL(652VWURĮQLHGRFLVQÐÓSLSHWãGRVHG\PHQWDFMLGRGRúX3LSHWDGRVHG\PHQWDFMLQDSHúQLVLãNUZLÐ
3U]\NUãFLÓWXOHMãWúRNDSLSHW\GRVHG\PHQWDFMLGRSUREĂZNL60RQRYHWWH®(65  ]DNUãFDQHMSUREĂZNL(65ZNLHUXQNX]JRGQ\P]UXFKHPZVND]ĂZHN]HJDUD U\V ).

4.

3LSHWDGRVHG\PHQWDFMLMHVWGREU]HSU]\NUãFRQDMHďOLR]QDF]HQLHQDSHúQLHQLDQDSLSHFLHGRVHG\PHQWDFMLMHVWGRNúDGQLHZ\UĂZQDQH]R]QDF]HQLHP U\V

5.

:FHOXGRNRQDQLDSRPLDUXSUREĂZNã60RQRYHWWH®(65  ]DNUãFDQÐSUREĂZNã(65]SU]\NUãFRQÐSLSHWÐGRVHG\PHQWDFMLQDOHĮ\XVWDZLÓSLRQRZRQDVWDW\ZLH(656$567('7EH]W\OQHMďFLDQNL6WDW\Z(656$567('7QDOHĮ\SRVWDZLÓQDZ\SR]LRPRZDQ\PSRGúRĮX3XQNW]HURZ\NDĮGHMSUĂENLQDOHĮ\VSUDZG]LÓLZUD]LHSRWU]HE\XVWDZLÓREUDFDMÐFWXOHMãWúRNDSLSHW\GRVHG\PHQWDFML U\V

6.

3RPLDUQDOHĮ\UR]SRF]ÐÓRGXVWDZLHQLDEXG]LNDOXEVWRSHUDQDF]DVSRPLDUXLZúÐF]HQLDJR
2SFMRQDOQLHPLQXW ZDUWRďÓSRPLDUX LJRG]LQD ZDUWRďÓSRPLDUX OXEJRG]LQD ZDUWRďÓSRPLDUX LJRG]LQ\ ZDUWRďÓSRPLDUX 

7.

3RXSú\ZLHRNRúRPLQXW\QDQDGUXNRZDQHMVNDOLSLSHW\GRVHG\PHQWDFMLEãG]LHPRĮQDRGF]\WDÓSRGDQÐZPLOLPHWUDFKRGOHJúRďÓPLãG]\GQHPPHQLVNXRVRF]DRUD]JĂUQÐNUDZãG]LÐNROXPQ\HU\WURF\WĂZSRVHG\PHQWDFML1DOHĮ\GRSLOQRZDÓDE\ZNROXPQLHHU\WURF\WĂZQLHE\úRĮDGQ\FKOHXNRF\WĂZ %Xĳ\&RDW =DSLVDÓZDUWRďÓOLF]ERZÐ

).

0

0

0

0

0

0

10

10

10

90

90

80

80

80

100

100

90

90

90

110

100

100

100

110

110

110

10

100

100

110

110

110

10

0

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

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110

110

SEDIPLUS®

0

).

10

0

10

10

).

0

0

0

0

).

80

BSG / ESR / VS-WESTERGREN

125

PL
D: Stosowanie statywu ESR SARSTEDT, nr art.: 90.1091
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1.

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2.

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3.

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4.

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5.

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Utylizacja
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3.

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126

PL
1RUP\LZ\W\F]QHVSHF\ıF]QHGODSURGXNWXZDNWXDOQLHRERZLÐ]XMÐFHMZHUVMLCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
7KRPDV//DERUXQG'LDJQRVH:\GDQLHF\IURZH/DERU 'LDJQRVHURG]LDú%OXWNąUSHUFKHQVHQNXQJV5HDNWLRQ %65  ZZZODERUXQGGLDJQRVHGHNKWPOBLG7H[W$QFKRUICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)2EMDďQLHQLHV\PEROLLR]QDF]Hü

Numer katalogowy

Oznaczenie partii=XĮ\ÓGR

Znak CE

Wyrób medyczny do diagnostyki in vitro

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127

Instruções de utilização – Hemossedimentação manual SARSTEDT– Suporte de VHS & Pipetas de sedimentação

PT

Aplicações
Os suportes de VHS* e as pipetas de sedimentação manuais SARSTEDT são usados para a determinação manual de diagnósticos in vitro da velocidade de hemossedimentação (VHS) de sangue total com citrato
anticoagulado (rácio de mistura 1:4; 1 parte citrato + 4 partes sangue). Os resultados de medição obtidos correspondem ao método Westergren. Dependendo do sistema de colheita de sangue utilizado, é utilizado
sangue venoso ou capilar. Com o Microvette® CB 200 VHS, é utilizado sangue capilar, caso seja utilizado o S-Sedivette®, o S-Monovette® VHS ou os tubos de rosca VHS, é utilizado sangue venoso.
Os produtos destinam-se à utilização em ambiente profissional e à aplicação por profissionais médicos e pessoal de laboratório.
* VHS = Velocidade de hemossedimentação, também designada por Velocidade de Sedimentação

Descrição do produto
Os suportes VHS (também designados por suportes de sedimentação) são feitos em plástico e, dependendo do design, são compatíveis com os tubos de colheita de sangue S-Sedivette®, S-Monovette® VHS, ostubos de rosca VHS ou Microvette® CB 200 VHS. Estão disponíveis com e sem escala no painel traseiro e oferecem 10 pontos de medição, respetivamente. Como acessório, as pipetas de sedimentação de plásticosão usadas com ou sem escala. Para o suporte de sedimentação SARSTEDT sem painel traseiro, são compatíveis o S-Monovette® VHS ou os tubos de rosca VHS em conjunto com a pipeta de sedimentação
SARSTEDT com escala. Os suportes de sedimentação SARSTEDT com escala no painel traseiro, dependendo do design, são compatíveis com o S-Sedivette®, bem como em conjunto com: o S-Monovette® VHS ou
com os tubos de rosca VHS com as pipetas de sedimentação com marcação O (sem escala) ou com o Microvette® CB 200 VHS com os respetivos capilares de sedimentação.

Visão geral do artigo

SEDIPLUS®

0

0

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0

0

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0

10

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10

10

10

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10

10

20

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

40

50

60

70

80

90

100

110

Tipo

N.º art.

Descrição

Para utilizar com

90.1090

Suporte de VHS SARSTEDT com graduação

Compatível com o S-Sedivette®

90.1060

Suporte de VHS SARSTEDT com escala no painel traseiro

Compatível com o S-Monovette® VHS ou com os tubos de rosca VHS
em conjunto com a pipeta de sedimentação com marcação O (modelo E).

90.1060.062

Suporte de VHS SARSTEDT sem painel traseiro

Compatível com o S-Monovette® VHS ou com os tubos de rosca VHS
em conjunto com a pipeta com escala impressa (modelo F).

90.1091

Suporte de VHS SARSTEDT para o Microvette® CB 200 VHS

Compatível com o Microvette® CB 200 VHS com capilar de sedimentação

86.1996

Pipetas de sedimentação SARSTEDT com marcação O

Compatíveis com suporte de VHS SARSTEDT com escala no painel traseiro (modelo B)

86.1996.062

Pipetas de sedimentação SARSTEDT com escala impressa

Compatíveis com suporte de VHS SARSTEDT sem painel (modelo C)

Instruções e avisos de segurança
1.

Siga a descrição do manuseamento.

2.

Precauções gerais: Use luvas e equipamento de proteção individual geral para se proteger contra possível exposição a amostras potencialmente infecciosas e patógenos transmitidos.

3.

Trate todas as amostras biológicas e utensílios de colheita de acordo com as recomendações e procedimentos da sua instituição. Em caso de contacto direto com amostras biológicas, consulte um médico,
dado que, em consequência, podem ser transmitidas doenças infecciosas. As diretrizes e os procedimentos de segurança da sua instituição devem ser seguidos.

4.

$VSLSHWDVGHVHGLPHQWD×ÊRVÊRGHXWLOL]D×ÊRěQLFD(OLPLQHWRGRVRVSURGXWRVHPUHFLSLHQWHVGHHOLPLQD×ÊRSDUDVXEVWÉQFLDVELROĂJLFDVSHULJRVDV

5.

$VSLSHWDVGHVHGLPHQWD×ÊRQÊRSRGHPVHUXVDGDVDSĂVRıQDOGRSUD]RGHYDOLGDGH$YDOLGDGHWHUPLQDQRěOWLPRGLDGRPÝVHDQRHVSHFLıFDGRV

128

PT
Armazenamento
Os produtos devem ser armazenados à temperatura ambiente.

3ULQFìSLRıVLFRTXìPLFR
Devido à maior densidade de eritrócitos em comparação com o plasma, estes depositam lentamente no sangue não coagulado. No entanto, a sedimentação dos eritrócitos é influenciada por vários fatores que podem
acelerar ou diminuir a velocidade de sedimentação. Além da diferença de densidade, os fatores de influência mais importantes são a agregação de eritrócitos e a sua carga elétrica. Devido à sua carga negativa,
os eritrócitos repelem-se e a sedimentação é lenta. Uma composição alterada das proteínas plasmáticas, em especial, o aumento da concentração de proteínas de fase aguda em processos inflamatórios, reduz opotencial zeta (efeito repelente de carga negativa), favorecendo assim a agregação dos eritrócitos, o que leva a um processo de sedimentação mais rápido das células sanguíneas e, portanto, a valores de medição
de VHS mais elevados+. Por outro lado, o aumento na concentração de proteínas plasmáticas com carga negativa leva a uma sedimentação mais lenta dos eritrócitos e, portanto, a valores de medição de VHS mais
baixos.
+Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. edição. 2019; Springer. ISBN 978-3-662-48987-1

2VYDORUHVGHUHIHUÝQFLDGHYHPVHUHVWDEHOHFLGRVDQìYHOORFDOGHDFRUGRFRPDVUHFRPHQGD×ĄHVSDUDYDORUHVUHIHUÝQFLD&RQVLGHUDQGRRDXPHQWRSURJUHVVLYRGD9+6FRPDLGDGHSDUDFDGDGÜFDGDGHYLGDDGXOWDHPKRPHQVHPXOKHUHVGHYHUÊRVHUGHILQLGRVYDORUHVVHSDUDGRV0XLWDVRXWUDVYDULÈYHLVLQIOXHQFLDPD9+6HSRGHPSRUWDQWRDIHWDURVYDORUHVGHUHIHUÝQFLDSRUH[HPSORRVQìYHLVGHKHPRJORELQDPHGLFDPHQWRVRFLFORPHQVWUXDOJUDYLGH]HRWDEDJLVPR1DWDEHODŗ9DORUHVGHUHIHUÝQFLDSDUDR0ÜWRGR:HVWHUJUHQ(65ŘRVYDORUHVGHUHIHUÝQFLD(65HVWÊRDSUHVHQWDGRVQXPDOLVWDHSRGHPVHUXVDGRVF RPRJXLDSDUDGHILQLUYDORUHVGHUHIHUÝQFLDORFDLV

Valores de referência para o Método Westergren ESR**
9DORUPÜGLRGH(65limite superior da norma
Idade (anos)

Masculino

Feminino
Masculino

Feminino

18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

8PD9+6QRUPDOQÊRH[FOXLGRHQ×DVQÊRLQIODPDWĂULDVHPĂUJÊRVGLVIXQ×ĄHVHPĂUJÊRVHWXPRUHVPDOLJQRV**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Restrições
1.

O armazenamento das amostras de sangue deverá ser à temperatura ambiente. A VHS deverá então ser determinada nas primeiras 4 horas após a colheita de sangue.
$DPRVWUDSRGHVHUDUPD]HQDGDQRIULJRUìıFR Ɠ& SRUXPSHUìRGRPDLRU PÈ[LPRKRUDV $QWHVGDVXDXWLOL]D×ÊRDDPRVWUDWHUÈGHVHUFRORFDGDÇWHPSHUDWXUDDPELHQWH

2.

Antes de medir a velocidade de hemossedimentação, a amostra de sangue deverá ser homogeneizada, virando-a cuidadosamente.

3.

$PHGL×ÊRÜIHLWDDXPDWHPSHUDWXUDDPELHQWHGHşƓ&HWHPGHVHUSURWHJLGDFRQWUDYLEUD×ĄHVFRUUHQWHVGHDUHOX]VRODUGLUHWDRXGHDFRUGRFRPRVUHTXLVLWRVHVSHFìıFRVGRSDìVHGRODERUDWĂULR4.

O princípio de medição corresponde a CLSI H2-A5.

5.

A precisão de medição é de +/-1 mm do curso de medição.

6.

Os suportes de VHS podem ser limpos com desinfetantes à base de etanol / isopropanol.

7.

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8.

Só deve ser utilizado o suporte, se o painel da escala não estiver ondulado e a escala for claramente legível.

129

PT
Amostragem e manuseamento/(,$(67('2&80(1721$17(*5$$17(6'(&20(s$5$0(',sf2'$9+6
Materiais necessários para a determinação da VHS
1.

Tubo de amostra cheio com amostra de sangue (S-Sedivette®, S-Monovette® BSG, tubos de rosca VHS ou Microvette® CB 200 VHS)*2.

Suporte de VHS SARSTEDT compatível com o tubo de amostra e, se necessário, a pipeta de sedimentação SARSTEDT compatível.

3.

Luvas, batas, proteção para os olhos ou outro vestuário de proteção adequado para proteção contra agentes patogénicos transmitidos pelo material de amostra ou materiais potencialmente infecciosos.

4.

Despertador ou cronómetro.

*Para a colheita de sangue e o transporte da amostra, devem ser observadas as instruções de utilização dos respetivos tubos de amostra (S-Sedivette®, S-Monovette® VHS, tubos de rosca VHS ou Microvette® CB 200 VHS).
Realização da determinação da VHS
Instruções gerais
De seguida, são descritos os vários modelos de suportes de VHS SARSTEDT e pipetas de sedimentação SARSTEDT:
A: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1090
B: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1060 com pipetas de sedimentação SARSTEDT, n.º art.: 86.1996
C: Utilização de suportes de VHS, n.º art.: 90.1060.062 com pipetas de sedimentação SARSTEDT, n.º art.: 86.1996.062
D: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1091

A: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1090
O suporte de VHS SARSTEDT (n.º art.: 90.1090) destina-se exclusivamente à aplicação com o S-Sedivette® (n.º art.: 06.1690.xxx).
1.

9LUHDDPRVWUDFRPFXLGDGRGHFDEH×DSDUDEDL[R ıJ2.

O suporte de VHS SARSTEDT tem de estar pousado numa superfície horizontal. Para a medição, coloque o S-Sedivette® cheio, na vertical, no suporte de VHS SARSTEDT.
2SRQWR]HURGHFDGDDPRVWUDGHYHVHUDMXVWDGRFRPRSDUDIXVRVHUULOKDGR VHWD  ıJ ).

3.

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Opcionalmente para 30 minutos (1.º valor de medição) e 1 hora (2.º valor de medição) ou 1 hora (1.º valor de medição) e 2 horas (2.º valor de medição).

4.

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).

5x

130

PT
B: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1060 com pipetas de sedimentação SARSTEDT, n.º art.: 86.1996
O suporte de VHS SARSTEDT (n.º art.: 90.1060) destina-se exclusivamente à aplicação com o S-Monovette® VHS (n.º art.: 05.1079.xxx) ou com os tubos de rosca VHS (n.º art.: 47.410.xxx) e as pipetas desedimentação SARSTEDT, (n.º art.: 86.1996).
1.

9LUHDVDPRVWUDVFRPFXLGDGRGHFDEH×DSDUDEDL[R ıJ

2.

Abra o S-Monovette®9+6  RVWXERVGHURVFD9+6URGDQGRDWDPSDURVFDGDSDUDDHVTXHUGD ıJ

3.

Insira a pipeta de sedimentação no S-Monovette® VHS / nos tubos de rosca VHS. Empurre a pipeta de sedimentação com cuidado para baixo. A pipeta de sedimentação enche-se com sangue.
Enrosque a manga do êmbolo da pipeta de sedimentação no S-Monovette®9+6  QRVWXERVGHURVFD9+6URGDQGRSDUDDHVTXHUGD ıJ ).

4.

$SLSHWDHVWÈFRUUHWDPHQWHHQURVFDGDTXDQGRDPDUFD×ÊRGHHQFKLPHQWRQDSLSHWDGHVHGLPHQWD×ÊRWLYHUDWLQJLGRH[DWDPHQWHDPDUFD×ÊR2 ıJ

5.

Para a medição, coloque o S-Monovette® VHS / os tubos de rosca VHS, agora com a pipeta de sedimentação enroscada, na vertical, no suporte de VHS SARSTEDT com escala no painel traseiro. O suporte de
9+66$567('7WHPGHHVWDUSRXVDGRQXPDVXSHUIìFLHKRUL]RQWDO2SRQWR]HURGHFDGDDPRVWUDGHYHVHUYHULıFDGRHVHQHFHVVÈULRDMXVWDGRURGDQGRDPDQJDGRÝPERORGDSLSHWDGHVHGLPHQWD×ÊR ıJ ).

6.

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Opcionalmente para 30 minutos (1.º valor de medição) e 1 hora (2.º valor de medição) ou 1 hora (1.º valor de medição) e 2 horas (2.º valor de medição).

7.

'HFRUULGRPLQXWRÜOLGDDGLVWÉQFLDHPPLOìPHWURVHQWUHDSDUWHLQIHULRUGRPHQLVFRGHSODVPDHDH[WUHPLGDGHVXSHULRUGDFROXQDFRPHULWUĂFLWRVVHGLPHQWDGRVQDHVFDODGRSDLQHOWUDVHLUR&HUWLıTXHVHGHTXHQÊRKÈOHXFĂFLWRV EXĳ\FRDW QDFROXQDGHHULWUĂFLWRV7LUHQRWDGRYDORUQXPÜULFR).

O

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).

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).

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BSG / ESR / VS-WESTERGREN

131

PT
C: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1060.062 com pipetas de sedimentação SARSTEDT, n.º art.: 86.1996.062
O suporte de VHS SARSTEDT (n.º art.: 90.1060.062) destina-se exclusivamente à aplicação com o S-Monovette® VHS (n.º art.: 05.1079.xxx) ou com os tubos de rosca VHS (n.º art.: 47.410.xxx) e as pipetas desedimentação SARSTEDT, (n.º art.: 86.1996.062).
1.

9LUHDVDPRVWUDVFRPFXLGDGRGHFDEH×DSDUDEDL[R ıJ

2.

Abra o S-Monovette®9+6  RVWXERVGHURVFD9+6URGDQGRDWDPSDURVFDGDSDUDDHVTXHUGD ıJ

3.

Insira a pipeta de sedimentação no S-Monovette® VHS / nos tubos de rosca VHS. Empurre a pipeta de sedimentação com cuidado para baixo. A pipeta de sedimentação enche-se com sangue.
Enrosque a manga do êmbolo da pipeta de sedimentação no S-Monovette®9+6  QRVWXERVGHURVFD9+6URGDQGRSDUDDHVTXHUGD ıJ ).

4.

$SLSHWDHVWÈFRUUHWDPHQWHHQURVFDGDTXDQGRDPDUFD×ÊRGHHQFKLPHQWRQDSLSHWDGHVHGLPHQWD×ÊRWLYHUDWLQJLGRH[DWDPHQWHDPDUFD×ÊR ıJ

5.

Para a medição, coloque o S-Monovette® VHS / os tubos de rosca VHS, agora com a pipeta de sedimentação enroscada, na vertical, no suporte de VHS SARSTEDT sem painel traseiro. O suporte de VHS
6$567('7WHPGHHVWDUSRXVDGRQXPDVXSHUIìFLHKRUL]RQWDO2SRQWR]HURGHFDGDDPRVWUDGHYHVHUYHULıFDGRHVHQHFHVVÈULRDMXVWDGRURGDQGRDPDQJDGRÝPERORGDSLSHWDGHVHGLPHQWD×ÊR ıJ ).

6.

,QLFLHDPHGL×ÊRGHıQLQGRHLQLFLDQGRRVVHXVWHPSRVGHPHGL×ÊRQXPGHVSHUWDGRURXFURQĂPHWUR
Opcionalmente para 30 minutos (1.º valor de medição) e 1 hora (2.º valor de medição) ou 1 hora (1.º valor de medição) e 2 horas (2.º valor de medição).

7.

'HFRUULGRPLQXWRÜOLGDDGLVWÉQFLDHPPLOìPHWURVHQWUHDSDUWHLQIHULRUGRPHQLVFRGHSODVPDHDH[WUHPLGDGHVXSHULRUGDFROXQDFRPHULWUĂFLWRVVHGLPHQWDGRVFRPDHVFDODLPSUHVVDQDSLSHWDGH
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).

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SEDIPLUS®

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BSG / ESR / VS-WESTERGREN

132

PT
D: Utilização de suportes de VHS SARSTEDT, n.º art.: 90.1091
O suporte de VHS (n.º art.: 90.1091) destina-se exclusivamente à aplicação com o Microvette® CB 200 VHS (n.º art.: 18.1325.xxx).
1.

9LUHDDPRVWUDFRPFXLGDGRGHFDEH×DSDUDEDL[R ıJ

2.

Abra o Microvette® CB 200 VHS, puxando a tampa de rolha para cima. Insira o capilar de sedimentação no Microvette® CB 200 VHS.
(PSXUUHRFDSLODUGHVHGLPHQWD×ÊRFRPFXLGDGRSDUDEDL[R2FDSLODUGHVHGLPHQWD×ÊRHQFKHVHFRPVDQJXH ıJ ).

3.

O suporte de VHS SARSTEDT tem de estar pousado numa superfície horizontal. Para a medição, coloque o Microvette® CB 200 VHS com capilar de sedimentação, na vertical, no suporte VHS SARSTEDT.
2SRQWR]HURGHFDGDDPRVWUDGHYHVHUDMXVWDGRH[DWDPHQWHFRPRSDUDIXVRVHUULOKDGR VHWD  ıJ ).

4.

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Opcionalmente para 30 minutos (1.º valor de medição) e 1 hora (2.º valor de medição) ou 1 hora (1.º valor de medição) e 2 horas (2.º valor de medição).

5.

'HFRUULGRPLQXWRÜOLGDDGLVWÉQFLDHPPLOìPHWURVHQWUHDSDUWHLQIHULRUGRPHQLVFRGHSODVPDHDH[WUHPLGDGHVXSHULRUGDFROXQDFRPHULWUĂFLWRVVHGLPHQWDGRVQDHVFDODGRSDLQHOWUDVHLUR&HUWLıTXHVHGHTXHQÊRKÈOHXFĂFLWRV EXĳ\FRDW QDFROXQDGHHULWUĂFLWRV7LUHQRWDGRYDORUQXPÜULFR).

Eliminação
1.

As diretivas gerais de higiene e as normas legais para a eliminação adequada dos materiais infecciosos devem ser observadas e cumpridas.

2.

As luvas descartáveis impedem o risco de infeção.

3.

$VSLSHWDVGHVHGLPHQWD×ÊR6$567('7FRQWDPLQDGDVRXFKHLDVGHYHPVHUHOLPLQDGDVHPUHFLSLHQWHVGHHOLPLQD×ÊRDGHTXDGRVSDUDVXEVWÉQFLDVELROĂJLFDVSHULJRVDVque podem então ser autoclavados e incinerados em seguida.

4.

A eliminação de consumíveis potencialmente contaminados é feita de acordo com as políticas e diretrizes da instituição.

133

PT
1RUPDVHGLUHWLYDVHVSHFìıFDVGRSURGXWRQDYHUVÊRDWXDOPHQWHYÈOLGDCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Edição digital Labor & Diagnose 2020; Capítulo 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)6ìPERORVHFĂGLJRVGHLGHQWLıFD×ÊR

Número do artigo

Número do lote

Prazo de validade

Marcação CE

Diagnóstico in vitro

Observar as instruções de utilização

Em caso de reutilização: Risco de contaminaçãoArmazenar protegido da luz do sol

Armazenar em local seco

FabricantePaís de fabrico

Sujeito a alterações técnicas.
Quaisquer incidentes graves relacionados com o produto deverão ser comunicados ao fabricante e à autoridade competente nacional do país.

134

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6FRSXOXWLOL]ÍULL
6XSRUWXULOHPDQXDOH%6* ēLSLSHWHOHGHVHGLPHQWDUH6$567('7VXQWXWLOL]DWHSHQWUXGHWHUPLQDUHDPDQXDOÍin vitroDUDWHLGHVHGLPHQWDUHDFHOXOHORUVDQJXLQH %6* GLQVÉQJHOHLQWHJUDODQWLFRDJXODWFXFLWUDW UDSRUWGHDPHVWHFDUHSDUWHFLWUDWSÍUėLVÉQJH 5H]XOWDWHOHREėLQXWHDOHPÍVXUÍWRULORUFRUHVSXQGPHWRGHL:HVWHUJUHQQIXQFėLHGHVLVWHPXOGHFROHFWDUHDVÉQJHOXLXWLOL]DWVHXWLOL]HD]ÍVÉQJHYHQRVVDXFDSLODULa Microvette®&%%6*HVWHVÉQJHFDSLODUDWXQFLFÉQGVHXWLOL]HD]Í66HGLYHWWH®, S-Monovette®%6*VDXWXEXOILOHWDW%6*VHXWLOL]HD]ÍVÉQJHYHQRV3URGXVHOHVXQWGHVWLQDWHXWLOL]ÍULLîQWUXQPHGLXSURIHVLRQDOGHFÍWUHSHUVRQDOPHGLFDOēLSHUVRQDOGHODERUDWRULQVWUXLWîQDFHVWVFRS*VSH= viteza de sedimentare a hematiilor, de asemenea, viteza de sedimentare a eritrocitelor

Descrierea produsului
6XSRUWXULOH%6* QXPLWHēLVXSRUWXULGHVHGLPHQWDUH VXQWIDEULFDWHGLQSODVWLFēLîQIXQFėLHGHYHUVLXQHVXQWSRWULYLWHFXYDVHOHGHFROHFWDUHDVÉQJHOXL66HGLYHWWH®, S-Monovette® BSG, tubul filetat BSG sau
Microvette®&%%6*$FHVWHDVXQWGLVSRQLELOHFXēLIÍUÍXQSHUHWHSRVWHULRUJUDGDWēLRIHUÍVWDėLLGHPÍVXUDUHILHFDUH3LSHWHOHGHVHGLPHQWDUH6$567('7GLQSODVWLFFXēLIÍUÍJUDGDUHVXQWIRORVLWHFDDFFHVRULL
3HQWUXVXSRUWXOGHVHGLPHQWDUH6$567('7IÍUÍSHUHWHSRVWHULRUHVWHSRWULYLWÍ60RQRYHWWH®%6*VDXWXEXOILOHWDW%6*îQFRPELQDėLHFXSLSHWDGHVHGLPHQWDUH6$567('7FXJUDGDUHQIXQFėLHGHYHUVLXQHVWDQGXULOH
de sedimentare SARSTEDT cu perete posterior gradat se potrivesc cu S-Sedivette®SUHFXPēLFXFRPELQDėLD60RQRYHWWH®%6*VDXODWXEXOILOHWDW%6*FXSLSHWDGHVHGLPHQWDUHFXPDUFDM2 IÍUÍJUDGDUH VDX
Microvette®&%%6*FXFDSLODUXOVÍXGHVHGLPHQWDUH

Prezentarea articolului

SEDIPLUS®

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

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BSG / ESR / VS-WESTERGREN

0

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Tip

Nr. art.

Denumire$VHXWLOL]DîPSUHXQÍFX

90.1090

Suport BSG SARSTEDT cu gradare

Potrivit pentru S-Sedivette®

90.1060

Suport BSG SARSTEDT cu perete posterior gradat

Adecvat pentru S-Monovette®%6*VDXWXEXOıOHWDW%6*îQFRPELQDėLH
cu pipeta de sedimentare SARSTEDT cu marcaj O (varianta E)

90.1060.062

6XSRUW%6*6$567('7IÍUÍSHUHWHSRVWHULRU

Potrivit pentru S-Monovette®%6*VDXSHQWUXWXEXOıOHWDW%6*îQFRPELQDėLH
cu pipeta de sedimentare cu gradare (varianta F)

90.1091

Suport SARSTEDT BSG pentru Microvette® CB 200 BSG

Potrivit pentru Microvette®&%%6*FXFDSLODUÍGHVHGLPHQWDUH

86.1996

Pipete de sedimentare SARSTEDT cu marcaj O

Potrivit pentru suportul SARSTEDT BSG cu perete posterior gradat (varianta B)

86.1996.062

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135

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Depozitare
Produsele se vor depozita la temperatura camerei.

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**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Manualul medicinii de laborator; Schattauer, 1999; ISBN 3-7945-1856-X

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3.

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3ULQFLSLXOGHPÍVXUDUHFRUHVSXQGH&/6,+$

5.

3UHFL]LDGHPÍVXUDUHHVWHGHPPGLQFDOHDGHPÍVXUDUH

6.

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7.

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6XSRUWXOWUHEXLHXWLOL]DWQXPDLGDFÍGLDIUDJPDFDGUDQXOXLQXHVWHRQGXODWÍēLFÉQWDUXOHVWHFODUOL]LELO

136

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Material de lucru necesar pentru determinarea BSG
1.

9DVGHSUREÍXPSOXWFXSUREÍGHVÉQJH 66HGLYHWWH®, S-Monovette®%6*WXEıOHWDW%6*VDX0LFURYHWWH® CB 200 BSG)*.

2.

6XSRUWXO%6*6$567('7VHSRWULYHēWHFXYDVXOHēDQWLRQēLGDFÍHVWHQHFHVDUFXSLSHWDGHVHGLPHQWDUH6$567('7SRWULYLWÍ

3.

0ÍQXēLKDODWHHFKLSDPHQWGHSURWHFėLHDRFKLORUVDXDOWHHFKLSDPHQWHGHSURWHFėLHDGHFYDWHSHQWUXSURWHFėLDîPSRWULYDDJHQėLORUSDWRJHQLXULQDULVDXDPDWHULDOHORUSRWHQėLDOLQIHFėLRDVH

4.

&HDVGHēWHSWÍWRUVDXFURQRPHWUX3HQWUXFROHFWDUHDVÉQJHOXLēLWUDQVSRUWXOSUREHORUWUHEXLHUHVSHFWDWHLQVWUXFėLXQLOHGHXWLOL]DUHDOHYDVXOXLGHSUREÍUHVSHFWLY 66HGLYHWWH®, S-Monovette® BSG, tub filetat BSG sau Microvette® CB 200 BSG).
Efectuarea stabilirii BSG,QVWUXFėLXQLJHQHUDOH'LIHULWHOHYDULDQWHDOHVXSRUWXULORU%6*6$567('7ēLDOHSLSHWHORUGHVHGLPHQWDUH6$567('7VXQWGHVFULVHPDLMRV
A: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1090
B: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1060 cu pipete de sedimentare SARSTEDT, nr. art.: 86.1996
C: Utilizarea suporturilor BSG, nr. art.: 90.1060.062 cu pipete de sedimentare SARSTEDT, nr. art.: 86.1996.062
D: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1091

A: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1090
6XSRUW%6*6$567('7 QUDUW HVWHGHVWLQDWH[FOXVLYXWLOL]ÍULLFX66HGLYHWWH® (nr. articol: 06.1690.xxx).
1.

%DVFXODėLFXDWHQėLHSUREDFXVXVXOîQMRV ıJ2.

6XSRUWXO%6*6$567('7WUHEXLHVÍVWHDSHRED]ÍRUL]RQWDOÍ3HQWUXPÍVXUDUHDēH]DėLRUL]RQWDO66HGLYHWWH®XPSOXWÍSHVXSRUWXO6$567('7%6*
3XQFWXO]HURDOıHFÍUHLSUREHWUHEXLHVHWDWFXDMXWRUXOēXUXEXOXLFXFDSVWULDW VÍJHDWÍ  ıJ ).

3.

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4.

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).

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B: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1060 cu pipete de sedimentare SARSTEDT nr. articol: 86.1996
6XSRUW%6*6$567('7 QUDUW HVWHGHVWLQDWH[FOXVLYXWLOL]ÍULLFX60RQRYHWWH®%6* QUDUWLFRO[[[ VDXWXEXOILOHWDW%6* QUDUWLFRO[[[ ēLSLSHWDGHVHGLPHQWDUH6$567('7 QUDUW 1.

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2.

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'HVFKLGHėL60RQRYHWWH®%6*  WXEXOıOHWDW%6*$SÍVDėLFXJULMÍîQMRVSLSHWDGHVHGLPHQWDUH3LSHWDGHVHGLPHQWDUHVHXPSOHDVWIHOFXVÉQJHQēXUXEDėLPDQēRQXOSLVWRQXOXLSLSHWHLGHVHGLPHQWDUHOD60RQRYHWWH®%6*  WXEXOıOHWDW%6*URWLQGXOîQVHQVXODFHORUGHFHDVRUQLF ıJ ).

).
).

4.

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5.

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6.

3RUQLėLPÍVXUÍWRDUHDSULQVHWDUHDēLSRUQLUHDXQXLFHDVFXDODUPÍVDXDXQXLFURQRPHWUXSHQWUXWLPSLLGHPÍVXUDUH
2SėLRQDOSÉQÍODGHPLQXWH DYDORDUHPÍVXUDWÍ ēLRUÍ DDYDORDUHPÍVXUDWÍ VDXRUÍ DDYDORDUHPÍVXUDWÍ ēLRUÍ DDYDORDUHPÍVXUDWÍ 7.

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SEDIPLUS®

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O

BSG / ESR / VS-WESTERGREN

138

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C: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1060.062 cu pipete de sedimentare SARSTEDT, nr. art.: 86.1996.062
6XSRUW%6*6$567('7 QUDUW HVWHGHVWLQDWH[FOXVLYXWLOL]ÍULLFX60RQRYHWWH® QUDUWLFRO[[[ VDXWXEXOILOHWDW%6* QUDUWLFRO[[[ ēLSLSHWDGHVHGLPHQWDUH6$567('7 QUDUW 
1.

%DVFXODėLFXDWHQėLHSUREDFXVXVXOîQMRV ıJ

2.

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'HVFKLGHėL60RQRYHWWH®%6*  WXEXOıOHWDW%6*$SÍVDėLFXJULMÍîQMRVSLSHWDGHVHGLPHQWDUH3LSHWDGHVHGLPHQWDUHVHXPSOHDVWIHOFXVÉQJHQēXUXEDėLPDQēRQXOSLVWRQXOXLSLSHWHLGHVHGLPHQWDUHOD60RQRYHWWH®%6*  WXEXOıOHWDW%6*URWLQGXOîQVHQVXODFHORUGHFHDVRUQLF ıJ ).

).
).

4.

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5.

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6.

3RUQLėLPÍVXUÍWRDUHDSULQVHWDUHDēLSRUQLUHDXQXLFHDVFXDODUPÍVDXDXQXLFURQRPHWUXSHQWUXWLPSLLGHPÍVXUDUH
2SėLRQDOSÉQÍODGHPLQXWH DYDORDUHPÍVXUDWÍ ēLRUÍ DDYDORDUHPÍVXUDWÍ VDXRUÍ DDYDORDUHPÍVXUDWÍ ēLRUÍ DDYDORDUHPÍVXUDWÍ 7.

'XSÍVFXUJHUHDWLPSXOXLGHPLQXWGLVWDQėDîQPLOLPHWULGLQWUHSDUWHDLQIHULRDUÍDGLVFXOXLFXSODVPÍēLFDSÍWXOVXSHULRUDOFRORDQHLFXHULWURFLWHOHVHGLPHQWDWHVHFLWHēWHFXVFDODLPSULPDWÍSHSLSHWDGH
VHGLPHQWDUH$VLJXUDėLYÍFÍîQFRORDQDGHHULWURFLWHQXVXQWFRQėLQXWHOHXFRFLWH %Xĳ\&RDW QUHJLVWUDėLYDORDUHDQXPHULFÍ

0

0

0

0

0

0

10

10

10

90

90

80

80

80

100

100

90

90

90

110

100

100

100

110

110

110

10

100

100

110

110

110

10

0

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

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SEDIPLUS®

0

10

0

10

10

).

0

0

0

0

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80

BSG / ESR / VS-WESTERGREN

139

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D: Utilizarea suportului SARSTEDT BSG, nr. art.: 90.1091
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1.

%DVFXODėLFXDWHQėLHSUREDFXVXVXOîQMRV ıJ

2.

'HVFKLGHėL0LFURYHWWH®&%%6*WUÍJÉQGFDSDFXOGRSXOXLîQVXV,QWURGXFHėLFDSLODUXOGHVHGLPHQWDUHîQ0LFURYHWWH® CB 200 BSG.
$SÍVDėLFXJULMÍîQMRVFDSLODUXOGHVHGLPHQWDUH&DSLODUXOGHVHGLPHQWDUHVHXPSOHDVWIHOFXVÉQJH ıJ ).

3.

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4.

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5.

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Eliminare
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2.

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140

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ȩȼɃɉȼɓɁɉɄɁ
ȴɎȼɎɄȾɗɀɇɛɌɏɓɉɊȿɊɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ɄɆȼɋɄɇɇɛɌɗɀɇɛȭȪȹ6$567('7ɋɌɄɈɁɉɛɚɎɍɛȾɇȼȽɊɌȼɎɊɌɉɊɅɀɄȼȿɉɊɍɎɄɆɁɍɄɍɋɊɇɘɃɊȾȼɉɄɁɈɌɏɓɉɊȿɊɈɁɎɊɀȼɊɋɌɁɀɁɇɁɉɄɛɍɆɊɌɊɍɎɄɊɍɁɀȼɉɄɛəɌɄɎɌɊɒɄɎɊȾȭȪȹ ɉȼɊɍɉɊȾɁɊȽɌȼɃɒɊȾɒɁɇɘɉɊɅɆɌɊȾɄɍɒɄɎɌȼɎɊɈȾɆȼɓɁɍɎȾɁȼɉɎɄɆɊȼȿɏɇɛɉɎȼ ɍɊɊɎɉɊɔɁɉɄɁɍɈɁɔɄȾȼɉɄɛɓȼɍɎɘɒɄɎɌȼɎȼɓȼɍɎɄɆɌɊȾɄ ȫɊɇɏɓɁɉɉɗɁɌɁɃɏɇɘɎȼɎɗɄɃɈɁɌɁɉɄɅɍɊɊɎȾɁɎɍɎȾɏɚɎɈɁɎɊɀɏ
ȞɁɍɎɁɌȿɌɁɉȼȞɃȼȾɄɍɄɈɊɍɎɄɊɎɋɌɄɈɁɉɛɁɈɊɅɍɄɍɎɁɈɗȾɃɛɎɄɛɆɌɊȾɄɄɍɋɊɇɘɃɏɁɎɍɛȾɁɉɊɃɉȼɛɄɇɄɆȼɋɄɇɇɛɌɉȼɛɆɌɊȾɘȫɌɄɌȼȽɊɎɁɍɍɄɍɎɁɈɊɅ0LFURYHWWH®&%ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɄɍɋɊɇɘɃɏɁɎɍɛ
ɆȼɋɄɇɇɛɌɉȼɛɆɌɊȾɘȫɌɄɌȼȽɊɎɁɍɍɄɍɎɁɈȼɈɄ66HGLYHWWH®, S-Monovette®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɄɇɄɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɌɄɈɁɉɛɚɎȾɁɉɊɃɉɏɚɆɌɊȾɘ
ȤɃɀɁɇɄɛɋɌɁɀɉȼɃɉȼɓɁɉɗɀɇɛɄɍɋɊɇɘɃɊȾȼɉɄɛȾɋɌɊɐɁɍɍɄɊɉȼɇɘɉɊɅɍɌɁɀɁɆȾȼɇɄɐɄɒɄɌɊȾȼɉɉɗɈɈɁɀɄɒɄɉɍɆɄɈɋɁɌɍɊɉȼɇɊɈɄɍɊɎɌɏɀɉɄɆȼɈɄɇȼȽɊɌȼɎɊɌɄɅ
ȭȪȹ ɉɁɈ%6*ȼɉȿɇ(65 ŠɍɆɊɌɊɍɎɘɊɍɁɀȼɉɄɛəɌɄɎɌɊɒɄɎɊȾ

ȪɋɄɍȼɉɄɁɋɌɊɀɏɆɎȼ
ȴɎȼɎɄȾɗɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ ɎȼɆɂɁɉȼɃɗȾȼɁɈɗɁɔɎȼɎɄȾȼɈɄɀɇɛɊɍȼɂɀɁɉɄɛ ɄɃȿɊɎɊȾɇɁɉɗɄɃɋɇȼɍɎɄɆȼɄȾɃȼȾɄɍɄɈɊɍɎɄɊɎɄɍɋɊɇɉɁɉɄɛɋɌɁɀɉȼɃɉȼɓɁɉɗɀɇɛɌȼȽɊɎɗɍɍɄɍɎɁɈȼɈɄȾɃɛɎɄɛɆɌɊȾɄ66HGLYHWWH®,
S-Monovette®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɄɇɄ0LFURYHWWH®&%ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹȪɉɄɋɌɁɀɇȼȿȼɚɎɍɛɍɉȼɉɁɍɁɉɉɊɅɉȼɃȼɀɉɚɚɍɎɁɉɆɏɔɆȼɇɊɅɄɇɄ
ȽɁɃɉɁɁɄɌȼɍɍɓɄɎȼɉɗɉȼɄɃɈɁɌɄɎɁɇɘɉɗɑɆȼɉȼɇɊȾȞɆȼɓɁɍɎȾɁɀɊɋɊɇɉɄɎɁɇɘɉɗɑɋɌɄɉȼɀɇɁɂɉɊɍɎɁɅɄɍɋɊɇɘɃɏɚɎɍɛɆȼɋɄɇɇɛɌɗɀɇɛȭȪȹ6$567('7ɄɃɋɇȼɍɎɄɆȼɍȿɌȼɀɏɄɌɊȾɆɊɅɄɇɄȽɁɃɉɁɁ6$567('7ɔɎȼɎɄȾɗɀɇɛȭȪȹȽɁɃɃȼɀɉɁɅɍɎɁɉɆɄɈɊȿɏɎɄɍɋɊɇɘɃɊȾȼɎɘɍɛɍɍɄɍɎɁɈɊɅ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɇɄȽɊɍɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ6$567('7ɔɎȼɎɄȾɗɀɇɛȭȪȹɍɉȼɉɁɍɁɉɉɊɅɉȼɃȼɀɉɚɚɍɎɁɉɆɏɔɆȼɇɊɅȾɃȼȾɄɍɄɈɊɍɎɄɊɎɄɍɋɊɇɉɁɉɄɛɈɊȿɏɎɄɍɋɊɇɘɃɊȾȼɎɘɍɛɍɋɌɊȽɄɌɆȼɈɄ66HGLYHWWH®ȼɎȼɆɂɁȾɍɊɓɁɎȼɉɄɄɍɊɍɇɁɀɏɚɕɄɈɄɍɄɍɎɁɈȼɈɄ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛ
ȭȪȹɇɄȽɊɍɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɊɍɉȼɕɁɉɉɗɈɄɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹɍɊɎɈɁɎɆɊɅŝ2Ş ȽɁɃȿɌȼɀɏɄɌɊȾɆɄ ɇɄȽɊɍ0LFURYHWWH®&%ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɍɍɊɊɎȾɁɎɍɎȾɏɚɕɄɈɄ
ɆȼɋɄɇɇɛɌȼɈɄɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹȪȽɕɄɁɍȾɁɀɁɉɄɛɊȽɄɃɀɁɇɄɄSEDIPLUS®

BSG / ESR / VS-WESTERGREN

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

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20

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20

20

20

20

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30

30

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40

40

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50

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50

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90

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90

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100

100

100

100

100

100

100

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110

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110

110

110

110

110

110

110

110

SEDIPLUS®

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

40

50

60

70

80

90

100

110

ȮɄɋ

ȦȼɎǂ

ȩȼɄɈɁɉɊȾȼɉɄɁ

ȠɇɛɍɊȾɈɁɍɎɉɊȿɊɄɍɋɊɇɘɃɊȾȼɉɄɛ
ɍɊɍɇɁɀɏɚɕɄɈɄɄɃɀɁɇɄɛɈɄ

90.1090

6$567('7ȴɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɍɊɔɆȼɇɊɅ

ȫɊɀɑɊɀɛɎɀɇɛɄɍɋɊɇɘɃɊȾȼɉɄɛɍɍɄɍɎɁɈȼɈɄ66HGLYHWWH®

90.1060

6$567('7ȴɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɍɊɔɆȼɇɊɅɉȼɃȼɀɉɁɅɍɎɁɉɆɁ

ȫɊɀɑɊɀɛɎɀɇɛɄɍɋɊɇɘɃɊȾȼɉɄɛɍɍɄɍɎɁɈɊɅ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛ
ȭȪȹɄɇɄɍɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɊɍɉȼɕɁɉɉɗɈɄ
ɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹɍɊɎɈɁɎɆɊɅŝ2Ş ȾȼɌɄȼɉɎȡ90.1060.062

6$567('7ȴɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹȽɁɃɃȼɀɉɁɅɍɎɁɉɆɄ

ȫɊɀɑɊɀɛɎɀɇɛɄɍɋɊɇɘɃɊȾȼɉɄɛɍɍɄɍɎɁɈɊɅ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛ
ȭȪȹɄɇɄɍɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɊɍɉȼɕɁɉɉɗɈɄ
ɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹɍȿɌȼɀɏɄɌɊȾɆɊɅ ȾȼɌɄȼɉɎ)90.1091

6$567('7ȴɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɀɇɛ0LFURYHWWH®&%ȭȪȹ

6$567('7ȴɎȼɎɄȾɗɀɇɛ0LFURYHWWH®&%ɍɆȼɋɄɇɇɛɌȼɈɄɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ

86.1996

6$567('7ȦȼɋɄɇɇɛɌɗɀɇɛȭȪȹɍɊɎɈɁɎɆɊɅŝ2ŞȫɊɀɑɊɀɛɎɀɇɛ6$567('7ɔɎȼɎɄȾɊȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɍɊɔɆȼɇɊɅɉȼɃȼɀɉɁɅ
ɍɎɁɉɆɁ ȾȼɌɄȼɉɎȞ86.1996.062

6$567('7ȦȼɋɄɇɇɛɌɗɀɇɛȭȪȹɍȿɌȼɀɏɄɌɊȾɆɊɅ

ȫɊɀɑɊɀɛɎɀɇɛ6$567('7ɔɎȼɎɄȾɊȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹȽɁɃɃȼɀɉɁɅɍɎɁɉɆɄ ȾȼɌɄȼɉɎȭȨɁɌɗɋɌɁɀɊɍɎɊɌɊɂɉɊɍɎɄ
1.

ȭɇɁɀɏɅɎɁɄɉɍɎɌɏɆɒɄɛɈɋɊɊȽɌȼɕɁɉɄɚɍɋɌɊɀɏɆɎɊɈ

2.

ȪȽɕɄɁɈɁɌɗɋɌɁɀɊɍɎɊɌɊɂɉɊɍɎɄȾɊɄɃȽɁɂȼɉɄɁȾɊɃɈɊɂɉɊȿɊɆɊɉɎȼɆɎȼɍɋɊɎɁɉɒɄȼɇɘɉɊɄɉɐɁɆɒɄɊɉɉɗɈɄɈȼɎɁɌɄȼɇȼɈɄɊȽɌȼɃɒɊȾɄɋɁɌɁɉɊɍɄɈɗɈɄȾɉɄɑȾɊɃȽɏɀɄɎɁɇɛɈɄɃȼȽɊɇɁȾȼɉɄɅ
ɄɍɋɊɇɘɃɏɅɎɁɃȼɕɄɎɉɗɁɋɁɌɓȼɎɆɄɄɊȽɕɄɁɍɌɁɀɍɎȾȼɄɉɀɄȾɄɀɏȼɇɘɉɊɅɃȼɕɄɎɗ

3.

ȫɌɄɌȼȽɊɎɁɍɇɚȽɗɈɄȽɄɊɇɊȿɄɓɁɍɆɄɈɄɋɌɊȽȼɈɄɄȾɍɋɊɈɊȿȼɎɁɇɘɉɗɈɄɍɌɁɀɍɎȾȼɈɄɀɇɛȾɃɛɎɄɛɆɌɊȾɄɍɇɁɀɏɁɎɋɌɄɀɁɌɂɄȾȼɎɘɍɛɋɌȼȾɄɇɄɋɌɊɒɁɀɏɌɋɌɄɉɛɎɗɑȾȞȼɔɁɈɏɓɌɁɂɀɁɉɄɄ
ȞɍɇɏɓȼɁɋɌɛɈɊȿɊɆɊɉɎȼɆɎȼɍȽɄɊɇɊȿɄɓɁɍɆɄɈɄɋɌɊȽȼɈɄɉɁɊȽɑɊɀɄɈɊɊȽɌȼɎɄɎɘɍɛɃȼɋɊɈɊɕɘɚɆȾɌȼɓɏɋɊɍɆɊɇɘɆɏəɎɊɈɊɂɁɎɋɌɄȾɁɍɎɄɆɋɁɌɁɀȼɓɁɄɉɐɁɆɒɄɊɉɉɗɑɃȼȽɊɇɁȾȼɉɄɅ
ȬɏɆɊȾɊɀɍɎȾɏɅɎɁɍɘɋɌɁɀɋɄɍȼɉɄɛɈɄɀɁɅɍɎȾɏɚɕɄɈɄɀɇɛȞȼɔɁȿɊɏɓɌɁɂɀɁɉɄɛ

4.

ȦȼɋɄɇɇɛɌɗɀɇɛȭȪȹɋɌɁɀɉȼɃɉȼɓɁɉɗɀɇɛɊɀɉɊɌȼɃɊȾɊȿɊɋɌɄɈɁɉɁɉɄɛȯɎɄɇɄɃɄɌɏɅɎɁȾɍɁɄɃɀɁɇɄɛȾɍɋɁɒɄȼɇɘɉɗɁɆɊɉɎɁɅɉɁɌɗɀɇɛɏɎɄɇɄɃȼɒɄɄȽɄɊɇɊȿɄɓɁɍɆɄɊɋȼɍɉɗɑɊɎɑɊɀɊȾ

5.

ȩɁɄɍɋɊɇɘɃɏɅɎɁɆȼɋɄɇɇɛɌɗɀɇɛȭȪȹɋɊɍɇɁɄɍɎɁɓɁɉɄɛɄɑɍɌɊɆȼȿɊɀɉɊɍɎɄȭɌɊɆȿɊɀɉɊɍɎɄɋɌɊɀɏɆɎȼɍɊɊɎȾɁɎɍɎȾɏɁɎɋɊɍɇɁɀɉɁɈɏɀɉɚɏɆȼɃȼɉɉɊȿɊɈɁɍɛɒȼɄȿɊɀȼ

142

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ȱɌȼɉɁɉɄɁ
ȤɃɀɁɇɄɛɍɇɁɀɏɁɎɑɌȼɉɄɎɘɋɌɄɆɊɈɉȼɎɉɊɅɎɁɈɋɁɌȼɎɏɌɁ

ȰɄɃɄɆɊɑɄɈɄɓɁɍɆɄɅɋɌɄɉɒɄɋ
ȤɃɃȼȽɊɇɁɁȾɗɍɊɆɊɅɋɇɊɎɉɊɍɎɄəɌɄɎɌɊɒɄɎɊȾɋɊɍɌȼȾɉɁɉɄɚɍɋɇȼɃɈɊɅɄɑɊɍɁɀȼɉɄɁȾɆɌɊȾɄɍȼɉɎɄɆɊȼȿɏɇɛɉɎɊɈɋɌɊɄɍɑɊɀɄɎɈɁɀɇɁɉɉɊȪɀɉȼɆɊɉȼɍɆɊɌɊɍɎɘɊɍɁɀȼɉɄɛəɌɄɎɌɊɒɄɎɊȾȾɇɄɛɚɎɌȼɃɇɄɓɉɗɁ
ɐȼɆɎɊɌɗɆɊɎɊɌɗɁɈɊȿɏɎɏɍɆɊɌɛɎɘɄɇɄɃȼɈɁɀɇɛɎɘɀȼɉɉɗɅɋɌɊɒɁɍɍȫɊɈɄɈɊɌȼɃɉɄɒɗȾɋɇɊɎɉɊɍɎɄɉȼɄȽɊɇɁɁȾȼɂɉɗɈɄɐȼɆɎɊɌȼɈɄȾɇɄɛɚɕɄɈɄɉȼɋɌɊɒɁɍɍɊɍɁɀȼɉɄɛɛȾɇɛɚɎɍɛȼȿɌɁȿȼɒɄɛəɌɄɎɌɊɒɄɎɊȾ
ɄɄɑəɇɁɆɎɌɄɓɁɍɆɄɅɃȼɌɛɀȪɎɌɄɒȼɎɁɇɘɉɗɅɃȼɌɛɀəɌɄɎɌɊɒɄɎɊȾɋɌɄȾɊɀɄɎɆɎɊɈɏɓɎɊɊɉɄɊɎɎȼɇɆɄȾȼɚɎɍɛɀɌɏȿɊɎɀɌɏȿȼɓɎɊɍɏɕɁɍɎȾɁɉɉɊɃȼɈɁɀɇɛɁɎɄɑɊɍɁɀȼɉɄɁȤɃɈɁɉɁɉɉɗɅɍɊɍɎȼȾȽɁɇɆɊȾɋɇȼɃɈɗɄ
ȾɊɍɊȽɁɉɉɊɍɎɄɋɊȾɗɔɁɉɄɁɆɊɉɒɁɉɎɌȼɒɄɄȽɁɇɆɊȾɊɍɎɌɊɅɐȼɃɗɋɌɄȾɊɍɋȼɇɄɎɁɇɘɉɗɑɋɌɊɒɁɍɍȼɑɍɉɄɂȼɁɎɀɃɁɎȼɋɊɎɁɉɒɄȼɇ ɊɎɎȼɇɆɄȾȼɚɕɁɁɀɁɅɍɎȾɄɁɊɎɌɄɒȼɎɁɇɘɉɊȿɊɃȼɌɛɀȼ ɍɋɊɍɊȽɍɎȾɏɛȼȿɌɁȿȼɒɄɄ
əɌɄɎɌɊɒɄɎɊȾɓɎɊɋɌɄȾɊɀɄɎɆɄɑɏɍɆɊɌɁɉɉɊɈɏɊɍɁɀȼɉɄɚɄɋɊəɎɊɈɏɆɏȾɁɇɄɓɁɉɄɚɋɊɆȼɃȼɎɁɇɁɅȭȪȹ+ȯȾɁɇɄɓɁɉɄɁɆɊɉɒɁɉɎɌȼɒɄɄɊɎɌɄɒȼɎɁɇɘɉɊɃȼɌɛɂɁɉɉɗɑȽɁɇɆɊȾɋɇȼɃɈɗɉȼɋɌɊɎɄȾɋɌɄȾɊɀɄɎɆ
ɃȼɈɁɀɇɁɉɄɚɊɍɁɀȼɉɄɛəɌɄɎɌɊɒɄɎɊȾɄɋɊəɎɊɈɏɆɍɉɄɂɁɉɄɚɋɊɆȼɃȼɎɁɇɁɅȭȪȹ+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. Auflage. 2019; Springer. ISBN 978-3-662-48987-1

ȬɁɐɁɌɁɉɍɉɗɁɃɉȼɓɁɉɄɛɀɊɇɂɉɗɏɍɎȼɉȼȾɇɄȾȼɎɘɍɛɉȼɈɁɍɎɉɊɈɏɌɊȾɉɁȾɍɊɊɎȾɁɎɍɎȾɄɄɍɀɁɅɍɎȾɏɚɕɄɈɄɌɁɆɊɈɁɉɀȼɒɄɛɈɄȯɓɄɎɗȾȼɛɋɌɊȿɌɁɍɍɄɌɏɚɕɁɁɋɊȾɗɔɁɉɄɁɋɊɆȼɃȼɎɁɇɁɅȭȪȹɍȾɊɃɌȼɍɎɊɈɀɇɛ
ȾɃɌɊɍɇɗɑɈɏɂɓɄɉɄɂɁɉɕɄɉɉɁɊȽɑɊɀɄɈɊɏɍɎȼɉȼȾɇɄȾȼɎɘɊɎɀɁɇɘɉɗɁəɎȼɇɊɉɉɗɁɃɉȼɓɁɉɄɛɀɇɛɆȼɂɀɊȿɊɀɁɍɛɎɄɇɁɎɄɛɂɄɃɉɄȩȼɋɊɆȼɃȼɎɁɇɄȭȪȹɎȼɆɂɁȾɇɄɛɁɎɌɛɀɀɌɏȿɄɑɐȼɆɎɊɌɊȾɆɊɎɊɌɗɁɈɊȿɏɎɃȼɎɌȼȿɄȾȼɎɘ
ɌɁɐɁɌɁɉɍɉɗɁɃɉȼɓɁɉɄɛȾɓȼɍɎɉɊɍɎɄɏɌɊȾɁɉɘȿɁɈɊȿɇɊȽɄɉȼɋɌɄɁɈɈɁɀɄɆȼɈɁɉɎɊȾɈɁɉɍɎɌɏȼɇɘɉɗɅɒɄɆɇȽɁɌɁɈɁɉɉɊɍɎɘɄɆɏɌɁɉɄɁȞɎȼȽɇɄɒɁŝȬɁɐɁɌɁɉɍɉɗɁɃɉȼɓɁɉɄɛɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɊɈɁɎɊɀɏ
ȞɁɍɎɁɌȿɌɁɉȼŞɏɆȼɃȼɉɗəɎȼɇɊɉɉɗɁɃɉȼɓɁɉɄɛȭȪȹɆɊɎɊɌɗɁɈɊɂɉɊɄɍɋɊɇɘɃɊȾȼɎɘȾɆȼɓɁɍɎȾɁɊɌɄɁɉɎɄɌȼɀɇɛɊɋɌɁɀɁɇɁɉɄɛɆɊɉɎɌɊɇɘɉɗɑɃɉȼɓɁɉɄɅȾɈɁɍɎɉɊɅɇȼȽɊɌȼɎɊɌɄɄ

ȬɁɐɁɌɁɉɍɉɗɁɃɉȼɓɁɉɄɛɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɊɈɁɎɊɀɏȞɁɍɎɁɌȿɌɁɉȼ
ȭɌɁɀɉɄɁɃɉȼɓɁɉɄɛȭȪȹȞɁɌɑɉɛɛȿɌȼɉɄɒȼɉɊɌɈɗ
ȞɊɃɌȼɍɎ ɇɁɎȨɏɂɓɄɉȼ

ȢɁɉɕɄɉȼ
ȨɏɂɓɄɉȼ

ȢɁɉɕɄɉȼ

18 – 30

3.1

5.1

< 7,1

< 10,731 – 40

3.4

5.6

< 7,8

< 11,041 – 50

4.6

6.2< 10,6< 13,2

51 – 60

5.6

9.4< 12,2< 18,660 – 70

5.6

9.4< 12,7< 20,2

> 70

5.6

10.1

< 30

< 35

ȫɊɆȼɃȼɎɁɇɄȭȪȹȾɋɌɁɀɁɇȼɑɉɊɌɈɗɉɁɄɍɆɇɚɓȼɚɎɉȼɇɄɓɄɛɉɁȾɊɍɋȼɇɄɎɁɇɘɉɗɑɃȼȽɊɇɁȾȼɉɄɅɀɄɍɐɏɉɆɒɄɄɊɌȿȼɉɊȾɄɃɇɊɆȼɓɁɍɎȾɁɉɉɗɑɊɋɏɑɊɇɁɅ
**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

ȪȿɌȼɉɄɓɁɉɄɛ
1.

ȱɌȼɉɁɉɄɁɊȽɌȼɃɒɊȾɆɌɊȾɄɀɊɇɂɉɊɊɍɏɕɁɍɎȾɇɛɎɘɍɛɋɌɄɆɊɈɉȼɎɉɊɅɎɁɈɋɁɌȼɎɏɌɁȭȪȹɍɇɁɀɏɁɎɊɋɌɁɀɁɇɛɎɘȾɎɁɓɁɉɄɁɋɁɌȾɗɑɓȼɍɊȾɋɊɍɇɁȾɃɛɎɄɛɆɌɊȾɄȪȽɌȼɃɁɒɈɊɂɉɊɑɌȼɉɄɎɘȾɑɊɇɊɀɄɇɘɉɄɆɁ
ɋɌɄɎɁɈɋɁɌȼɎɏɌɁƓ& ȾɎɁɓɁɉɄɁȽɊɇɁɁɀɇɄɎɁɇɘɉɊȿɊɋɁɌɄɊɀȼȾɌɁɈɁɉɄ ɉɊɉɁȽɊɇɁɁɓȼɍɊȾ ȫɁɌɁɀɄɍɋɊɇɘɃɊȾȼɉɄɁɈɎɁɈɋɁɌȼɎɏɌȼɊȽɌȼɃɒȼɀɊɇɂɉȼȽɗɎɘɀɊȾɁɀɁɉȼɀɊɆɊɈɉȼɎɉɊɅ

2.

ȫɁɌɁɀɄɃɈɁɌɁɉɄɁɈɍɆɊɌɊɍɎɄɊɍɁɀȼɉɄɛəɌɄɎɌɊɒɄɎɊȾɊȽɌȼɃɁɒɆɌɊȾɄɉɁɊȽɑɊɀɄɈɊɎɕȼɎɁɇɘɉɊȿɊɈɊȿɁɉɄɃɄɌɊȾȼɎɘɋɊɍɌɁɀɍɎȾɊɈɊɍɎɊɌɊɂɉɊȿɊɋɁɌɁȾɊɌȼɓɄȾȼɉɄɛ

3.

ȠɇɛɋɌɊȾɁɀɁɉɄɛɄɃɈɁɌɁɉɄɅɎɁɈɋɁɌȼɎɏɌȼɊɆɌɏɂȼɚɕɁɅɍɌɁɀɗɀɊɇɂɉȼɍɊɍɎȼȾɇɛɎɘşƓ&ȦɌɊɈɁɎɊȿɊɊȽɌȼɃɁɒɀɊɇɂɁɉȽɗɎɘɃȼɕɄɕɁɉɊɎȾɄȽɌȼɒɄɅɍɆȾɊɃɉɛɆɊȾɄɋɌɛɈɊȿɊɍɊɇɉɁɓɉɊȿɊɍȾɁɎȼɄɇɄȾ
ɍɊɊɎȾɁɎɍɎȾɄɄɍɉȼɒɄɊɉȼɇɘɉɗɈɄɄɇȼȽɊɌȼɎɊɌɉɗɈɄɎɌɁȽɊȾȼɉɄɛɈɄ

4.

ȫɌɄɉɒɄɋɄɃɈɁɌɁɉɄɛɍɊɊɎȾɁɎɍɎȾɏɁɎ&/6,+$5.

ȫɊȿɌɁɔɉɊɍɎɘɄɃɈɁɌɁɉɄɛɍɊɍɎȼȾɇɛɁɎɈɈɋɏɎɄɄɃɈɁɌɁɉɄɛ

6.

ȠɇɛɊȽɌȼȽɊɎɆɄ6$567('7ɔɎȼɎɄȾɊȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɈɊɂɉɊɄɍɋɊɇɘɃɊȾȼɎɘɀɁɃɄɉɐɄɒɄɌɏɚɕɄɁɍɌɁɀɍɎȾȼɉȼɊɍɉɊȾɁəɎȼɉɊɇȼɄɃɊɋɌɊɋȼɉɊɇȼ

7.

ȭɊɊɎɉɊɔɁɉɄɁɍɈɁɔɄȾȼɉɄɛɉɁɋɊɍɌɁɀɍɎȾɁɉɉɊȾɇɄɛɁɎɉȼɌɁɃɏɇɘɎȼɎȼɉȼɇɄɃȼɄɀɊɇɂɉɊɍɊȽɇɚɀȼɎɘɍɛ

8.

ȩɁɄɍɋɊɇɘɃɏɅɎɁɔɎȼɎɄȾɗȾɍɇɏɓȼɁɄɍɆȼɂɁɉɄɛɄɇɄɋɇɊɑɊɅɓɄɎȼɁɈɊɍɎɄɔɆȼɇɗ

143

RU
ȞɃɛɎɄɁɄɊȽɌȼȽɊɎɆȼɋɌɊȽ
ȫȪȧȩȪȭȮȸȺȫȬȪȳȤȮȜȥȮȡȩȜȭȮȪȻȵȤȥȠȪȦȯȨȡȩȮȫȡȬȡȠȩȜȳȜȧȪȨȫȬȪȲȡȠȯȬȷȤȣȨȡȬȡȩȤȻȭȪȹȬɁɆɊɈɁɉɀɏɁɈɗɅɈȼɎɁɌɄȼɇɉɁɊȽɑɊɀɄɈɗɅɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ1.

ȫɌɊȽɄɌɆȼɍɊȽɌȼɃɒɊɈɆɌɊȾɄ 66HGLYHWWH®, S-Monovette®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɌɁɃɘȽɊȾȼɛɋɌɊȽɄɌɆȼɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɇɄȽɊ0LFURYHWWH®&%ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ 

2.

6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɋɊɀɑɊɀɛɕɄɅɀɇɛɌȼȽɊɎɗɍɍɊɊɎȾɁɎɍɎȾɏɚɕɁɅɋɌɊȽɄɌɆɊɅɄɋɌɄɉɁɊȽɑɊɀɄɈɊɍɎɄɆȼɋɄɇɇɛɌɀɇɛȭȪȹ

3.

ȪɀɉɊɌȼɃɊȾɗɁɋɁɌɓȼɎɆɄɈɁɀɄɒɄɉɍɆɄɅɑȼɇȼɎɃȼɕɄɎɉɗɁɊɓɆɄɄɇɄɀɌɏȿɄɁɋɊɀɑɊɀɛɕɄɁɍɌɁɀɍɎȾȼɄɉɀɄȾɄɀɏȼɇɘɉɊɅɃȼɕɄɎɗɀɇɛɋɌɁɀɊɎȾɌȼɕɁɉɄɛɆɊɉɎȼɆɎȼɍɋȼɎɊȿɁɉȼɈɄɄɇɄɋɊɎɁɉɒɄȼɇɘɉɊɄɉɐɁɆɒɄɊɉɉɗɈɄ
ɈȼɎɁɌɄȼɇȼɈɄɋɁɌɁɉɊɍɄɈɗɈɄɍɄɍɍɇɁɀɏɁɈɗɈɊȽɌȼɃɒɊɈ

4.

ȝɏɀɄɇɘɉɄɆɄɇɄɍɁɆɏɉɀɊɈɁɌ

ȞɃɛɎɄɁɄɎɌȼɉɍɋɊɌɎɄɌɊȾɆȼɊȽɌȼɃɒɊȾɆɌɊȾɄɀɊɇɂɉɗɊɍɏɕɁɍɎȾɇɛɎɘɍɛɍɏɓɁɎɊɈɄɉɍɎɌɏɆɒɄɅɋɊɋɌɄɈɁɉɁɉɄɚɍɊɊɎȾɁɎɍɎȾɏɚɕɄɑɋɌɊȽɄɌɊɆ 66HGLYHWWH®, S-Monovette®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɌɁɃɘȽɊȾɗɑɋɌɊȽɄɌɊɆɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɇɄȽɊ0LFURYHWWH®&%ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ȫɌɊɒɁɀɏɌȼɊɋɌɁɀɁɇɁɉɄɛȭȪȹȪȽɕɄɁɏɆȼɃȼɉɄɛ
ȩɄɂɁɋɌɄȾɁɀɁɉɊɊɋɄɍȼɉɄɁ6$567('7ɔɎȼɎɄȾɊȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɄ6$567('7ɆȼɋɄɇɇɛɌɊȾɀɇɛȭȪȹȾɌȼɃɇɄɓɉɗɑȾȼɌɄȼɉɎȼɑ
A: ȤɍɋɊɇɘɃɊȾȼɉɄɁ6$567('7ɔɎȼɎɄȾȼɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɆȼɎǂ
B: ȤɍɋɊɇɘɃɊȾȼɉɄɁ6$567('7ɔɎȼɎɄȾȼɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɆȼɎǂɍ6$567('7ɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹɆȼɎǂ
C: ȤɍɋɊɇɘɃɊȾȼɉɄɁ6$567('7ɔɎȼɎɄȾȼɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɆȼɎǂɍ6$567('7ɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹɆȼɎǂ
D: ȤɍɋɊɇɘɃɊȾȼɉɄɁ6$567('7ɔɎȼɎɄȾȼɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɆȼɎǂ

$ȤɍɋɊɇɘɃɊȾȼɉɄɁ6$567('7ɔɎȼɎɄȾȼɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɆȼɎǂ
6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ ɆȼɎǂ ɋɌɁɀɉȼɃɉȼɓɁɉɄɍɆɇɚɓɄɎɁɇɘɉɊɀɇɛɌȼȽɊɎɗɍɍɄɍɎɁɈɊɅ66HGLYHWWH® ɆȼɎǂ[[[ 1.

ȮɕȼɎɁɇɘɉɊɋɁɌɁɈɁɔȼɅɎɁɍɊɀɁɌɂɄɈɊɁɋɌɊȽɄɌɆɄɉɁɍɆɊɇɘɆɊɌȼɃɋɁɌɁȾɁɌɉɏȾɁɁ ɌɄɍ

2.

6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɉɁɊȽɑɊɀɄɈɊɏɍɎȼɉɊȾɄɎɘɉȼȿɊɌɄɃɊɉɎȼɇɘɉɊɁɊɍɉɊȾȼɉɄɁȠɇɛɄɃɈɁɌɁɉɄɛɋɊɈɁɍɎɄɎɁɃȼɋɊɇɉɁɉɉɏɚɋɌɊȽɄɌɆɏ66HGLYHWWH®ȾɔɎȼɎɄȾ6$567('7ȾȾɁɌɎɄɆȼɇɘɉɊɈ
ɋɊɇɊɂɁɉɄɄȯɍɎȼɉɊȾɄɎɁɉɏɇɁȾɏɚɎɊɓɆɏɀɇɛɆȼɂɀɊȿɊɊȽɌȼɃɒȼɍɋɊɈɊɕɘɚȾɄɉɎȼɍɉȼɆȼɎȼɉɉɊɅȿɊɇɊȾɆɊɅ ɍɎɌɁɇɆȼ  ɌɄɍ ).

3.

ȩȼɓɉɄɎɁɄɃɈɁɌɁɉɄɁɏɍɎȼɉɊȾɄȾɉɁɊȽɑɊɀɄɈɊɁȾɌɁɈɛɄɃɈɁɌɁɉɄɛɉȼȽɏɀɄɇɘɉɄɆɁɄɇɄɍɁɆɏɉɀɊɈɁɌɁ
ȫɊɉɁɊȽɑɊɀɄɈɊɍɎɄɏɍɎȼɉɊȾɄɎɁɉȼɈɄɉɏɎ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ Ʉɓȼɍ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ ɄɇɄɓȼɍ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ Ʉɓȼɍȼ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ 

4.

ȫɊɄɍɎɁɓɁɉɄɄɈɄɉɋɊɉȼɉɁɍɁɉɉɊɅɉȼɃȼɀɉɚɚɍɎɁɉɆɏɔɆȼɇɁɍɓɄɎɗȾȼɁɎɍɛɌȼɍɍɎɊɛɉɄɁȾɈɄɇɇɄɈɁɎɌȼɑɊɎɉɄɂɉɁȿɊɏɌɊȾɉɛɋɇȼɃɈɗɀɊȾɁɌɑɉɁɅɓȼɍɎɄɍɎɊɇȽɄɆȼɍɊɍȼɂɀɁɉɉɗɈɄəɌɄɎɌɊɒɄɎȼɈɄ
ȩɁɀɊɋɏɍɆȼɅɎɁɋɊɋȼɀȼɉɄɛɇɁɅɆɊɒɄɎɊȾ ɇɁɅɆɊɒɄɎȼɌɉɊɅɋɇɁɉɆɄ ȾɍɎɊɇȽɄɆɍəɌɄɎɌɊɒɄɎȼɈɄȣȼɋɄɔɄɎɁɓɄɍɇɊȾɊɁɃɉȼɓɁɉɄɁ

).

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6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ ɆȼɎǂ ɋɌɁɀɉȼɃɉȼɓɁɉɄɍɆɇɚɓɄɎɁɇɘɉɊɀɇɛɌȼȽɊɎɗɍɍɄɍɎɁɈȼɈɄ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ɆȼɎǂ[[[ ɇɄȽɊɍɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ɆȼɎǂ[[[ Ʉɍ6$567('7ɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹ ɆȼɎǂ 1.

ȮɕȼɎɁɇɘɉɊɋɁɌɁɈɁɔȼɅɎɁɍɊɀɁɌɂɄɈɊɁɋɌɊȽɄɌɆɄɉɁɍɆɊɇɘɆɊɌȼɃɋɁɌɁȾɁɌɉɏȾɁɁ ɌɄɍ

2.

ȪɎɆɌɊɅɎɁ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɌɁɃɘȽɊȾɏɚɋɌɊȽɄɌɆɏɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɊȾɁɌɉɏȾɆɌɗɔɆɏɋɌɊɎɄȾɓȼɍɊȾɊɅɍɎɌɁɇɆɄ ɌɄɍ

3.

ȞɍɎȼȾɘɎɁɆȼɋɄɇɇɛɌɀɇɛȭȪȹȾ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɌɁɃɘȽɊȾɏɚɋɌɊȽɄɌɆɏɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹȜɆɆɏɌȼɎɉɊɉȼɀȼȾɄɎɁɉȼɆȼɋɄɇɇɛɌɀɇɛȭȪȹɊɋɏɍɆȼɛɁȿɊȾɉɄɃ
ȫɌɄəɎɊɈɆȼɋɄɇɇɛɌɀɊɇɂɁɉɉȼɋɊɇɉɄɎɘɍɛɆɌɊȾɘɚȫɌɄɍɊɁɀɄɉɄɎɁȾɎɏɇɆɏɋɊɌɔɁɉɘɆȼɋɄɇɇɛɌȼɀɇɛȭȪȹɆ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɆɌɁɃɘȽɊȾɊɅɋɌɊȽɄɌɆɁɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɊȾɊɌȼɓɄȾȼɛ
ɋɊɓȼɍɊȾɊɅɍɎɌɁɇɆɁ ɌɄɍ ).

4.

ȣȼɆɌɏɓɄȾȼɅɎɁȾɎɏɇɆɏɋɊɌɔɁɉɘɆȼɋɄɇɇɛɌȼɀɇɛȭȪȹɀɊɎɁɑɋɊɌɋɊɆȼɊɎɈɁɎɆȼɉȼɋɊɇɉɁɉɄɛɉɁɀɊɍɎɄȿɉɁɎŝ2Ş ɌɄɍ

5.

ȠɇɛɋɌɊȾɁɀɁɉɄɛɄɃɈɁɌɁɉɄɛɏɍɎȼɉɊȾɄɎɁ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɌɁɃɘȽɊȾɏɚɋɌɊȽɄɌɆɏɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɍɆȼɋɄɇɇɛɌɊɈɀɇɛȭȪȹȾɁɌɎɄɆȼɇɘɉɊȾ6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛ
ȭȪȹɍɉȼɉɁɍɁɉɉɊɅɉȼɃȼɀɉɚɚɍɎɁɉɆɏɔɆȼɇɊɅ6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹɉɁɊȽɑɊɀɄɈɊɏɍɎȼɉɊȾɄɎɘɉȼȿɊɌɄɃɊɉɎȼɇɘɉɊɁɊɍɉɊȾȼɉɄɁȫɌɊȾɁɌɘɎɁɉɏɇɁȾɏɚɎɊɓɆɏɀɇɛɆȼɂɀɊȿɊɊȽɌȼɃɒȼɄɋɌɄ
ɉɁɊȽɑɊɀɄɈɊɍɎɄɊɎɆɊɌɌɁɆɎɄɌɏɅɎɁɁɁɋɊȾɊɌȼɓɄȾȼɛȾɎɏɇɆɏɋɊɌɔɁɉɘɆȼɋɄɇɇɛɌȼɀɇɛȭȪȹ ɌɄɍ ).

6.

ȩȼɓɉɄɎɁɄɃɈɁɌɁɉɄɁɏɍɎȼɉɊȾɄȾɉɁɊȽɑɊɀɄɈɊɁȾɌɁɈɛɄɃɈɁɌɁɉɄɛɉȼȽɏɀɄɇɘɉɄɆɁɄɇɄɍɁɆɏɉɀɊɈɁɌɁ
ȫɊɉɁɊȽɑɊɀɄɈɊɍɎɄɏɍɎȼɉɊȾɄɎɁɉȼɈɄɉɏɎ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ Ʉɓȼɍ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ ɄɇɄɓȼɍ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ Ʉɓȼɍȼ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ 7.

ȫɊɄɍɎɁɓɁɉɄɄɈɄɉɋɊɉȼɉɁɍɁɉɉɊɅɉȼɃȼɀɉɚɚɍɎɁɉɆɏɔɆȼɇɁɍɓɄɎɗȾȼɁɎɍɛɌȼɍɍɎɊɛɉɄɁȾɈɄɇɇɄɈɁɎɌȼɑɊɎɉɄɂɉɁȿɊɏɌɊȾɉɛɋɇȼɃɈɗɀɊȾɁɌɑɉɁɅɓȼɍɎɄɍɎɊɇȽɄɆȼɍɊɍȼɂɀɁɉɉɗɈɄəɌɄɎɌɊɒɄɎȼɈɄȩɁɀɊɋɏɍɆȼɅɎɁɋɊɋȼɀȼɉɄɛɇɁɅɆɊɒɄɎɊȾ ɇɁɅɆɊɒɄɎȼɌɉɊɅɋɇɁɉɆɄ ȾɍɎɊɇȽɄɆɍəɌɄɎɌɊɒɄɎȼɈɄȣȼɋɄɔɄɎɁɓɄɍɇɊȾɊɁɃɉȼɓɁɉɄɁO

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6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ ɆȼɎǂ ɋɌɁɀɉȼɃɉȼɓɁɉɄɍɆɇɚɓɄɎɁɇɘɉɊɀɇɛɌȼȽɊɎɗɍɍɄɍɎɁɈȼɈɄ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ɆȼɎǂ[[[ ɇɄȽɊɍɌɁɃɘȽɊȾɗɈɄɋɌɊȽɄɌɆȼɈɄɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ɆȼɎǂ[[[ Ʉ6$567('7ɆȼɋɄɇɇɛɌȼɈɄɀɇɛȭȪȹɍȿɌȼɀɏɄɌɊȾɆɊɅ ɆȼɎǂ 1.

ȮɕȼɎɁɇɘɉɊɋɁɌɁɈɁɔȼɅɎɁɍɊɀɁɌɂɄɈɊɁɋɌɊȽɄɌɆɄɉɁɍɆɊɇɘɆɊɌȼɃɋɁɌɁȾɁɌɉɏȾɁɁ ɌɄɍ

2.

ȪɎɆɌɊɅɎɁ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɌɁɃɘȽɊȾɏɚɋɌɊȽɄɌɆɏɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɊȾɁɌɉɏȾɆɌɗɔɆɏɋɌɊɎɄȾɓȼɍɊȾɊɅɍɎɌɁɇɆɄ ɌɄɍ

3.

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ȫɌɄəɎɊɈɆȼɋɄɇɇɛɌɀɊɇɂɁɉɉȼɋɊɇɉɄɎɘɍɛɆɌɊȾɘɚ
ȫɌɄɍɊɁɀɄɉɄɎɁȾɎɏɇɆɏɋɊɌɔɁɉɘɆȼɋɄɇɇɛɌȼɀɇɛȭȪȹɆ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɆɌɁɃɘȽɊȾɊɅɋɌɊȽɄɌɆɁɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɋɊȾɊɌȼɓɄȾȼɛɋɊɓȼɍɊȾɊɅɍɎɌɁɇɆɁ ɌɄɍ

4.

ȣȼɆɌɏɓɄȾȼɅɎɁȾɎɏɇɆɏɋɊɌɔɁɉɘɆȼɋɄɇɇɛɌȼɀɇɛȭȪȹɀɊɎɁɑɋɊɌɋɊɆȼɊɎɈɁɎɆȼɉȼɋɊɇɉɁɉɄɛɉɁɀɊɍɎɄȿɉɁɎŝŞ ɌɄɍ

5.

ȠɇɛɋɌɊȾɁɀɁɉɄɛɄɃɈɁɌɁɉɄɛɏɍɎȼɉɊȾɄɎɁ60RQRYHWWH®ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ  ɌɁɃɘȽɊȾɏɚɋɌɊȽɄɌɆɏɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹɍɆȼɋɄɇɇɛɌɊɈɀɇɛȭȪȹȾɁɌɎɄɆȼɇɘɉɊȾ6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛ
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ɊɎɆɊɌɌɁɆɎɄɌɏɅɎɁɁɁɋɊȾɊɌȼɓɄȾȼɛȾɎɏɇɆɏɋɊɌɔɁɉɘɆȼɋɄɇɇɛɌȼɀɇɛȭȪȹ ɌɄɍ ).

6.

ȩȼɓɉɄɎɁɄɃɈɁɌɁɉɄɁɏɍɎȼɉɊȾɄȾɉɁɊȽɑɊɀɄɈɊɁȾɌɁɈɛɄɃɈɁɌɁɉɄɛɉȼȽɏɀɄɇɘɉɄɆɁɄɇɄɍɁɆɏɉɀɊɈɁɌɁ
ȫɊɉɁɊȽɑɊɀɄɈɊɍɎɄɏɍɎȼɉɊȾɄɎɁɉȼɈɄɉɏɎ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ Ʉɓȼɍ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ ɄɇɄɓȼɍ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ Ʉɓȼɍȼ ɁɄɃɈɁɌɁɉɉɊɁɃɉȼɓɁɉɄɁ 7.

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6$567('7ɔɎȼɎɄȾɀɇɛɄɃɈɁɌɁɉɄɛȭȪȹ ɆȼɎǂ ɋɌɁɀɉȼɃɉȼɓɁɉɄɍɆɇɚɓɄɎɁɇɘɉɊɀɇɛɌȼȽɊɎɗɍɍɄɍɎɁɈȼɈɄ0LFURYHWWH®&%ɀɇɛɊɋɌɁɀɁɇɁɉɄɛȭȪȹ ɆȼɎǂ[[[ 1.

ȮɕȼɎɁɇɘɉɊɋɁɌɁɈɁɔȼɅɎɁɍɊɀɁɌɂɄɈɊɁɋɌɊȽɄɌɆɄɉɁɍɆɊɇɘɆɊɌȼɃɋɁɌɁȾɁɌɉɏȾɁɁ ɌɄɍ

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3.

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4.

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5.

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2.

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3.

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4.

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ȪȽɌȼɎɄɎɁɍɘɆɄɉɍɎɌɏɆɒɄɄɋɊɋɌɄɈɁɉɁɉɄɚ

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6WRMDQQDPDQXÈOQXVHGLPHQWÈFLX DVHGLPHQWDÕQÜSLSHW\6$567('7VDSRXĭìYDMěQDPDQXÈOQHin vitroGLDJQRVWLFNÜVWDQRYHQLHUĨFKORVWLVHGLPHQWÈFLHNUYLQLHN (65 ]DQWLNRDJXORYDQHMFLWUÈWRYHMSOQHMNUYL]PLHđDYDFìSRPHUGLHOFLWUÈWXGLHO\NUYL =ìVNDQÜYĨVOHGN\PHUDQLD]RGSRYHGDMěPHWĂGHSRGøD:HVWHUJUHQD9]ÈYLVORVWLRGSRXĭLWÜKRV\VWÜPXQDRGEHUNUYLVDSRXĭìYDYHQĂ]QDDOHERNDSLOÈUQDNUY3ULSRXĭLWì0LFURYHWWH®&%(65MHWRNDSLOÈUQDNUYSULSRXĭLWì66HGLYHWWH®, S-Monovette®(65DOHERVNUXWNRYDFHMVNěPDYN\(65VDSRXĭìYDYHQĂ]QDNUY
9ĨUREN\VěXUÕHQÜQDSRXĭLWLHYbSURIHVLRQÈOQRPSURVWUHGìDbQDDSOLNÈFLX]GUDYRWQìFN\PDbODERUDWĂUQ\PSHUVRQÈORP
(65 UĨFKORVĕVHGLPHQWÈFLHNUYLQLHNWLHĭUĨFKORVĕVHGLPHQWÈFLHNUYL

2SLVYĨURENX
6WRMDQ\QDVHGLPHQWÈFLX QD]ĨYDQÜDMVHGLPHQWDÕQÜVWRMDQ\ VěY\UREHQÜ]SODVWXDY]ÈYLVORVWLRGY\KRWRYHQLDVěSULVSăVREHQÜSUHVNěPDYN\QDRGEHUNUYL66HGLYHWWH®, S-Monovette® ESR, skrutkovacie skúmavky
ESR alebo Microvette®&%(656ěNGLVSR]ìFLLVRVWXSQLFRXQD]DGQHMVWHQHDOHEREH]QHMDNDĭGĨSRQěNDPHUDFìFKSR]ìFLì$NRSUìVOXđHQVWYRVOěĭLDSODVWRYÜVHGLPHQWDÕQÜSLSHW\6$567('7VRVWXSQLFRX
alebo bez nej. S-Monovette®(65DOHERVNUXWNRYDFLDVNěPDYND(65YNRPELQÈFLLVRVHGLPHQWDÕQRXSLSHWRX6$567('7VRVWXSQLFRXMHYKRGQÈSUHVWRMDQQDVHGLPHQWÈFLX6$567('7EH]]DGQHMVWHQ\6WRMDQ\QD
sedimentáciu SARSTEDT so stupnicou na zadnej stene sú v závislosti od vyhotovenia vhodné pre S-Sedivette®, ako aj pre kombináciu: S-Monovette®(65DOHERSUHVNUXWNRYDFLXVNěPDYNX(65VRVHGLPHQWDÕQRXSLSHWRXVR]QDÕHQìP2 EH]VWXSQLFH DOHERSUH0LFURYHWWH®&%(65VRVHGLPHQWDÕQRXNDSLOÈURX

3UHKøDGYĨURENRYSEDIPLUS®

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

40

50

60

70

80

90

100

110

Typ

qYĨU2]QDÕHQLH

1DSRXĭLWLHV

90.1090

SARSTEDT Stojan na sedimentáciu so stupnicou

9KRGQĨSUH66HGLYHWWH®

90.1060

SARSTEDT Stojan na sedimentáciu so stupnicou na zadnej stene

9KRGQĨSUH60RQRYHWWH® ESR alebo skrutkovaciu skúmavku ESR v kombinácii
VRVHGLPHQWDÕQRXSLSHWRXVR]QDÕHQìP2 YDULDQW(90.1060.062

SARSTEDT Stojan na sedimentáciu bez zadnej steny

9KRGQĨSUH60RQRYHWWH® ESR alebo skrutkovaciu skúmavku ESR v kombinácii
VRVHGLPHQWDÕQRXSLSHWRXVY\WODÕHQRXVWXSQLFRX YDULDQW)90.1091

SARSTEDT Stojan na sedimentáciu pre Microvette® CB 200 ESR

9KRGQĨSUH0LFURYHWWH®&%(65VRVHGLPHQWDÕQRXNDSLOÈURX

86.1996

6$567('76HGLPHQWDÕQÜSLSHW\VR]QDÕHQìP2

Vhodné pre SARSTEDT Stojan na sedimentáciu so stupnicou na zadnej stene (variant B)

86.1996.062

6$567('76HGLPHQWDÕQÜSLSHW\VY\WODÕHQRXVWXSQLFRX

Vhodné pre SARSTEDT Stojan na sedimentáciu bez zadnej steny (variant C)%H]SHÕQRVWQÜSRN\Q\DbGăOHĭLWÜXSR]RUQHQLD
1.

3RVWXSXMWHSRGøDSRN\QRYQDPDQLSXOÈFLX

2.

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3.

6RYđHWNĨPLELRORJLFNĨPLY]RUNDPLDSRPăFNDPLQDRGEHU]DREFKÈG]DMWHSRGøDVPHUQìFDSRVWXSRYVWDQRYHQĨFKYDđìP]DULDGHQìP9bSUìSDGHVW\NXVbELRORJLFNĨPLY]RUNDPLY\KøDGDMWHOHNÈUVNXSRPRFSUHWRĭHPăĭHGăMVĕNbSUHQRVXLQIHNÕQĨFKFKRUăE'RGUĭLDYDMWHEH]SHÕQRVWQÜVPHUQLFHDSRVWXS\SODWQÜYRYDđRP]DULDGHQì

4.

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5.

3RXSO\QXWìGRE\SRXĭLWHøQRVWLVDVHGLPHQWDÕQÜSLSHW\YLDFQHVPěSRXĭìYDĕ'REDSRXĭLWHøQRVWLVDNRQÕìYbSRVOHGQĨGHýXYHGHQÜKRPHVLDFDDURND

149

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Skladovanie
9ĨUREN\VNODGXMWHSULL]ERYHMWHSORWH

)\]LNÈOQRFKHPLFNĨSULQFìS
(U\WURF\W\PDMěY\đđLXKXVWRWXDNRSOD]PDDSUHWRNOHVDMěYDQWLNRDJXORYDQHMNUYLSRPDOđLH6HGLPHQWÈFLXHU\WURF\WRYYđDNRYSO\YýXMěUă]QHIDNWRU\NWRUÜPăĭXMHMUĨFKORVĕXUĨFKOLĕDOHERVSRPDOLĕ0HG]LQDMGăOHĭLWHMđLH
RYSO\YýXMěFHSUHPHQQÜSDWUìRNUHPUR]GLHOQHMKXVWRW\DMDJUHJÈFLDHU\WURF\WRYDLFKHOHNWULFNĨQÈERM=ÈSRUQĨQÈERMHU\WURF\WRYVSăVREXMHĭHVDQDY]ÈMRPRGSXG]XMěDVHGLPHQWÈFLDMHSRPDOÈ=PHQDY]ORĭHQìSOD]PDWLFNĨFKELHONRYìQQDMPË]YĨđHQLHNRQFHQWUÈFLHELHONRYìQDNěWQHMIÈ]\SUL]ÈSDORYĨFKSURFHVRFK]QLĭXMH]HWDSRWHQFLÈO RGSXGLYĨěÕLQRN]ÈSRUQÜKRQÈERMD DWĨPSRGSRUXMH]KOXNRYDQLHHU\WURF\WRYÕRYHGLHNUĨFKOHMđHMVHGLPHQWÈFLLNUYLQLHNDQÈVOHGQHN]YĨđHQLXKRGQăWVHGLPHQWÈFLH+1DRSDN]YĨđHQLHNRQFHQWUÈFLH]ÈSRUQHQDELWĨFKSOD]PDWLFNĨFKELHONRYìQYHGLHNSRPDOđHMVHGLPHQWÈFLLHU\WURF\WRYDYGăVOHGNXWRKRNQLĭđìPKRGQRWÈPVHGLPHQWÈFLH
+Gressner a kol.; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3. vydanie. 2019; Springer. ISBN 978-3-662-48987-1

5HIHUHQÕQÜKRGQRW\E\VDPDOLVWDQRYLĕQDPLHVWQHMěURYQLYVěODGHVRGSRUěÕDQLDPLSUHUHIHUHQÕQÜKRGQRW\9]KøDGRPQDSRVWXSQÜ]Y\đRYDQLHVHGLPHQWÈFLHVYHNRPE\VDPDOLVWDQRYLĕVDPRVWDWQÜKRGQRW\SUH
NDĭGěGHNÈGXĭLYRWDGRVSHOĨFKPXĭRYDĭLHQ6HGLPHQWÈFLXRYSO\YýXMHQLHNRøNRØDOđìFKSUHPHQQĨFKNWRUÜWDNPăĭXRYSO\YQLĕDMUHIHUHQÕQÜKRGQRW\QDSUKODGLQDKHPRJOREìQXOLHN\PHQđWUXDÕQĨF\NOXVWHKRWHQVWYRDIDMÕHQLH9WDEXøNHŚ5HIHUHQÕQÜKRGQRW\SUH:HVWHUJUHQRYXPHWĂGX(65ŗVěXYHGHQÜUHIHUHQÕQÜKRGQRW\SUHVHGLPHQWÈFLXNWRUÜVDPăĭXSRXĭLĕDNRSRPăFNDQDVWDQRYHQLHPLHVWQ\FKUHIHUHQÕQĨFKKRGQăW

5HIHUHQÕQÜKRGQRW\SUH:HVWHUJUHQRYXPHWĂGX(65Stredná hodnota ESR
Vek (roky)0Xĭ

18 – 30

3,1

31 – 40

horná hranica normy

ÅHQD
0Xĭ

ÅHQD

5,1

< 7,1

< 10,7

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

1RUPÈOQDVHGLPHQWÈFLDQHY\OXÕXMHQH]ÈSDORYÜRUJÈQRYÜRFKRUHQLDRUJÈQRYÜG\VIXQNFLHD]KXEQÜQÈGRU\**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn a kol.; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Obmedzenia
1.

9]RUN\NUYLE\VDPDOLVNODGRYDĕSULL]ERYHMWHSORWH6WDQRYHQLHVHGLPHQWÈFLHE\VDPDORY\NRQDĕSRÕDVSUYĨFKbKRGìQSRRGEHUHNUYL
9FKODGQLÕNH Ɠ& VDY]RUNDPăĭHVNODGRYDĕGOKđLH PD[LPÈOQHbKRGìQ 9]RUNDVDSUHGSRXĭLWìPPXVìQHFKDĕ]DKULDĕQDL]ERYěWHSORWX

2.

9]RUNDNUYLVDPXVìSUHGPHUDQìPUĨFKORVWLVHGLPHQWÈFLHNUYLQLHNGăNODGQHKRPRJHQL]RYDĕRSDWUQĨPSUHPLHđDQìP

3.

0HUDQLHY\ĭDGXMHWHSORWXRNROLDşƓ&DPXVìE\ĕFKUÈQHQÜSUHGYLEUÈFLDPLSULHYDQRPDSULDP\PVOQHÕQĨPĭLDUHQìPDOHERYVěODGHVRđSHFLıNÈFLDPLSUHGDQěNUDMLQXDODERUDWĂULXP

4.

Princíp merania zodpovedá CLSI H2-A5.

5.

3UHVQRVĕPHUDQLDMHbPPGUÈK\PHUDQLD

6.

6WRMDQ\QDVHGLPHQWÈFLX6$567('7PRĭQRÕLVWLĕGH]LQIHNÕQĨPLSURVWULHGNDPLQDEÈ]HHWDQROXL]RSURSDQROX

7.

3RPHUPLHđDQLDSULDPRRYSO\YýXMHYĨVOHGRNDQDOĨ]\DPXVìVDGRGUĭDĕ

8.

6WRMDQVDPăĭHSRXĭìYDĕOHQYWHG\DN]DGQÈVWHQDVWXSQLFHQLHMH]YOQHQÈDVWXSQLFDMHGREUHÕLWDWHøQÈ

150

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2GEHUY]RULHNDPDQLSXOÈFLD
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3UDFRYQĨPDWHULÈOSRWUHEQĨQDVWDQRYHQLHVHGLPHQWÈFLH1.

Skúmavka naplnená vzorkou krvi (S-Sedivette®, S-Monovette® ESR, skrutkovacia skúmavka ESR alebo Microvette® CB 200 ESR)*.

2.

6WRMDQQDVHGLPHQWÈFLX6$567('7YKRGQĨSUHGDQěVNěPDYNXDYSUìSDGHSRWUHE\YKRGQÈVHGLPHQWDÕQÈSLSHWD6$567('7

3.

5XNDYLFHSOÈđĕRFKUDQDRÕìDOHERLQĨYKRGQĨRFKUDQQĨRGHYQDRFKUDQXSUHGSDWRJÜQPLSUHQÈđDQĨPLY]RUNRXDOHERSRWHQFLÈOQHLQIHNÕQĨPLPDWHULÈOPL

4.

Budík alebo stopky.

3ULRGEHUHNUYLDSUHQRVHY]RUN\MHSRWUHEQÜGRGUĭLDYDĕQÈYRGQDSRXĭLWLHSUìVOXđQHMVNěPDYN\QDY]RUN\ 66HGLYHWWH®, S-Monovette® ESR, skrutkovacia skúmavka ESR alebo Microvette® CB 200 ESR).
Stanovenie sedimentácie
Všeobecné pokynytDOHMVěRSìVDQÜUă]QHYDULDQW\VWRMDQRYQDVHGLPHQWÈFLX6$567('7DVHGLPHQWDÕQĨFKSLSLHW6$567('7
A: 3RXĭLWLHVWRMDQRYQDVHGLPHQWÈFLX6$567('7ÕYĨU
B: 3RXĭLWLHVWRMDQRYQDVHGLPHQWÈFLX6$567('7ÕYĨUVRVHGLPHQWDÕQĨPLSLSHWDPL6$567('7ÕYĨU
C: 3RXĭLWLHVWRMDQRYQDVHGLPHQWÈFLXÕYĨUVRVHGLPHQWDÕQĨPLSLSHWDPL6$567('7ÕYĨU
D: 3RXĭLWLHVWRMDQRYQDVHGLPHQWÈFLX6$567('7ÕYĨU

$3RXĭLWLHVWRMDQRYQDVHGLPHQWÈFLX6$567('7ÕYĨU
6WRMDQQDVHGLPHQWÈFLX6$567('7 ÕYĨU MHXUÕHQĨYĨOXÕQHQDSRXĭLWLHVRVNěPDYNRX66HGLYHWWH® ÕYĨU[[[ 1.

6NěPDYN\RSDWUQHSUHPLHđDMWHRWÈÕDQìPKRUHGQRP REU

2.

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1XORYĨERGNDĭGHMY]RUN\VDPXVìQDVWDYLĕSRPRFRXYUěENRYDQHMVNUXWN\ đìSND  REU ).

3.

=DÕQLWHPHUDQLHQDVWDYHQìPDVSXVWHQìPÕDVXPHUDQLDQDEXGìNXDOHERVWRSNÈFK
9ROLWHøQHPăĭHWHQDVWDYLĕQDbPLQěW QDPHUDQÈKRGQRWD DbKRGLQX QDPHUDQÈKRGQRWD DOHERbKRGLQX QDPHUDQÈKRGQRWD DbKRGLQ\ QDPHUDQÈKRGQRWD

4.

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8LVWLWHVDĭHYVW÷SFLHU\WURF\WRYQLHVěĭLDGQHOHXNRF\W\ ŚEXĳ\FRDWŗ 3R]QDÕWHVLÕìVHOQěKRGQRWX

).

5x

151

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6WRMDQQDVHGLPHQWÈFLX6$567('7 ÕYĨU MHXUÕHQĨYĨOXÕQHQDSRXĭLWLHVRVNěPDYNRX60RQRYHWWH®(65 ÕYĨU[[[ DOHERVNUXWNRYDFRXVNěPDYNRX(65 ÕYĨU[[[ DVHGLPHQWDÕQĨPLSLSHWDPL6$567('7 ÕYĨU 1.

6NěPDYN\RSDWUQHSUHPLHđDMWHRWÈÕDQìPKRUHGQRP REU

2.

Otvorte S-Monovette®(65  VNUXWNRYDFLXVNěPDYNX(65RWRÕHQìPX]ÈYHUXSURWLVPHUXKRGLQRYĨFKUXÕLÕLHN REU

3.

9ORĭWHVHGLPHQWDÕQěSLSHWXGRVNěPDYN\60RQRYHWWH®(65  VNUXWNRYDFHMVNěPDYN\(652SDWUQH]DWODÕWHVHGLPHQWDÕQěSLSHWXQDGRO6HGLPHQWDÕQÈSLSHWDVDQDSOQìNUYRX
2WÈÕDQìPYVPHUHKRGLQRYĨFKUXÕLÕLHNQDVNUXWNXMWHSLHVWRYÜSX]GURVHGLPHQWDÕQHMSLSHW\QDVNěPDYNX60RQRYHWWH® ESR / skrutkovaciu skúmavku ESR (obr. ).

).
).

4.

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5.

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Thomas, L.: Labor und Diagnose. Digitálne vydanie Labor & Diagnose 2020; kapitola 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
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Krajina pôvodu

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Opis izdelka
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Pregled izdelkov

SEDIPLUS®

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Vrsta

Št. art.

OznakaZa uporabo z

90.1090

Stojalo BSG SARSTEDT z merilno lestvico

ustreza epruveti S-Sedivette®

90.1060

Stojalo BSG z merilno lestvico Sarstedt

Primerno za epruveto S-Monovette® BSG ali navojno epruveto BSG
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90.1060.062

Stojalo BSG SARSTEDT brez zadnje stranice

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90.1091

Stojalo BSG SARSTEDT za epruveto Microvette® CB 200 BSG

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86.1996

Pipete za sedimentacijo SARSTEDT z oznako O

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6SUHPHQMHQDVHVWDYDSOD]HPVNLKEHOMDNRYLQ]ODVWLSRYHÕDQDNRQFHQWUDFLMDEHOMDNRYLQDNXWQHID]HSULYQHWQLKSURFHVLK]PDQMđD]HWDSRWHQFLDO RGELMDQMHSULQHJDWLYQHPQDERMX LQWDNRXJRGQRYSOLYDQDDJUHJDFLMRHULWURFLWRYNDUSRY]URÕLKLWUHMđRVHGLPHQWDFLMRNUYQLKFHOLFLQYLđMHL]PHUMHQHYUHGQRVWLKLWURVWLVHGLPHQWDFLMH%6*+1DVSURWQRSDSRYHÕDQDNRQFHQWUDFLMDSOD]HPVNLKEHOMDNRYLQ]QHJDWLYQLPQDERMHPSRY]URÕLSRÕDVQHMđR
VHGLPHQWDFLMRHULWURFLWRYLQ]DWRQLĭMHL]PHUMHQHYUHGQRVWL%6*
*UHVVQHUHWDO/H[LNRQGHU0HGL]LQLVFKHQ/DERUDWRULXPVGLDJQRVWLN1DFKVFKODJHZHUN /HNVLNRQPHGLFLQVNHODERUDWRULMVNHGLDJQRVWLNHSULURÕQLN L]GDMD6SULQJHU,6%1+5HIHUHQÕQHYUHGQRVWLVHGRORÕLMRQDORNDOQHPQLYRMXVNODGQRVSULSRURÕLOL]DUHIHUHQÕQHYUHGQRVWL2EXSRđWHYDQMXSURJUHVLYQHJDSRYHÕHYDQMDKLWURVWLVHGLPHQWDFLMHNUYLVVWDURVWMRMHWUHED]DYVDNRGHVHWOHWMHRGUDVOHJDĭLYOMHQMVNHJDREGREMDSULPRđNLKLQĭHQVNDKGRORÕLWLORÕHQHYUHGQRVWL1DKLWURVWVHGLPHQWDFLMHNUYLYSOLYDMRWXGLđWHYLOQHGUXJHVSUHPHQOMLYNHNLMLKODKNRXSRđWHYDPRWXGLSULUHIHUHQÕQLKYUHGQRVWLKQSUUDYHQKHPRJORELQD]GUDYLODPHQVWUXDFLMVNLFLNHOQRVHÕQRVWLQNDMHQMH9UD]SUHGHOQLFLŚ5HIHUHQÕQHYUHGQRVWL]DPHWRGR:HVWHUJUHQ(65ŗVRQDYHGHQHUHIHUHQÕQHYUHGQRVWL]DKLWURVWVHGLPHQWDFLMHNUYL %6* NLMLKODKNRXSRUDELPRNRWSRPRÕSULGRORÕDQMXORNDOQLKUHIHUHQÕQLKYUHGQRVWL

5HIHUHQÕQHYUHGQRVWL]DPHWRGR:HVWHUJUHQ(656UHGQMDYUHGQRVW(65]JRUQMDPHMDVWDQGDUGDStarost (leta)

MoškiÅHQVNH
MoškiÅHQVNH18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

1RUPDOQDKLWURVWVHGLPHQWDFLMHNUYL %6* QHL]NOMXÕXMHQHYQHWQLKEROH]QLRUJDQRYPRWHQMYGHORYDQMXRUJDQRYLQPDOLJQLKWXPRUMHY
**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
%UXKQHWDO8ÕEHQLNODERUDWRULMVNHPHGLFLQH6FKDWWDXHU,6%1;Omejitve
1.

9]RUFHNUYLPRUDWHVKUDQMHYDWLSULVREQLWHPSHUDWXUL'RORÕDQMH%6*MHWUHEDQDWRL]YHVWLYSUYLKđWLULKXUDKSRRGY]HPXNUYL9KODGLOQLNX Ɠ& ODKNRY]RUHFKUDQLWHGDOMÕDVD QDMYHÕbXU 
Vzorec je treba nato pred uporabo segreti na sobno temperaturo.

2.

Vzorec krvi je treba pred merjenjem hitrosti sedimentacije krvnih celic temeljito homogenizirati, tako da jih pazljivo pretresete.

3.

0HGPHUMHQMHPPRUDELWLWHPSHUDWXUDRNROLFHşƓ&LQPHUMHQMHPRUDSRWHNDWL]DđÕLWHQRSUHGYLEUDFLMDPLSUHSLKRPLQQHSRVUHGQRVRQÕQRVYHWORERDOLVNODGQR]GRORÕLOLVSHFLıÕQLPL]DGUĭDYRDOLODERUDWRULM

4.

1DÕHORPHUMHQMDXVWUH]D&/6,+$

5.

0HULOQDQDWDQÕQRVW]QDđDşPPHNVWHQ]LMH

6.

6WRMDOD%6*6$567('7ODKNRÕLVWLPR]UD]NXĭLOLQDRVQRYLHWDQRODL]RSURSDQROD

7.

Razmerje mešanja 1:4 neposredno vpliva na rezultat analize in ga je treba upoštevati.

8.

6WRMDORODKNRXSRUDEOMDWHVDPRÕHPHULOQDOHVWYLFDQLYDORYLWDLQMHMDVQRÕLWOMLYD

157

SL
Odvzem vzorca in rokovanje
35('(1=$q1(7(=0(5,79$0,+,75267,6(',0(17$&,-(.59, %6* 9&(/27,35(%(5,7(7$'2.80(17
0DWHULDOSRWUHEHQ]DGRORÕDQMHKLWURVWLVHGLPHQWDFLMHNUYL
1.

Z vzorcem krvi napolnjena epruveta za vzorec (S-Sedivette®, S-Monovette® BSG, navojna epruveta BSG ali epruveta Microvette® CB 200 BSG)*.

2.

Stojala BSG SARSTEDT, ki ustrezajo epruveti za vzorec in po potrebi ustrezna pipeta za sedimentacijo SARSTEDT.

3.

5RNDYLFHKDOMD]DđÕLWD]DRÕLDOLGUXJDXVWUH]QD]DđÕLWQDREODÕLOD]D]DđÕLWRSUHGSDWRJHQLNLVHSUHQDđDMR]Y]RUÕQLPPDWHULDORPDOL]D]DđÕLWRSUHGSRWHQFLDOQRLQIHNWLYQLPPDWHULDORP

4.

Budilka ali štoparica.

*Za odvzem krvi in transport vzorca je treba upoštevati navodila za uporabo vsake posamezne epruvete za vzorec (S-Sedivette®, S-Monovette® BSG, navojne epruvete BSG ali Microvette® CB 200 BSG)*.
,]YHGEDGRORÕDQMDKLWURVWLVHGLPHQWDFLMHNUYL%6*
Splošna opozorila
9QDGDOMHYDQMXVRRSLVDQHUD]OLÕQHL]YHGEHVWRMDO%6*LQSLSHW]DVHGLPHQWDFLMR6$567('7
A: Uporaba stojala BSG SARSTEDT, št. art.: 90.1090
B: Uporaba stojala BSG SARSTEDT, št. art.: 90.1060 s pipetami za sedimentacijo SARSTEDT, št. art.: 86.1996
C: Uporaba stojala BSG, št. art.: 90.1060.062 s pipetami za sedimentacijo SARSTEDT, št. art.: 86.1996.062
D: Uporaba stojala BSG SARSTEDT, št. art.: 90.1091$8SRUDEDVWRMDOD%6*6$567('7đWDUW
6WRMDOR%6*6$567('7 đWDUW MHSULPHUQRL]NOMXÕQR]DXSRUDER]HSUXYHWR66HGLYHWWH® (št. art.: 06.1690.xxx).
).

1.

Vzorce pazljivo obrnite navzdol (sl.

2.

Stojalo BSG SARSTEDT mora stati na ravni vodoravni podlagi. Za merjenje postavite napolnjeno epruveto S-Sedivette®SRNRQÕQRYVWRMDOR%6*6$567('71LÕHOQDWRÕNDYVDNHJDY]RUFDPRUDELWLSRUDYQDQD]QDUHEUHQLPYLMDNRP SXđÕLFR  VO ).

3.

=DÕQLWHPHUMHQMHWDNRGDQDVWDYLWHEXGLONRDOLđWRSDULFRQDÕDVPHUMHQMDLQMR]DĭHQHWH
3RL]ELULQDVWDYLWHQDbPLQXW L]PHUMHQDYUHGQRVW LQQDbXUR L]PHUMHQDYUHGQRVW DOLQDbXUR L]PHUMHQDYUHGQRVW LQQDbXUL L]PHUMHQDYUHGQRVW 

4.

3RSUHWHÕHQHPÕDVXşPLQXWDRGÕLWDWHUD]GDOMRYPLOLPHWULKPHGGQRPPHQLVNXVDSOD]PHLQ]JRUQMLPNRQFHPVWHEULÕNDVVHGLPHQWLUDQLPLHULWURFLWLQD]DGQMLVWUDQLFL]PHULOQROHVWYLFR
3D]LWHGDYVWHEULÕNXHULWURFLWRYQHEROHYNRFLWRY %Xĳ\&RDW =DEHOHĭLWHđWHYLOÕQRYUHGQRVW

5x

158

SL
%8SRUDEDVWRMDOD%6*6$567('7đWDUWVSLSHWDPL]DVHGLPHQWDFLMR6$567('7đWDUW
6WRMDOR%6*6$567('7 đWDUW MHSULPHUQRL]NOMXÕQR]DXSRUDER]HSUXYHWR60RQRYHWWH® BSG (št. art.: 05.1079.xxx) ali z navojno epruveto BSG (št. art.: 47.410.xxx)
in pipeto za sedimentacijo SARSTEDT (št. art.: 86.1996).
).

1.

Vzorce pazljivo obrnite navzdol (sl.

2.

Odprite epruveto S-Monovette®%6*  QDYRMQRHSUXYHWR%6*WDNRGDQDYRMQLSRNURYÕHNREUDÕDWHYVPHULQDVSURWLXUQHPXND]DOFX VO3.

Pipeto za sedimentacijo vstavite v epruveto S-Monovette® BSG / navojno epruveto BSG. Pipeto za sedimentacijo previdno potisnite navzdol. Pri tem se pipeta za sedimentacijo napolni s krvjo.
Privijte batnico pipete za sedimentacijo z epruveto S-Monovette®%6*  QDYRMQRHSUXYHWR%6*]REUDÕDQMHPYVPHULXUQHJDND]DOFD VO ).

4.

3LSHWD]DVHGLPHQWDFLMRMHSUDYLOQRSULYLWDÕHMHR]QDNDQDSROQMHQRVWLQDSLSHWL]DVHGLPHQWDFLMRWRÕQRRER]QDNL2 VO5.

Za merjenje postavite epruveto S-Monovette®%6*  QDYRMQRHSUXYHWR%6*VSULYLWRSLSHWR]DVHGLPHQWDFLMRSRNRQÕQRQDVWRMDOR%6*6$567('7]]DGQMRVWUDQLFR]PHULOQROHVWYLFR
6WRMDOR%6*6$567('7PRUDVWDWLQDUDYQLYRGRUDYQLSRGODJL1LÕHOQRWRÕNRYVDNHJDY]RUFDMHWUHEDSUHYHULWLLQSRSRWUHELQDVWDYLWL]REUDÕDQMHPEDWQLFHSLSHWH]DVHGLPHQWDFLMR VO ).

6.

=DÕQLWHPHUMHQMHWDNRGDQDVWDYLWHEXGLONRDOLđWRSDULFRQDÕDVPHUMHQMDLQMR]DĭHQHWH
3RL]ELULQDVWDYLWHQDbPLQXW L]PHUMHQDYUHGQRVW LQQDbXUR L]PHUMHQDYUHGQRVW DOLQDbXUR L]PHUMHQDYUHGQRVW LQQDbXUL L]PHUMHQDYUHGQRVW 

7.

3RSUHWHÕHQHPÕDVXşPLQXWDRGÕLWDWHUD]GDOMRYPLOLPHWULKPHGGQRPPHQLVNXVDSOD]PHLQ]JRUQMLPNRQFHPVWHEULÕNDVVHGLPHQWLUDQLPLHULWURFLWLQD]DGQMLVWUDQLFL]PHULOQROHVWYLFR
3D]LWHGDYVWHEULÕNXHULWURFLWRYQHEROHYNRFLWRY %Xĳ\&RDW =DEHOHĭLWHđWHYLOÕQRYUHGQRVWOSEDIPLUS®

O

O

).

).

O

O

O

O

BSG / ESR / VS-WESTERGREN

159

SL
&8SRUDEDVWRMDOD%6*6$567('7đWDUWVSLSHWDPL]DVHGLPHQWDFLMR6$567('7đWDUW
6WRMDOR%6*6$567('7 đWDUW MHSULPHUQRL]NOMXÕQR]DXSRUDER]HSUXYHWR60RQRYHWWH® BSG (št. art.: 05.1079.xxx) ali z navojno epruveto BSG (št. art.: 47.410.xxx)
in pipeto za sedimentacijo SARSTEDT (št. art.: 86.1996.062).
).

1.

Vzorce pazljivo obrnite navzdol (sl.

2.

Odprite epruveto S-Monovette®%6*  QDYRMQRHSUXYHWR%6*WDNRGDQDYRMQLSRNURYÕHNREUDÕDWHYVPHULQDVSURWLXUQHPXND]DOFX VO3.

Pipeto za sedimentacijo vstavite v epruveto S-Monovette® BSG / navojno epruveto BSG. Pipeto za sedimentacijo previdno potisnite navzdol. Pri tem se pipeta za sedimentacijo napolni s krvjo.
Privijte batnico pipete za sedimentacijo z epruveto S-Monovette®%6*  QDYRMQRHSUXYHWR%6*]REUDÕDQMHPYVPHULXUQHJDND]DOFD VO ).

4.

3LSHWD]DVHGLPHQWDFLMRMHSUDYLOQRSULYLWDÕHMHR]QDNDQDSROQMHQRVWLQDSLSHWL]DVHGLPHQWDFLMRWRÕQRRER]QDNL VO5.

Za merjenje postavite epruveto S-Monovette®%6*  QDYRMQRHSUXYHWR%6*VSULYLWRSLSHWR]DVHGLPHQWDFLMRSRNRQÕQRQDVWRMDOR%6*6$567('7EUH]]DGQMHVWUDQLFH
6WRMDOR%6*6$567('7PRUDVWDWLQDUDYQLYRGRUDYQLSRGODJL1LÕHOQRWRÕNRYVDNHJDY]RUFDMHWUHEDSUHYHULWLLQSRSRWUHELQDVWDYLWL]REUDÕDQMHPEDWQLFHSLSHWH]DVHGLPHQWDFLMR VO

6.

=DÕQLWHPHUMHQMHWDNRGDQDVWDYLWHEXGLONRDOLđWRSDULFRQDÕDVPHUMHQMDLQMR]DĭHQHWH
3RL]ELULQDVWDYLWHQDbPLQXW L]PHUMHQDYUHGQRVW LQQDbXUR L]PHUMHQDYUHGQRVW DOLQDbXUR L]PHUMHQDYUHGQRVW LQQDbXUL L]PHUMHQDYUHGQRVW 

7.

3RSUHWHÕHQHPÕDVXşPLQXWDRGÕLWDWHUD]GDOMRYPLOLPHWULKPHGGQRPPHQLVNXVDSOD]PHLQ]JRUQMLPNRQFHPVWHEULÕNDVVHGLPHQWLUDQLPLHULWURFLWL]PHULOQROHVWYLFRRGWLVQMHQRQDSLSHWL]DVHGLPHQWDFLMR
3D]LWHGDYVWHEULÕNXHULWURFLWRYQHEROHYNRFLWRY %Xĳ\&RDW =DEHOHĭLWHđWHYLOÕQRYUHGQRVW

0

0

0

0

0

0

10

10

90

90

80

80

80

100

100

90

90

90

110

100

100

100

110

110

110

100

100

110

110

110

10

0

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

0

10

10

20

).

10

0

10

10

).

0

0

0

0

).

80

BSG / ESR / VS-WESTERGREN

160

SL
'8SRUDEDVWRMDOD%6*6$567('7đWDUW
6WRMDOR%6* đWDUW MHSULPHUQRL]NOMXÕQR]DXSRUDER]HSUXYHWR0LFURYHWWH® CB 200 BSG (št. art.: 18.1325.xxx).
).

1.

Vzorec pazljivo obrnite navzdol (sl.

2.

Epruveto Microvette®&%%6*RGSULWHWDNRGD]DPDđHNSRYOHÕHWHQDY]JRU.DSLODUR]DVHGLPHQWDFLMRYVWDYLWHYHSUXYHWR0LFURYHWWH® CB 200 BSG.
Kapilaro za sedimentacijo previdno potisnite navzdol. Pri tem se kapilara za sedimentacijo napolni s krvjo (sl. ).

3.

Stojalo BSG SARSTEDT mora stati na ravni vodoravni podlagi. Za merjenje postavite napolnjeno epruveto Microvette®&%%6*VNDSLODUR]DVHGLPHQWDFLMRSRNRQÕQRYVWRMDOR%6*6$567('71LÕHOQDWRÕNDYVDNHJDY]RUFDPRUDELWLWRÕQRQDUDYQDQD]QDUHEUHQLPYLMDNRP SXđÕLFR  VO ).

4.

=DÕQLWHPHUMHQMHWDNRGDQDVWDYLWHEXGLONRDOLđWRSDULFRQDÕDVPHUMHQMDLQMR]DĭHQHWH
3RL]ELULQDVWDYLWHQDbPLQXW L]PHUMHQDYUHGQRVW LQQDbXUR L]PHUMHQDYUHGQRVW DOLQDbXUR L]PHUMHQDYUHGQRVW LQQDbXUL L]PHUMHQDYUHGQRVW 

5.

3RSUHWHÕHQHPÕDVXşPLQXWDRGÕLWDWHUD]GDOMRYPLOLPHWULKPHGGQRPPHQLVNXVDSOD]PHLQ]JRUQMLPNRQFHPVWHEULÕNDVVHGLPHQWLUDQLPLHULWURFLWLQD]DGQMLVWUDQLFL]PHULOQROHVWYLFR
3D]LWHGDYVWHEULÕNXHULWURFLWRYQHEROHYNRFLWRY %Xĳ\&RDW =DEHOHĭLWHđWHYLOÕQRYUHGQRVWOdlaganje med odpadke
1.

6SUHPOMDWLLQXSRđWHYDWLMHWUHEDVSORđQHVPHUQLFH]DKLJLHQRLQ]DNRQVNHGRORÕEHRSUDYLOQHPRGODJDQMXLQIHNWLYQHJDPDWHULDODPHGRGSDGNH

2.

5RNDYLFH]DHQNUDWQRXSRUDERSUHSUHÕXMHMRQHYDUQRVW]DRNXĭER

3.

2QHVQDĭHQHDOLQDSROQMHQHSLSHWH]DVHGLPHQDWFLMR6$567('7MHWUHEDRGORĭLWLYSULPHUQHSRVRGH]DRGODJDQMHQHYDUQLKELRORđNLKVQRYLNLMLKMHPRJRÕHQDWRDYWRNODYLUDWLLQVHĭJDWL

4.

Odstranjevanje potencialno kontaminiranega potrošnega materiala po smernicah in navodilih ustanove.

161

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=DL]GHOHNVSHFLıÕQLVWDQGDUGLLQVPHUQLFHYYVDNRNUDWQLXVWUH]QLYHOMDYQLUD]OLÕLFLCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digitalna izdaja Labor & Diagnose 2020; Poglavje 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)

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162

Bruksanvisning – SARSTEDT manuell blodsänka – SR-ställ & SR-pipetterSV

Användning
De manuella SR*-ställen och SARSTEDT SR-pipetterna används för manuell diagnostisk bestämning in vitro av blodsänkan (SR) från citrat-helblod (blandningsförhållande 1:4; 1 del citrat + 4 delar blod). De erhållna
mätresultaten motsvarar Westergrens metod. Beroende på vilket blodprovtagningssystem som används, används venöst eller kapillärt blod. Med Microvette® CB 200 SR används kapillärblod. Med S-Sedivette®,
S-Monovette® SR eller rör med skruvkork SR används venöst blod.
Produkterna är avsedda för professionell användning och av medicinskt utbildad personal samt laboratoriepersonal.
*SR = Sänkningsreaktion, även (blod)sänka

Produktbeskrivning
SR-ställ (även kallade sänkaställ) är gjorda av plast och, beroende på design, anpassade för bloduppsamlingsrören S-Sedivette®, S-Monovette® SR, rör med skruvkork SR eller Microvette® CB 200 SR. De finns med
och utan graderad bakpanel och har vardera 10 mätplatser. SARSTEDT SR-pipetter av plast, med och utan skala, används som tillbehör. För SARSTEDT SR-ställ utan bakpanel passar S-Monovette® SR eller rör med
skruvkork SR i kombination med SARSTEDT SR-pipett med skala. Beroende på utförande passar SARSTEDT SR-ställ med graderad bakpanel till S-Sedivette® och till kombinationen: S-Monovette® SR eller till rör med
skruvkork SR med SR-pipetten med O-märkning (utan skala) eller Microvette® CB 200 SR med dess kapillärrör.

Produktöversikt

SEDIPLUS®

0

0

0

0

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0

0

10

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10

10

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10

10

20

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SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

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110

Typ

Artikelnummer

Beskrivning

Att användas med

90.1090

SARSTEDT SR-ställ med gradering

Passar S-Sedivette®

90.1060

SARSTEDT SR-ställ med graderad bakpanel

Passar S-Monovette® SR eller rör med skruvkork SR i kombination
med SR-pipett med O-markering (variant E)

90.1060.062

SARSTEDT SR-ställ utan bakpanel

Passar S-Monovette® SR eller rör med skruvkork SR i kombination
med SR-pipett med skala (variant F)

90.1091

SARSTEDT SR-ställ för Microvette® CB 200 SR

Passar Microvette® CB 200 SR med kapillärrör

86.1996

SARSTEDT SR-pipetter med O-markering

Passar SARSTEDT SR-ställ med graderad bakpanel (variant B)

86.1996.062

SARSTEDT SR-pipetter med skala

Passar SARSTEDT SR-ställ utan bakpanel (variant C)

Säkerhetsanvisningar och varningar
1.

Följ beskrivningen av hur produkten hanteras.

2.

Allmänna försiktighetsåtgärder: Använd handskar och allmän personlig skyddsutrustning för skydd mot möjlig exponering för potentiellt smittförande provmaterial och överförda patogener.

3.

Behandla alla biologiska prover och hjälpmedel för provtagning enligt klinikens riktlinjer och förfaranden. Uppsök läkare efter kontakt med biologiska prover eftersom infektionssjukdomar kan överföras på detta sätt.
Klinikens säkerhetsriktlinjer och -förfaranden måste följas.

4.

SR-pipetterna är avsedda för engångsbruk. Avfallshantera alla produkter i behållare för biologiskt riskavfall.

5.

SR-pipetterna får inte längre användas efter att hållbarhetstiden har löpt ut. Utgångsdatum är den sista dagen i angiven månad och år.

163

SV
Förvaring
Produkterna ska förvaras i rumstemperatur.

Fysikalisk-kemisk princip
På grund av erytrocyters högre täthet jämfört med plasma sjunker de långsamt i antikoagulerat blod. Sedimenteringen av erytrocyter påverkas dock av olika faktorer som kan påskynda eller bromsa
sänkningshastigheten. Utöver skillnaden i densitet är de viktigaste påverkande faktorerna erytrocytaggregation och deras elektriska laddning. Erytrocyternas negativa laddning gör att de stöter bort varandra och
sedimenteringen går långsamt. En förändrad sammansättning av plasmaproteinerna, särskilt den ökade koncentrationen av akutfasproteiner i inflammatoriska processer, minskar zetapotentialen (avstötande effekten av
den negativa laddningen) och främjar därigenom aggregationen av erytrocyterna, som leder till snabbare sedimentering av blodkropparna och därmed ökade SR-avläsningar+. Däremot leder en ökad koncentration av
negativt laddade plasmaproteiner till långsammare sedimentering av erytrocyterna och därmed lägre SR-avläsningar.
+

Gressner et al; Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk; 3:e Upplagan. 2019; Springer. ISBN 978-3-662-48987-1

Referensvärden bör fastställas på lokal nivå i enlighet med rekommendationer för referensvärden. Vad gäller den progressiva ökningen av ESR med åldern, bör separata värden fastställas för varje årtionde av vuxenliv
för män och kvinnor. Flera andra variabler påverkar SR och kan därmed påverka referensvärdena, t.ex. hemoglobinvärden, medicin, menstruationscykel, graviditet och rökning. Tabellen 'Referensvärden för Westergrens
SR-metod' listar referensvärden för SR som kan användas som vägledning för att sätta lokala referensvärden.

Referensvärden för Westergrens SR-metod**
SR-medelvärde
normens övre gränsÅlder (år)

Man

KvinnaMan

Kvinna18 – 30

3,1

5,1

< 7,1

< 10,731 – 40

3,4

5,6

< 7,8

< 11,041 – 50

4,6

6,2< 10,6< 13,2

51 – 60

5,6

9,4< 12,2< 18,660 – 70

5,6

9,4< 12,7< 20,2

> 70

5,6

10,1

< 30

< 35

En normal SR utesluter inte icke-inflammatoriska organsjukdomar, organdysfunktion och maligna tumörer.*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

Viktigt
1.

Förvara blodprover i rumstemperatur. Bestämningen av SR ska ske inom de första 4 timmarna efter blodprovtagningen.
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2.

Innan sänkningsreaktionen mäts måste blodprovet homogeniseras noggrant genom att omsorgsfullt vända på det.

3.

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4.

Mätprincipen motsvarar CLSI H2-A5.

5.

Mätnoggrannheten är +/-1 mm av mätbanan.

6.

SARSTEDT SR-ställen kan rengöras med desinfektionsmedel baserade på etanol / isopropanol.

7.

Blandningsförhållandet 1:4 påverkar analysresultatet direkt och måste beaktas.

8.

Stället ska endast användas om skalan inte är böjd och skalan är tydligt läsbar.

164

SV
Provtagning och hanteringLÄS DETTA DOKUMENT HELT INNAN DU STARTAR SR-MÄTNINGEN.
Nödvändigt arbetsmaterial för SR-bestämningen
1.

Provrör fyllt med blod (S-Sedivette®, S-Monovette® SR, rör med skruvkork SR eller Microvette® CB 200 SR)*.

2.

SARSTEDT SR-ställ lämpligt för provröret och, om nödvändigt, passande SARSTEDT SR-pipett.

3.

Handskar, skyddsrock, ögonskydd eller andra lämpliga skyddskläder för skydd mot med provmaterial överförda patogener eller potentiellt smittförande material.

4.

Väckarklocka eller stoppur.

Observera bruksanvisningen för respektive provrör (S-Sedivette®, S-Monovette® SR, rör med skruvkork SR eller Microvette® CB 200 SR) för blodprovet och provtransporten.
Genomförande av SR-bestämning
Allmänna anvisningar
Nedan beskrivs de olika varianterna av SARSTEDT SR-ställ och SARSTEDT SR-pipetter:
A: Användning av SARSTEDT SR-ställ art.nr: 90.1090
B: Användning av SARSTEDT SR-ställ art.nr: 90.1060 med SARSTEDT SR-pipetter, art.nr: 86.1996
C: Användning av SR-ställ art.nr: 90.1060.062 med SARSTEDT SR-pipetter, art.nr: 86.1996.062
D: Användning av SARSTEDT SR-ställ art.nr: 90.1091

A: Användning av SARSTEDT SR-ställ art.nr: 90.1090
SARSTEDT SR-ställ (art.nr: 90.1090) är endast avsedd för användning med S-Sedivette® (art.nr 06.1690.xxx).
).

1.

Blanda provet väl (bild2.

SARSTEDT SR-ställ måste stå på ett horisontellt underlag. För mätningen placerar du den fyllda S-Sedivette® lodrätt i SARSTEDT SR-ställ.
1ROOSXQNWHQIąUYDUMHSURYPÎVWHVWËOODVLQPHGGHQUËĵDGHVNUXYHQ SLO  ELOG ).

3.

Starta mätningen genom att ställa in och starta en väckarklocka eller ett stoppur för dina mättider.
Som alternativ på 30 minuter (1:a mätvärde) och 1 timme (2:a mätvärde) eller 1 timme (1:a mätvärde) och 2 timmar (2:a mätvärde).

4.

Efter att tiden har gått +/-1 minut avläses avståndet i millimeter mellan botten av plasman och toppen av pelaren med de sedimenterade erytrocyterna på den graderade bakpanelen.
6HWLOODWWGHWLQWHıQQVQÎJUDOHXNRF\WHU EXĳ\FRDW LHU\WURF\WSHODUHQ1RWHUDGHWQXPHULVNDYËUGHW

5x

165

SV
B: Användning av SARSTEDT SR-ställ art.nr: 90.1060 med SARSTEDT SR-pipetter art.nr: 86.1996
SARSTEDT SR-ställ (art.nr: 90.1060) är endast avsedd för användning med S-Monovette® SR (art.nr: 05.1079.xxx) eller rör med skruvkork SR (art.nr: 47.410.xxx) och SARSTEDT SR-pipett (art.nr: 86.1996).
).

1.

Blanda provet väl (bild2.

Öppna S-Monovette® SR / rör med skruvkork SR genom att vrida locket moturs (bild3.

För in SR-pipetten i S-Monovette® SR / rör med skruvkork SR. Tryck SR-pipetten försiktigt neråt. SR-pipetten fylls då med blod.
Skruva på SR-pipettens kolvhylsa med S-Monovette® SR / rör med skruvkork SR genom att vrida medurs (bild ).

4.

SR-pipetten är rätt fastskruvad när fyllningsmärket på SR-pipetten exakt når O-märket (bild5.

För mätningen, placera S-Monovette® SR / rör med skruvkork SR med den nu påskruvade SR-pipetten vertikalt på SARSTEDT SR-stället med graderad bakpanel.
SARSTEDT SR-ställ måste stå på ett horisontellt underlag. Nollpunkten för varje prov måste kontrolleras och vid behov justeras med SR-pipettens kolv (bild ).

6.

Starta mätningen genom att ställa in och starta en väckarklocka eller ett stoppur för dina mättider.
Som alternativ på 30 minuter (1:a mätvärde) och 1 timme (2:a mätvärde) eller 1 timme (1:a mätvärde) och 2 timmar (2:a mätvärde).

7.

Efter att tiden har gått +/-1 minut avläses avståndet i millimeter mellan botten av plasman och toppen av pelaren med de sedimenterade erytrocyterna på den graderade bakpanelen.
6HWLOODWWGHWLQWHıQQVQÎJUDOHXNRF\WHU EXĳ\FRDW LHU\WURF\WSHODUHQ1RWHUDGHWQXPHULVNDYËUGHWO

SEDIPLUS®

).

).

O

O

O

O

O

O

BSG / ESR / VS-WESTERGREN

166

SV
C: Användning av SARSTEDT SR-ställ art.nr: 90.1060.062 med SARSTEDT SR-pipetter art.nr: 86.1996.062
SARSTEDT SR-ställ (art.nr: 90.1060.062) är endast avsedd för användning med S-Monovette® SR (art.nr 05.1079.xxx) eller rör med skruvkork SR (art.nr: 47.410.xxx) och SARSTEDT SR-pipett (art.nr: 86.1996.062).
).

1.

Blanda provet väl (bild2.

Öppna S-Monovette® SR / rör med skruvkork SR genom att vrida locket moturs (bild3.

För in SR-pipetten i S-Monovette® SR / rör med skruvkork SR. Tryck SR-pipetten försiktigt neråt. SR-pipetten fylls då med blod.
Skruva på SR-pipettens kork med S-Monovette® SR / rör med skruvkork SR genom att vrida medurs (bild ).

4.

SR-pipetten är rätt fastskruvad när fyllningsmärket på SR-pipetten exakt når 0-märket (bild5.

För mätningen, placera S-Monovette® SR / rör med skruvkork SR med den nu påskruvade SR-pipetten vertikalt på SARSTEDT SR-stället utan bakpanel.
SARSTEDT SR-ställ måste stå på ett horisontellt underlag. Nollpunkten för varje prov måste kontrolleras och vid behov justeras med SR-pipettens kolvhylsa (bild6.

Starta mätningen genom att ställa in och starta en väckarklocka eller ett stoppur för dina mättider.
Som alternativ på 30 minuter (1:a mätvärde) och 1 timme (2:a mätvärde) eller 1 timme (1:a mätvärde) och 2 timmar (2:a mätvärde).

7.

Efter att tiden har gått +/-1 minut avläses avståndet i millimeter mellan botten av plasmamenisken och toppen av pelaren med de sedimenterade erytrocyterna med hjälp av skalan som är tryckt på SR-pipetten.
6HWLOODWWGHWLQWHıQQVQÎJUDOHXNRF\WHU EXĳ\FRDW LHU\WURF\WSHODUHQ1RWHUDGHWQXPHULVNDYËUGHW

0

0

).

).

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0

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110

110

110

110

110

110

110

110

110

SEDIPLUS®

0

).

0

0

0

0

80

BSG / ESR / VS-WESTERGREN

167

SV
D: Användning av SARSTEDT SR-ställ art.nr: 90.1091
SARSTEDT SR-ställ (art.nr: 90.1091) är endast avsedd för användning med Microvette® CB 200 SR (art.nr 18.1325.xxx).
).

1.

Blanda provet väl (bild2.

Öppna Microvette® CB 200 SR genom att dra ut instickspluggen uppåt. För in kapillärröret i Microvette® CB 200 SR.
Tryck kapillärröret försiktigt neråt. Kapillärröret fylls då med blod (bild ).

3.

SARSTEDT SR-ställ måste stå på ett horisontellt underlag. För mätningen placerar du den fyllda Microvette® CB 200 SR med kapillärrör lodrätt i SARSTEDT SR-ställ.
1ROOSXQNWHQIąUYDUMHSURYPÎVWHVWËOODVLQPHGGHQUËĵDGHVNUXYHQ SLO  ELOG ).

4.

Starta mätningen genom att ställa in och starta en väckarklocka eller ett stoppur för dina mättider.
Som alternativ på 30 minuter (1:a mätvärde) och 1 timme (2:a mätvärde) eller 1 timme (1:a mätvärde) och 2 timmar (2:a mätvärde).

5.

Efter att tiden har gått +/-1 minut avläses avståndet i millimeter mellan botten av plasmamenisken och toppen av pelaren med de sedimenterade erytrocyterna på den graderade bakpanelen.
6HWLOODWWGHWLQWHıQQVQÎJUDOHXNRF\WHU EXĳ\FRDW LHU\WURF\WSHODUHQ1RWHUDGHWQXPHULVNDYËUGHW

Avfallshantering
1.

Beakta och följ allmänna hygieniska riktlinjer och lagbestämmelser gällande korrekt avfallshantering av smittförande material.

2.

Engångshandskar minskar risken för infektion.

3.

Kontaminerade eller fyllda SARSTEDT SR-pipetter måste placeras i lämpliga avfallsbehållare för biologiskt riskavfall som direkt kan autoklaveras och brännas.

4.

Avfallshantering av det potentiellt kontaminerade förbrukningsmaterialet ska ske enligt klinikens riktlinjer och principer.

168

69
3URGXNWVSHFLıNDVWDQGDUGHURFKULNWOLQMHULDNWXHOOYHUVLRQCLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose. Digital utgåva Labor & Diagnose 2020; kapitel 19.3.2 Blutkörperchensenkungs-Reaktion (BSR) (www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute))ąUNODULQJDYV\PEROHURFKPËUNQLQJArtikelnummer

Satsbeteckning

Användbar till

CE-märkning

In vitro-diagnostik

Läs bruksanvisningen

Vid återanvändning: Kontamineringsrisk

Förvaras skyddat mot solljus

Förvaras torrt

Tillverkare

Tillverkningsland

Med reservation för tekniska förändringar.
Alla allvarliga händelser som rör produkten ska meddelas tillverkaren och berörd nationell myndighet.

169คําแนะนําในการใช้งาน – การตรวจวัดอัตราการตกตะกอนของเลือดด้วยวิธแี มนนวลของ SARSTEDT – แท่นวาง BSG และหลอดตกตะกอน

THวัตถุประสงค์ในการใช้งาน
แท่นวาง BSG* และหลอดตกตะกอนของ SARSTEDT สําหรับการตรวจวัดอัตราการตกตะกอนของเลือดด้วยวิธีแมนนวล ใช้สําหรับการตรวจวัดอัตราการตกตะกอนของเม็ดเลือดแดง (BSG) ในหลอดทดลอง จากเลือดผสมซิเตรตซึ่งเป็นสารป้องกันการแข็งตัวเป็นลิ่มของเลือด (อัตราการผสม 1:4 มีปริมาตรซิ
เตรต 1 ส่วน และมีปริมาตรเลือด 4 ส่วน) ค่านี้วัดได้โดยใช้วิธี Westergren เลือดที่ใช้ได้มาจากเส้นเลือดดําหรือเส้นเลือดฝอย ทั้งนี้ขึ้นอยู่กับระบบการเจาะเลือดที่ใช้ หากใช้ Microvette® CB 200 BSG จะเป็นเลือดจากเส้นเลือดฝอย แต่หากใช้ S-Sedivette®, S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG จะเป็น
เลือดจากเส้นเลือดดํา
ผลิตภัณฑ์มีไว้สําหรับการใช้งานในสถานพยาบาลโดยเฉพาะและต้องใช้งานโดยบุคลากรและเจ้าหน้าที่ห้องปฏิบัติการที่ได้รับการฝึกอบรมทางการแพทย์มาแล้วเท่านั้น
*BSG = อัตราการตกตะกอนของเม็ดเลือดแดง หรืออัตราการตกตะกอนของเลือด

คําอธิบายผลิตภัณฑ์
แท่นวาง BSG (หรือเรียกอีกอย่างว่า แท่นวางหลอดตกตะกอน) ทําจากพลาสติกและมีหลายแบบ ซึ่งมีทั้งแบบที่เหมาะกับ S-Sedivette®, S-Monovette® BSG, หลอดมีฝาเกลียว BSG หรือ Microvette® CB 200 BSG นอกจากนี้ยังมีแบบมีหรือไม่มีผนังด้านหลังพร้อมขีดบอกระดับ และมีช่องว่างหลอดตกตะกอนได้
10 หลอด ส่วนหลอดตกตะกอนของ SARSTEDT ที่เป็นอุปกรณ์เสริมนั้นมีทั้งแบบมีและไม่มีขีดบอกระดับ แท่นวางหลอดตกตะกอนของ SARSTEDT แบบไม่มีผนังด้านหลังเหมาะสําหรับการใช้งานร่วมกับ S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG และหลอดตกตะกอนของ SARSTEDT แบบมีขีดบอก
ระดับ ส่วนแท่นวางหลอดตกตะกอนของ SARSTEDT แบบมีผนังด้านหลังพร้อมขีดบอกระดับมีหลายแบบและเหมาะสําหรับการใช้งานร่วมกับ S-Sedivette® และ: S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG และหลอดตกตะกอนนแบบ O (ไม่มีขีดบอกระดับ) หรือ Microvette® CB 200 BSG ที่มีหลอดตก
ตะกอนในตัว

ภาพรวมสินค้าSEDIPLUS®

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

40

50

60

70

80

90

100

110

ประเภท

รหัสสินค้า

ชื่อสินค้า

ใช้งานร่วมกับ

90.1090แท่นวาง BSG ของ SARSTEDT ที่มีขีดบอกระดับ

เหมาะสําหรับ S-Sedivette®

90.1060

แท่นวาง BSG ของ SARSTEDT ที่มีผนังด้านหลังพร้อมขีดบอกระดับ

เหมาะสําหรับ S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG โดยใช้ร่วมกับ
หลอดตกตะกอนแบบ O (แบบ E)

90.1060.062แท่นวาง BSG ของ SARSTEDT ที่ไม่มีผนังด้านหลัง

เหมาะสําหรับ S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG โดยใช้ร่วมกับ
หลอดตกตะกอนที่มีขีดบอกระดับพิมพ์ไว้ขา้ งหลอด (แบบ F)

90.1091แท่นวาง BSG ของ SARSTEDT สําหรับ Microvette® CB 200 BSG

เหมาะสําหรับ Microvette® CB 200 BSG ที่มีหลอดตกตะกอน

86.1996หลอดตกตะกอนแบบ O ของ SARSTEDTเหมาะสําหรับแท่นวาง BSG ของ SARSTEDT ที่มีผนังด้านหลังพร้อมขีดบอกระดับ (แบบ B)

86.1996.062

หลอดตกตะกอนที่มีขีดบอกระดับพิมพ์ไว้ขา้ งหลอดของ SARSTEDTเหมาะสําหรับแท่นวาง BSG ของ SARSTEDT ที่ไม่มีผนังด้านหลัง (แบบ C)ข้อแนะนําด้านความปลอดภัยและคําเตือน
1.

กรุณาปฏิบัติตามคําอธิบายในการใช้งาน

2.

ข้อควรระวังทั่วไป: สวมถุงมือและอุปกรณ์ป้องกันส่วนบุคคลทั่วไป เพื่อป้องกันการสัมผัสกับเชื้อโรคที่แพร่กระจายทางวัสดุตัวอย่างที่อาจติดเชื้อและเชื้อโรคติดต่อต่างๆ

3.

จัดการกับตัวอย่างทางชีวภาพและอุปกรณ์เก็บตัวอย่างตามนโยบายและขั้นตอนของสถานพยาบาล หากได้รับสัมผัสกับตัวอย่างทางชีวภาพ ให้ไปพบแพทย์ เพราะอาจติดเชื้อโรคติดต่อต่างๆ ได้ ต้องปฏิบัติตามระเบียบข้อบังคับและขั้นตอนด้านความปลอดภัยในสถานพยาบาลเสมอ

4.

หลอดตกตะกอนมีไว้สําหรับการใช้งานครั้งเดียว ทิ้งผลิตภัณฑ์ทั้งหมดลงในภาชนะสําหรับทิ้งสารชีวภาพอันตราย

5.

ห้ามใช้หลอดตกตะกอนหลังจากวันหมดอายุ ผลิตภัณฑ์ใช้งานได้ถึงวันสุดท้ายของเดือนและปีที่ระบุ

170

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การเก็บรักษา
เก็บรักษาผลิตภัณฑ์ไว้ที่อุณหภูมิห้อง

หลักเคมีเชิงฟิสิกส์
เนื่องจากเม็ดเลือดแดงมีความหนาแน่นสูงกว่าพลาสมา เม็ดเลือดแดงในเลือดที่ผสมกับสารป้องกันการแข็งตัวเป็นลิ่มของเลือดจึงตกตะกอนอย่างช้าๆ อย่างไรก็ตาม การตกตะกอนของเม็ดเลือดแดงขึ้นอยู่กับหลายปัจจัยที่อาจเร่งหรือหน่วงอัตราความเร็วในการตกตะกอน นอกจากความหนาแน่นที่แตกต่างกัน
แล้ว ยังมีตัวแปรที่ส่งผลกระทบมากที่สุด ได้แก่ การเกาะกลุ่มกันของเม็ดเลือดแดง และประจุไฟฟ้าของเม็ดเลือดแดง ประจุลบของเม็ดเลือดแดงทําให้เม็ดเลือดแดงผลักออกจากกันและตกตะกอนได้ชา้ องค์ประกอบที่เปลี่ยนแปลงไปของโปรตีนพลาสมา โดยเฉพาะอย่างยิ่ง ความเข้มข้นของโปรตีนที่เพิ่มขึ้น
ขณะร่างกายมีสภาวะการอักเสบแบบเฉียบพลันจะลดค่าศักย์ซีตา้ (ผลจากการผลักกันของประจุลบ) และทําให้เม็ดเลือดแดงเกาะกลุ่มกันได้ดีขึ้น จึงส่งผลให้เซลล์เม็ดเลือดแดงตกตะกอนได้เร็วขึ้นและวัดค่า BSG ได้สูงขึ้น+ ในทางตรงกันข้าม ความเข้มข้นที่เพิ่มขึ้นของโปรตีนพลาสมาที่เป็นประจุลบทําให้เม็ด
เลือดแดงตกตะกอนได้ชา้ ลงจึงวัดค่า BSG ได้ต่ําลงด้วย
+Gressner และคณะ, Lexikon der Medizinischen Laboratoriumsdiagnostik Nachschlagewerk (สารานุกรมเอกสารอ้างอิงสําหรับการตรวจวินิจฉัยทางการแพทย์ในห้องปฏิบัติการ); พิมพ์ครั้งที่ 3. 2019; Springer. ISBN 978-3-662-48987-1

ควรใช้ค่าอ้างอิงในระดับท้องถิ่นที่สอดคล้องกับค่าอ้างอิงที่แนะนํา เมื่อพิจารณาจากการเพิ่มขึ้นในอัตราก้าวหน้าของ BSG เมื่อเทียบกับอายุ ควรมีค่าที่แยกต่างหากสําหรับอายุผู้ใหญ่ทุกสิบปีระหว่างเพศชายและเพศหญิง ตัวแปรอื่นๆ บางอย่างส่งผลกระทบต่อ BSG และอาจส่งผลกระทบต่อค่าอ้างอิงด้วย เช่น ระดับ
ฮีโมโกลบิน การใช้ยา รอบเดือน การตั้งครรภ์ และการสูบบุหรี่ ในตาราง "ค่าอ้างอิงสําหรับการวัดอัตราการตกตะกอนของเลือดด้วยวิธี Westergren" มีค่าอ้างอิงสําหรับการวัด BSG ซึ่งสามารถใช้เป็นแนวทางสําหรับการกําหนดค่าอ้างอิงระดับท้องถิ่นได้

ค่าอ้างอิงสําหรับการวัดอัตราการตกตะกอนของเลือดด้วยวิธี Westergren**ค่าเฉลี่ย BSG
อายุ (ปี)

ชาย

หญิง

18 – 30

3.1

31 – 40ค่ามาตรฐานสูงสุด
ชาย

หญิง

5.1

< 7.1

< 10.7

3.4

5.6

< 7.8

< 11.041 – 50

4.6

6.2< 10.6< 13.2

51 – 60

5.6

9.4< 12.2< 18.660 – 70

5.6

9.4< 12.7< 20.2

> 70

5.6

10.1

< 30

< 35

ค่า BSG ปกติไม่ได้คาํ นึงถึงการเจ็บป่วยของอวัยวะที่ไม่มีภาวะการอักเสบ การทํางานผิดปกติของอวัยวะ และเนื้อร้าย*****CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn และคณะ, คู่มือเทคนิคการแพทย์ (Lehrbuch der Labormedizin); Schattauer, 1999; ISBN 3-7945-1856-X

ข้อจํากัด
1.

ควรเก็บตัวอย่างเลือดไว้ในอุณหภูมิห้อง ควรทําการตรวจวัด BSG ภายใน 4 ชั่วโมงแรกหลังจากการเจาะเลือด ในตู้เย็น (4 °C) สามารถเก็บรักษาตัวอย่างไว้ได้เป็นเวลานาน (ไม่เกิน 24 ชั่วโมง) ต้องนําตัวอย่างมาไว้ที่อุณหภูมิห้องก่อนการใช้งาน

2.

ก่อนทําการตรวจวัดอัตราการตกตะกอนของเม็ดเลือดแดง ต้องหมุนหลอดเก็บตัวอย่างไปมาด้วยความระมัดระวัง เพื่อให้ตัวอย่างในหลอดผสมเป็นเนื้อเดียวกันดี

3.

การตรวจวัดต้องทําที่อุณหภูมิแวดล้อม 18 – 25 °C และต้องมีการป้องกันการสั่นสะเทือน ลม และแสงแดดโดยตรง หรือตามข้อกําหนดเฉพาะของประเทศและห้องปฏิบัติการ

4.

หลักการตรวจวัดต้องเป็นไปตามมาตรฐาน CLSI H2-A5

5.

ความถูกต้องแม่นยําในการตรวจวัดเท่ากับ +/- 1 มม. ของระยะที่วัด

6.

แท่นวาง BSG ของ SARSTEDT สามารถทําความสะอาดได้โดยใช้น้ํายาฆ่าเชื้อที่มีส่วนผสมของเอทานอล/ไอโซโพรพานอล

7.

อัตราการผสม 1:4 ส่งผลโดยตรงต่อผลการวิเคราะห์ และต้องผสมวัสดุตัวอย่างให้ได้ตามอัตรานี้

8.

ใช้แท่นวางที่ช่องดูระดับไม่ยับเป็นคลื่นและสามารถอ่านขีดวัดระดับได้อย่างชัดเจนเท่านั้น

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การเก็บตัวอย่างและการจัดการ
กรุณาอ่านและทําความเข้าใจเอกสารนี้อย่างละเอียดก่อนเริ่มวัด BSG
สําหรับการตรวจวัด BSG องมีวัสดุใช้งานที่จาํ เป็น:1.

หลอดเก็บตัวอย่างที่เติมตัวอย่างเลือดแล้ว (S-Sedivette®, S-Monovette® BSG, Schraubröhre BSG หรือ Microvette® CB 200 BSG)*

2.

แท่นวาง BSG ของ SARSTEDT ที่เหมาะกับหลอดเก็บตัวอย่างที่ใช้ และหลอดตกตะกอนที่เข้ากันของ SARSTEDT ตามจําเป็น

3.

สวมใส่ถุงมือ ผ้ากันเปื้อน อุปกรณ์ปกป้องดวงตา หรือชุดป้องกันอื่นๆ ที่เหมาะสมสําหรับการป้องกันเชื้อโรคที่แพร่กระจายทางวัสดุตัวอย่างหรือวัสดุที่อาจมีการติดเชื้อ

4.

นาฬิกาปลุกหรือนาฬิกาจับเวลา

*สําหรับการเจาะเลือดและการขนส่งตัวอย่าง ให้ปฏิบัติตามคําแนะนําในการใช้งานของหลอดเก็บตัวอย่าง (S-Sedivette®, S-Monovette® BSG, Schraubröhre BSG หรือ Microvette® CB 200 BSG)การตรวจวัดอัตราการตกตะกอนของเม็ดเลือดแดง
คําแนะนําทั่วไป
คําอธิบายการใช้แท่นวาง BSG ของ SARSTEDT และหลอดตกตะกอนของ SARSTEDT แบบต่างๆ:A:

การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1090

B:การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1060 ที่มีหลอดตกตะกอนของ SARSTEDT รหัสสินค้า: 86.1996

C:การใช้งานแท่นวาง BSG รหัสสินค้า: 90.1060.062 ที่มีหลอดตกตะกอนของ SARSTEDT รหัสสินค้า: 86.1996.062

D:การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1091

A: การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1090
แท่นวาง BSG ของ SARSTEDT (รหัสสินค้า: 90.1090) เหมาะสําหรับการใช้งานกับ S-Sedivette® เท่านั้น (รหัสสินค้า: 06.1690.xxx))

1.

หมุนตัวอย่างเลือดกลับไปกลับมาอย่างระมัดระวัง (รูปที่

2.

ต้องตั้งแท่นวาง BSG ของ SARSTEDT ไว้บนพื้นราบเสมอเท่านั้น วาง S-Sedivette® ที่เติมเลือดแล้วตั้งตรงในแท่นวาง BSG ของ SARSTEDT เพื่อทําการวัด ต้องตั้งจุดศูนย์ของแต่ละตัวอย่างโดยใช้สลักปุ่มลูกบิด (ลูกศร) (รูปที่

3.

เริ่มการวัดโดยใช้นาฬิกาปลุกหรือนาฬิกาจับเวลาตั้งเวลาเริ่มวัดและเริ่มจับเวลา อาจเลือกตั้งเวลาไว้ 30 นาที (ค่าวัดที่ 1) และ 1 ชั่วโมง (ค่าวัดที่ 2) หรือ 1 ชั่วโมง (ค่าวัดที่ 1) และ 2 ชั่วโมง (ค่าวัดที่ 2)

4.

หลังจากเวลาดังกล่าวผ่านไป +/- 1 นาทีแล้ว ให้อา่ นค่าระยะเป็นมิลลิเมตรระหว่างส่วนล่างสุดของส่วนโค้งพลาสมา และส่วนบนสุดของสารตัวอย่างในหลอดที่มีเม็ดเลือดแดงที่ตกตะกอนแล้ว โดยดูจากขีดบอกระดับที่ผนังด้านหลัง ตรวจสอบให้แน่ใจว่าไม่มีชั้นเม็ดเลือดขาวที่อยู่ระหว่างรอยต่อชั้นพลาสมา
กับชั้นเม็ดเลือดแดง (Buffy Coat) ในสารตัวอย่าง จดบันทึกค่าตัวเลขที่วัดได้

)

5x

172

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B: การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1060 ที่มีหลอดตกตะกอนของ SARSTEDT รหัสสินค้า: 86.1996
แท่นวาง BSG ของ SARSTEDT (รหัสสินค้า: 90.1060) เหมาะสําหรับการใช้งานกับ S-Monovette® BSG เท่านั้น (รหัสสินค้า: 05.1079.xxx) หรือหลอดมีฝาเกลียว BSG (รหัสสินค้า: 47.410.xxx) และหลอดตกตะกอนของ SARSTEDT (รหัสสินค้า: 86.1996))1.

หมุนตัวอย่างเลือดกลับไปกลับมาอย่างระมัดระวัง (รูปที่

2.

เปิดหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG โดยการหมุนฝาเกลียวทวนเข็มนาฬิกา (รูปที่

3.

ใส่หลอดตกตะกอนเข้าไปในหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG กดหลอดตกตะกอนลงไปด้านล่างอย่างระมัดระวัง หลอดตกตะกอนจะดูดเลือดเข้าไปในระหว่างนั้น หมุนปลอกสูบของหลอดตกตะกอนที่มีหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG
ตามเข็มนาฬิกา (รูปที่ )4.

หมุนหลอดตกตะกอนลงไปอย่างถูกต้อง โดยให้ขีดเติมเต็มของหลอดตกตะกอนอยู่พอดีกับขีด O (รูปที่

5.

วางหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG ที่มีหลอดตกตะกอนที่หมุนลงไปแล้วโดยตั้งตรงบนแท่นวาง BSG ที่มีผนังด้านหลังพร้อมขีดบอกระดับของ SARSTEDT เพื่อทําการวัด ต้องตั้งแท่นวาง BSG ของ SARSTEDT ไว้บนพื้นราบเสมอเท่านั้น ตรวจสอบจุดศูนย์ของแต่ละ
ตัวอย่าง และปรับจุดศูนย์โดยการหมุนปลอกสูบของหลอดตกตะกอนตามจําเป็น (รูปที่ )6.

เริ่มการวัดโดยใช้นาฬิกาปลุกหรือนาฬิกาจับเวลาตั้งเวลาเริ่มวัดและเริ่มจับเวลา อาจเลือกตั้งเวลาไว้ 30 นาที (ค่าวัดที่ 1) และ 1 ชั่วโมง (ค่าวัดที่ 2) หรือ 1 ชั่วโมง (ค่าวัดที่ 1) และ 2 ชั่วโมง (ค่าวัดที่ 2)7.

หลังจากเวลาดังกล่าวผ่านไป +/- 1 นาทีแล้ว ให้อา่ นค่าระยะเป็นมิลลิเมตรระหว่างส่วนล่างสุดของส่วนโค้งพลาสมา และส่วนบนสุดของสารตัวอย่างในหลอดที่มีเม็ดเลือดแดงที่ตกตะกอนแล้ว โดยดูจากขีดบอกระดับที่ผนังด้านหลัง ตรวจสอบให้แน่ใจว่าไม่มีชั้นเม็ดเลือดขาวที่อยู่ระหว่างรอยต่อชั้นพลาสมา
กับชั้นเม็ดเลือดแดง (Buffy Coat) ในสารตัวอย่าง จดบันทึกค่าตัวเลขที่วัดได้O

SEDIPLUS®

)

)

O

O

O

O

O

O

BSG / ESR / VS-WESTERGREN

173

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C: การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1060.062 ที่มีหลอดตกตะกอนของ SARSTEDT รหัสสินค้า: 86.1996.062
แท่นวาง BSG ของ SARSTEDT (รหัสสินค้า: 90.1060.062) เหมาะสําหรับการใช้งานกับ S-Monovette® BSG เท่านั้น (รหัสสินค้า: 05.1079.xxx) หรือหลอดมีฝาเกลียว BSG (รหัสสินค้า: 47.410.xxx) และหลอดตกตะกอนของ SARSTEDT (รหัสสินค้า: 86.1996.062))

1.

หมุนตัวอย่างเลือดกลับไปกลับมาอย่างระมัดระวัง (รูปที่

2.

เปิดหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG โดยการหมุนฝาเกลียวทวนเข็มนาฬิกา (รูปที่

3.

ใส่หลอดตกตะกอนเข้าไปในหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG กดหลอดตกตะกอนลงไปด้านล่างอย่างระมัดระวัง หลอดตกตะกอนจะดูดเลือดเข้าไปในระหว่างนั้น หมุนปลอกสูบของหลอดตกตะกอนที่มีหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG
ตามเข็มนาฬิกา (รูปที่ )4.

หมุนหลอดตกตะกอนลงไปอย่างถูกต้อง โดยให้ขีดเติมเต็มของหลอดตกตะกอนอยู่พอดีกับขีด 0 (รูปที่

5.

วางหลอดเก็บตัวอย่าง S-Monovette® BSG หรือหลอดมีฝาเกลียว BSG ที่มีหลอดตกตะกอนที่หมุนลงไปแล้วโดยตั้งตรงบนแท่นวาง BSG ที่ไม่มีผนังด้านหลังของ SARSTEDT เพื่อทําการวัด ต้องตั้งแท่นวาง BSG ของ SARSTEDT ไว้บนพื้นราบเสมอเท่านั้น ตรวจสอบจุดศูนย์ของแต่ละตัวอย่าง และปรับจุด
ศูนย์โดยการหมุนปลอกสูบของหลอดตกตะกอนตามจําเป็น (รูปที่ )6.

เริ่มการวัดโดยใช้นาฬิกาปลุกหรือนาฬิกาจับเวลาตั้งเวลาเริ่มวัดและเริ่มจับเวลา อาจเลือกตั้งเวลาไว้ 30 นาที (ค่าวัดที่ 1) และ 1 ชั่วโมง (ค่าวัดที่ 2) หรือ 1 ชั่วโมง (ค่าวัดที่ 1) และ 2 ชั่วโมง (ค่าวัดที่ 2)7.

หลังจากเวลาดังกล่าวผ่านไป +/- 1 นาทีแล้ว ให้อา่ นค่าระยะเป็นมิลลิเมตรระหว่างส่วนล่างสุดของส่วนโค้งพลาสมา และส่วนบนสุดของสารตัวอย่างในหลอดที่มีเม็ดเลือดแดงที่ตกตะกอนแล้ว โดยดูจากขีดบอกระดับที่พิมพ์ไว้ขา้ งหลอดตกตะกอน ตรวจสอบให้แน่ใจว่าไม่มีชั้นเม็ดเลือดขาวที่อยู่ระหว่างรอย
ต่อชั้นพลาสมากับชั้นเม็ดเลือดแดง (Buffy Coat) ในสารตัวอย่าง จดบันทึกค่าตัวเลขที่วัดได้

0

)

)

0

0

0

0

0

10

10

10

90

90

80

80

80

100

100

90

90

90

110

100

100

100

110

110

110

10

100

100

110

110

110

10

0

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

0

10

0

10

0

0

0

0

80

BSG / ESR / VS-WESTERGREN

174

TH
D: การใช้งานแท่นวาง BSG ของ SARSTEDT รหัสสินค้า: 90.1091
แท่นวาง BSG (รหัสสินค้า: 90.1091) เหมาะสําหรับการใช้งานกับ Microvette® CB 200 BSG เท่านั้น (รหัสสินค้า: 18.1325.xxx))

1.

หมุนตัวอย่างเลือดกลับไปกลับมาอย่างระมัดระวัง (รูปที่

2.

เปิดระบบการเจาะเลือดจากเส้นเลือดฝอย Microvette® CB 200 BSG โดยการดึงฝากดขึ้นด้านบน ใส่หลอดตกตะกอนเข้าไปใน Microvette® CB 200 BSG กดหลอดตกตะกอนลงไปด้านล่างอย่างระมัดระวัง หลอดตกตะกอนจะดูดเลือดเข้าไปในระหว่างนั้น (รูปที่

3.

ต้องตั้งแท่นวาง BSG ของ SARSTEDT ไว้บนพื้นราบเสมอเท่านั้น วาง Microvette® CB 200 BSG ที่เติมเลือดแล้วพร้อมทั้งหลอดตกตะกอนตั้งตรงในแท่นวาง BSG ของ SARSTEDT เพื่อทําการวัด ต้องตั้งจุดศูนย์ของแต่ละตัวอย่างให้พอดีโดยใช้สลักปุ่มลูกบิด (ลูกศร) (รูปที่

4.

เริ่มการวัดโดยใช้นาฬิกาปลุกหรือนาฬิกาจับเวลาตั้งเวลาเริ่มวัดและเริ่มจับเวลา อาจเลือกตั้งเวลาไว้ 30 นาที (ค่าวัดที่ 1) และ 1 ชั่วโมง (ค่าวัดที่ 2) หรือ 1 ชั่วโมง (ค่าวัดที่ 1) และ 2 ชั่วโมง (ค่าวัดที่ 2)5.

หลังจากเวลาดังกล่าวผ่านไป +/- 1 นาทีแล้ว ให้อา่ นค่าระยะเป็นมิลลิเมตรระหว่างส่วนล่างสุดของส่วนโค้งพลาสมา และส่วนบนสุดของสารตัวอย่างในหลอดที่มีเม็ดเลือดแดงที่ตกตะกอนแล้ว โดยดูจากขีดบอกระดับที่ผนังด้านหลัง ตรวจสอบให้แน่ใจว่าไม่มีชั้นเม็ดเลือดขาวที่อยู่ระหว่างรอยต่อชั้นพลาสมา
กับชั้นเม็ดเลือดแดง (Buffy Coat) ในสารตัวอย่าง จดบันทึกค่าตัวเลขที่วัดได้

))การทิ้ง
1.

ต้องศึกษาและปฏิบัติตามแนวทางปฏิบัติดา้ นสุขอนามัยทั่วไปและข้อกําหนดของกฎหมายสําหรับการทิ้งวัสดุติดเชื้ออย่างถูกต้อง

2.

การสวมถุงมือแบบใช้ครั้งเดียวจะช่วยป้องกันความเสี่ยงในการติดเชื้อ

3.

ต้องทิ้งหลอดตกตะกอนของ SARSTEDT ที่มีการปนเปื้อนหรือใส่เลือดแล้วลงในภาชนะสําหรับทิ้งสารชีวภาพอันตรายที่เหมาะสมซึ่งสามารถนําไปอบฆ่าเชื้อและเผาทําลายในภายหลังได้

4.

ทิ้งวัสดุสิ้นเปลืองที่อาจมีการปนเปื้อนตามแนวทางปฏิบัติและระเบียบข้อบังคับของสถานพยาบาล

175

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มาตรฐานและระเบียบข้อบังคับเฉพาะสําหรับผลิตภัณฑ์ที่ใช้CLSI** H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
Thomas, L.: Labor und Diagnose (ห้องปฏิบัติการและการตรวจวินิจฉัย) เอกสารฉบับดิจิทัลของห้องปฏิบัติการและการตรวจวินิจฉัย 2020; บทที่ 19.3.2 ปฏิกิริยาการตกตะกอนของเม็ดเลือดแดง (Blutkörperchensenkungs-Reaktion หรือ BSR)
(www.labor-und-diagnose-2020.de/k19.html#_idTextAnchor8638)
ICSH recommendations for measurement of erythrocyte sedimentation rate. J. Clin. Pathol. 1993 46:198-203**CLSI (Clinical and Laboratory Standards Institute)สัญลักษณ์และรหัสระบุ:รหัสสินค้า

หมายเลขรุ่นที่ผลิต

ใช้ได้จนถึง

สัญลักษณ์ CEการตรวจวินิจฉัยในหลอดทดลอง

กรุณาดูคําแนะนําในการใช้งาน

ในกรณีการนํากลับมาใช้ซ้ํา: อันตรายจากการปนเปื้อน

เก็บให้พ้นแสงแดด

เก็บไว้ในที่แห้ง

ผู้ผลิต

ประเทศที่ผลิต

สงวนสิทธิ์ในการดัดแปลงทางเทคนิค
หากพบอุบัติการณ์ร้ายแรงใดๆที่เกี่ยวข้องกับผลิตภัณฑ์ จะต้องแจ้งให้ผู้ผลิตและผู้มีหน้าที่กํากับดูแลผลิตภัณฑ์ในประเทศของท่านทราบ

176

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X\DUODQPêĒWêU%XQODUąO×HNOLDUNDSDQROXYHąO×HNOLDUNDSDQRVX]RODUDNWHPLQHGLOHELOLUYHKHUELULąO×ĞPQRNWDVêVDåODU3ODVWLN6$567('7VHGLPDQWDV\RQSLSHWOHULąO×HNOLYHąO×HNVL]ĒHNLOGHDNVHVXDURODUDNNXOODQêOêU$UNDSDQRVX]6$567('7VHGLPDQWDV\RQVWDQGêL×LQ60RQRYHWWH®(65\DGDYLGDOêNDSDNOêWĞS(65ąO×HNOL6$567('7VHGLPDQWDV\RQSLSHWL\OHNRPELQDV\RQKDOLQGHX\JXQGXUO×HNOLDUNDSDQROX6$567('7
VHGLPDQWDV\RQVWDQWODUêWDVDUêPDJąUH66HGLYHWWH®YHDĒDåêGDNLNRPELQDV\RQODX\XPOXGXU60RQRYHWWH®(65\DGD2LĒDUHWOLVHGLPDQWDV\RQSLSHWOLYLGDOêNDSDNOêWĞS(65Ŗ\H ąO×HNVL] \DGDVHGLPDQWDV\RQNDSLOHUL\OH
Microvette® CB 200 ESR’ye.

¶UĞQĞQNêVDD×êNODPDVêSEDIPLUS®

0

0

0

0

0

0

0

0

0

0

10

10

10

10

10

10

10

10

10

10

20

20

20

20

20

20

20

20

20

20

30

30

30

30

30

30

30

30

30

30

40

40

40

40

40

40

40

40

40

40

50

50

50

50

50

50

50

50

50

50

60

60

60

60

60

60

60

60

60

60

70

70

70

70

70

70

70

70

70

80

80

80

80

80

80

80

80

80

90

90

90

90

90

90

90

90

90

90

100

100

100

100

100

100

100

100

100

100

110

110

110

110

110

110

110

110

110

110

SEDIPLUS®

BSG / ESR / VS-WESTERGREN

7080

BSG / ESR / VS-WESTERGREN

0

10

20

30

40

50

60

70

80

90

100

110

Tipi

¶UĞQ1R

¶UĞQDGê«XQXQODNXOODQêPL×LQGLU

90.1090'HUHFHOL6$567('7(65VWDQGê

S-Sedivette® ile uyumlu

90.1060

O×HNOLDUNDSDQROX6$567('7(65VWDQGê

S-Monovette®(65\DGDYLGDOêNDSDNOêWĞS(652LĒDUHWOLVHGLPDQWDV\RQSLSHWL\OHNRPELQDV\RQKDOLQGHX\JXQGXU (YDU\DQWê90.1060.062$UNDSDQRVX]6$567('7(65VWDQGê

S-Monovette®(65\DGDYLGDOêNDSDNOêWĞS(65EDVNêOêąO×HNOLVHGLPDQWDV\RQSLSHWL\OHNRPELQDV\RQKDOLQGHX\JXQGXU )YDU\DQWê90.1091

Microvette®&%(65Ŗ\H\ąQHOLN6$567('7(65VWDQWODUê

Sedimantasyon tüplü Microvette® CB 200 ESR ile uyumlu

86.19962LĒDUHWOL6$567('7VHGLPDQWDV\RQSLSHWOHULO×HNOLDUNDSDQROX6$567('7(65VWDQGêLOHX\XPOX %YDU\DQWê86.1996.062%DVNêOêąO×HNOL6$567('7VHGLPDQWDV\RQSLSHWOHUL$UNDSDQRVX]6$567('7(65VWDQGêLOHX\XPOX &YDU\DQWê*ĞYHQOLNYHX\DUêELOJLOHUL
1.

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2.

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3.

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*UHVVQHUHWDO/H[LNRQGHU0HGL]LQLVFKHQ/DERUDWRULXPVGLDJQRVWLN1DFKVFKODJHZHUN%DVNê6SULQJHU,6%1+5HIHUDQVGHåHUOHULUHIHUDQVGHåHUOHUL×LQWDYVL\HOHUHX\JXQRODUDN\HUHOGĞ]H\GHD\DUODQPDOêGêU<DĒODELUOLNWH(65ŖGHNLSURJUHVLIDUWêĒVHEHEL\OHHUNHNOHUGHYHNDGêQODUGD\HWLĒNLQ\DĒDPêQêQKHURQ\êOêL×LQD\UêGHåHUOHUEHOLUOHQPHOLGLU'LåHUELU×RNGHåLĒNHQ(65Ŗ\LHWNLOHUYHEXQHGHQOHąUQHåLQKHPRJORELQVHYL\HOHULLOD×ODUPHQVWUĞHOGąQJĞKDPLOHOLNYHVLJDUDNXOODQêPêUHIHUDQVGHåHUOHULHWNLOH\HELOLUŗ:HVWHUJUHQ(65\ąQWHPLQH\ąQHOLNUHIHUDQVGHåHUOHULŘWDEORVX(65Ŗ\H\ąQHOLN\HUHOUHIHUDQVGHåHUOHULQWHVSLWHGLOPHVLQH\ąQHOLNNêODYX]RODUDNNXOODQêODELOHFHNUHIHUDQVGHåHUOHUOLVWHOHQPHNWHGLU

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3.4

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< 7,8

< 11,041 – 50

4.6

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5.6

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5.6

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**CLSI H2-A5 2011: Procedures for Erythrocyte Sedimentation Rate Test.
***Bruhn et al; Lehrbuch der Labormedizin; Schattauer, 1999; ISBN 3-7945-1856-X

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1.

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2.

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4.

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5.

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6.

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7.

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8.

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2.

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3.

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4.

Çalar saat ya da kronometre.

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A: 6$567('7(65VWDQWODUêQêQNXOODQêPê¶UĞQ1R
B: 6$567('7(65VWDQWODUêQêQNXOODQêPê¶UĞQ1R6$567('7VHGLPDQWDV\RQSLSHWOHUL\OHNXOODQêPê¶UĞQ1R
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D: 6$567('7(65VWDQWODUêQêQNXOODQêPê¶UĞQ1R

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1.

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2.

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3.

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4.

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).

1.

Örnekleri dikkatlice alt üst edin (Resim

2.

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3.

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4.

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5.

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6.

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7.

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Örnekleri dikkatlice alt üst edin (Resim

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㫻ⷐ埘㰡῔⸎ᶥ傕㌪旼⫰⛀曶䀦䕟⾿☀⬰䕖䕝ǃ☀⬰∷傕昴䠥␤『⾿偗䖼Ǆ$-4*)"1SPDFEVSFTGPS&SZUISPDZUF4FEJNFOUBUJPO3BUF5FTU#SVIOFUBM-FISCVDIEFS-BCPSNFEJ[JO4DIBUUBVFS *4#/9旨⇎ ⸬⛀⬼㷁ᶣή⫰埘㟏Ǆ⸬⛀慟埘⎦䘜᷂⮧㖎ℝ彳埤埘㰡㳣⬲Ǆ㟏⑙⎇ṽ⛀ⅈ䭉 d$ ℝή⫰㚌攗㖎斌ʸ㚘攗⮧㖎ʹǄ⛀἗䓀⇥㟏㛄⽝栓伆Ḧ⬼㷁ᶣǄ ⛀㳣⬲为乞偶㰡日䌟⇥ʼ⽝栓⮧⽛㏟㗛埘㵊㟏㛄἗ℎ⛟峀⊮Ǆ 夙㯚⛀̖d$䘜䍇⠛㷁⸾ᶣ彳埤㳣⬲ʼᶬ㳣⬲㖎⽝栓旊㫺㋇≀ǃ䨗➚桦␤旋⃡䚌⮜ʼㆮ依㊡䃿⚕⭎␤⬶樤⬼奜⬲䘜㞟⅞彳埤Ǆ 㳣⬲⌷䎞ᶦ$-4*)"ᶘ册Ǆ 㳣⬲䱖⸾᷒⬶㳣ụ䦓䘜 NNǄ ⎇ṽ䓀ᷱ感⺚ᶱ感䰓㴠㭪⇚⮑4"345&%5埘㰡㝎彳埤㶝㲙Ǆ 䘜㶏⎠㭬ἣẲ䚌㌽⼉⑥↞㜨乫㜴ʼ⽝栓怍⬠Ǆ ⎂㚡⛀⇓⸾㜗㰹㚡⍰⻺ᶬ⇓⸾㶝㘈⎇彀䘜そ⅍ᶣʼ㇥⎇ṽ἗䓀孽埘㰡㝎Ǆ

185

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⺘⥣㳣⬲埘㰡ᷣ⇥ʼ宏Ṭ乞⸎⬤㔌斝宓㛄㔟Ǆ㳣⬲埘㰡㇘暘⵽Ỵ㛨㔱 ⠃⃝㚡埘㟏䘜慟埘䬹ʸ44FEJWFUUF煂ǃ4.POPWFUUF煂埘㰡䬹ǃ坒㕣䙮埘㰡䬹ㆮ.JDSPWFUUF煂$#埘㰡䬹ʹ Ǆ ᶦ慟埘䬹⋑惥䘜4"345&%5埘㰡㝎ṽ⍢⋑惥䘜4"345&%5埘㰡䦓㵊䬹ʸ⤚㚡⽝夙ʹǄ ㇣⣯ǃ⵽Ỵ㚥ǃ㈼䚆擴ṽ⍢ℎṮ⎠徚䘜旊㈼㚥ʼ栜旊㟏㛄㛨㔱Ẹ㑅䕝⌷ừㆮ㻴⛀Ẹ㝫⾿䕖䕝Ὅ⭋Ǆ 斑搷ㆮ䥪堀Ǆ搠⮑埘㵊慟晞␤㟏⑙彨弫ʼ宏怍⬠⎜㟏⑙䬹ʸ44FEJWFUUF煂ǃ4.POPWFUUF煂埘㰡䬹ǃ坒㕣䙮埘㰡䬹ㆮ.JDSPWFUUF煂$#埘㰡䬹ʹ䘜἗䓀完㖦 Ǆㇿ埤埘㰡㳣⬲
ᶘ凄㍨䣒ᶣ曺⮑ᶥ⎤奜㟔䘜4"345&%5埘㰡㝎␤4"345&%5埘㰡䦓㵊䬹彳埤完㖦ˊ" 4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊ
# 4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊⶾ4"345&%5埘㰡䦓㵊䬹ʼⓞ⑙亮⎏ˊ$ 埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊⶾ4"345&%5埘㰡䦓㵊䬹ʼⓞ⑙亮⎏ˊ
% 4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊ

"ˊ4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊ
4"345&%5埘㰡㝎ʸⓞ⑙亮⎏ˊʹṝ徚䓀Ḧ44FEJWFUUF煂ʸⓞ⑙亮⎏ˊYYYʹǄ 宏ᾪ伆⮧⽛㗛≀㟏⑙ʸ⚖ʹǄ 4"345&%5埘㰡㝎⽝栓㓖伆⛀㯌⸋⎈曺ᶢǄ㳣慧㖎ʼ⮞⠃⃝㚡埘㟏䘜44FEJWFUUF煂✚䚌㓖⇈4"345&%5埘㰡㝎᷅Ǆ
⽝栓䓀㹲剉坒ᶵʸ䭅⣌ʹ㛽宛刚⎜㟏⑙䘜暎䁑ʸ⚖ ʹǄ 孖伆斑搷ㆮ䥪堀䘜㳣慧㖎斌ʼ䃎⎦㳣慧⺘⥣Ǆ⎇御㊁↞搷ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹㆮ⮧㖎ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹǄ ⬲㖎乫㛷⎦䘜 ↞搷ʼ⛀⇓⸾偤㜗ᶢ宓⍮埘㳞⻇㚠曺⸭悀冋㰡日为乞偶㞉栎悀斌䘜嵵䥓ʸ⋭ụˊ㮃䰋ʹǄ䠆嬼为乞偶㞉᷅㰹㚡㡭湜⯚ʸ#V犓Z$PBUʹǄ孈⻭ᶣ孽㔈῔Ǆ

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186

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#ˊ4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊⶾ4"345&%5櫧㮧埘㰡䬹ʼⓞ⑙亮⎏ˊ
4"345&%5埘㰡㝎ʸⓞ⑙亮⎏ˊʹṝ徚䓀Ḧ4.POPWFUUF煂埘㰡䬹ʸⓞ⑙亮⎏ˊYYYʹㆮ坒㕣䙮埘㰡䬹ʸⓞ⑙亮⎏ˊYYYʹ乫⎠4"345&%5埘㰡䦓㵊䬹ʼⓞ⑙亮⎏ˊʹǄʹǄ宏ᾪ伆⮧⽛㗛≀㟏⑙ʸ⚖徲彟從㖎搠弄≀坒㕣䙮ʼ㇫⺘4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹ʸ⚖⮞櫧㮧埘㰡䬹㍪⃽4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹᷅Ǆ⮧⽛⛈⎩ᶣ⌣埘㰡䦓㵊䬹Ǆ埘㰡䦓㵊䬹㫼㖎Ẳ⠃⃝埘㵊Ǆ⮞埘㰡䦓㵊䬹䘜㳓⟶⣯栒㖎搠㉿⇈4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹ᶢʸ⚖ ʹǄ

ʹǄ

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

⻫↲⤕⇈彖⠃⃝⇓⸾㖎ʼ㕣䲿埘㰡䦓㵊䬹ʸ⚖㳣慧㖎ʼ⮞4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹ᶦ㕣䲿䘜埘㰡䦓㵊䬹✚䚌㓖伆⇈ⶾ⇓⸾偤㜗䘜4"345&%5埘㰡㝎ᶢǄ
4"345&%5埘㰡㝎⽝栓㓖伆⛀㯌⸋⎈曺ᶢǄ㡘㝽⎜㟏⑙䘜暎䁑Ǆ⤚㚡⽝夙ʼ徲彟弄≀櫧㮧埘㰡䬹䘜㳓⟶⣯彳埤宛刚ʸ⚖孖伆斑搷ㆮ䥪堀䘜㳣慧㖎斌ʼ䃎⎦㳣慧⺘⥣Ǆ
⎇御㊁↞搷ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹㆮ⮧㖎ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹǄ⬲㖎乫㛷⎦䘜 ↞搷ʼ⛀⇓⸾偤㜗ᶢ宓⍮埘㳞⻇㚠曺⸭悀冋㰡日为乞偶㞉栎悀斌䘜嵵䥓ʸ⋭ụˊ㮃䰋ʹǄ䠆嬼为乞偶㞉᷅㰹㚡㡭湜⯚ʸ#V犓Z$PBUʹǄ孈⻭ᶣ孽㔈῔ǄO

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187

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$ˊ4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊⶾ4"345&%5埘㰡䦓㵊䬹ʼⓞ⑙亮⎏ˊ
4"345&%5埘㰡㝎ʸⓞ⑙亮⎏ˊʹṝ徚䓀Ḧ4.POPWFUUF煂埘㰡䬹ʸⓞ⑙亮⎏ˊYYYʹㆮ坒㕣䙮埘㰡䬹ʸⓞ⑙亮⎏ˊYYYʹ乫⎠4"345&%5埘㰡䦓㵊䬹ʼⓞ⑙亮⎏ˊʹǄʹǄ宏ᾪ伆⮧⽛㗛≀㟏⑙ʸ⚖徲彟從㖎搠弄≀坒㕣䙮ʼ㇫⺘4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹ʸ⚖⮞櫧㮧埘㰡䬹㍪⃽4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹᷅Ǆ⮧⽛⛈⎩ᶣ⌣埘㰡䦓㵊䬹Ǆ埘㰡䦓㵊䬹㫼㖎Ẳ⠃⃝埘㵊Ǆ⮞埘㰡䦓㵊䬹䘜㳓⟶⣯栒㖎搠㉿⇈4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹ᶢʸ⚖ ʹǄ

ʹǄ

ʹǄ



⻫↲⤕⇈彖⠃⃝㞟孈㖎ʼ㕣䲿埘㰡䦓㵊䬹ʸ⚖㳣慧㖎ʼ⮞4.POPWFUUF煂埘㰡䬹坒㕣䙮埘㰡䬹ᶦ㕣䲿䘜埘㰡䦓㵊䬹✚䚌㓖伆⇈ᶥⶾ⇓⸾偤㜗䘜4"345&%5埘㰡㝎ᶢǄ
4"345&%5埘㰡㝎⽝栓㓖伆⛀㯌⸋⎈曺ᶢǄ㡘㝽⎜㟏⑙䘜暎䁑Ǆ⤚㚡⽝夙ʼ徲彟弄≀埘㰡䦓㵊䬹䘜㳓⟶⣯彳埤宛刚ʸ⚖孖伆斑搷ㆮ䥪堀䘜㳣慧㖎斌ʼ䃎⎦㳣慧⺘⥣Ǆ
⎇御㊁↞搷ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹㆮ⮧㖎ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹǄ⬲㖎乫㛷⎦䘜 ↞搷ʼ⛀⌈㚡⇓⸾䘜埘㰡䦓㵊䬹ᶢ宓⍮埘㳞⻇㚠曺⸭悀冋㰡日为乞偶㞉栎悀斌䘜嵵䥓ʸ⋭ụˊ㮃䰋ʹǄ䠆嬼为乞偶㞉᷅㰹㚡㡭湜⯚ʸ#V犓Z$PBUʹǄ孈⻭ᶣ孽㔈῔Ǆ

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188

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%ˊ4"345&%5埘㰡㝎䘜ḿ⑙䓀徬ʼⓞ⑙亮⎏ˊ
埘㰡㝎ʸⓞ⑙亮⎏ˊʹṝ徚䓀Ḧ.JDSPWFUUF煂$#埘㰡䬹ʸⓞ⑙亮⎏ˊYYYʹǄ 宏ᾪ伆⮧⽛㗛≀㟏⑙ʸ⚖ʹǄ ⮞⌣⃽⺧⟶⫨⎩ᶢ㉬→ʼ㇫⺘.JDSPWFUUF煂$#埘㰡䬹Ǆ⮞埘㰡㭳乞䬹㍪⃽.JDSPWFUUF煂$#埘㰡䬹᷅Ǆ⮧⽛⛈⎩ᶣ⌣埘㰡㭳乞䬹Ǆ埘㰡㭳乞䬹㫼㖎Ẳ⠃⃝埘㵊ʸ⚖ ʹǄ
 4"345&%5埘㰡㝎⽝栓㓖伆⛀㯌⸋⎈曺ᶢǄ㳣慧㖎ʼ⮞ⶾ埘㰡㭳乞䬹䘜.JDSPWFUUF煂$#埘㰡䬹ʸⶊ⠃⃝埘㟏ʹ✚䚌㓖伆⇈4"345&%5埘㰡㝎ᶢǄ
⽝栓䓀㹲剉坒ᶵʸ䭅⣌ʹ⅞䠆宛刚⎜㟏⑙䘜暎䁑ʸ⚖ ʹǄ 孖伆斑搷ㆮ䥪堀䘜㳣慧㖎斌ʼ䃎⎦㳣慧⺘⥣Ǆ⎇御㊁↞搷ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹㆮ⮧㖎ʸ㳣慧῔ʹ␤⮧㖎ʸ㳣慧῔ʹǄ ⬲㖎乫㛷⎦䘜 ↞搷ʼ⛀⇓⸾偤㜗ᶢ宓⍮埘㳞⻇㚠曺⸭悀冋㰡日为乞偶㞉栎悀斌䘜嵵䥓ʸ⋭ụˊ㮃䰋ʹǄ䠆嬼为乞偶㞉᷅㰹㚡㡭湜⯚ʸ#V犓Z$PBUʹǄ孈⻭ᶣ孽㔈῔Ǆ⸷⺛⢜伆 ⸬∹⽝怍⬠ᶘ凄⌃䒷⅞↱ṽ⍢㊡奜⬲⸷⺛⢜䎞シ㝫⾿㛨㔱䘜㱭⼣奜䩸Ǆ ᶘ㪹⾿㇣⣯⎇怗⃥シ㝫桦昁Ǆ 㯹㝫ㆮⶊ⠃⃝䘜4"345&%5埘㰡䦓㵊䬹⽝栓ᶺ⺛⛀⎠徚䘜䒷䈁⌉昁䈁峀⢜䎞⭑☀᷅ʼ䃎⎦⎇彳埤橰⌣䀅卤␤䂲䁿Ǆ ⎇傕⍯⇈㯹㝫䘜侯㛨㊡䃿孖㕕㊟Ṽ␤㊟⋯⢜䎞Ǆ

189

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ḿ⑙䈑⬲㞟⅞␤㊟Ṽ䘜㚡㓠䇠㛄$-4* )"1SPDFEVSFTGPS&SZUISPDZUF4FEJNFOUBUJPO3BUF5FTU
5IPNBT -ˊ⬶樤⬼ᶦ孢㕅Ǆ㔈⫯䇠⬶樤⬼ᶦ孢㕅ˋ䫄䩸为乞偶㰡日⍥⸬ #43  XXXMBCPSVOEEJBHOPTFEFLIUNM@JE5FYU"ODIPS*$4)SFDPNNFOEBUJPOTGPSNFBTVSFNFOUPGFSZUISPDZUFTFEJNFOUBUJPOSBUF+$MJO1BUIPM
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⃙子἗䓀㚷旨

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慥⢥἗䓀㖎ˊ㯹㝫桦昁怗⃥旋⃡䚌⮜⫰㓖⛀⸊䅽⢜

䒷ḿ⌚⭎⇎徸⚕⭎⍚㔈ᾆ㓑 ⿭ᶥ⍾埤徲䝽 匦㕇䈑℄⎐㉽㚡㚘习奻慢㛛㇘㚡ᶦḿ⑙㚡ℋ䘜ᶽ慥ḣẎʼ⸬⍢㖎徲䝽⇎徸ⓞ⍢䚐⸬ᷓ䬹悀斀Ǆ

190