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      • CSA Z23500-1:20

      Codes & Standards - Purchase

      CSA Z23500-1:20

      Preparation and quality management of fluids for haemodialysis and related therapies — Part 1: General requirements (Adopted ISO 23500-1: 2019, first edition, 2019-02, with Canadian deviations)

      SKU: 2427783 Published by CSA Group Publication Year 2020 120 pages

      Product Details

      • Preface/Scope
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      CSA Preface


      This is the first edition of CSA Z23500-1, Preparation and quality management of fluids for haemodialysis and related therapies — Part 1: General requirements, which is an adoption, with Canadian deviations, of the identically titled ISO (International Organization for Standardization) Standard 23500-1 (first edition, 2019-02). It replaces CAN/CSA-Z23500:16 (adopted ISO 23500:2014), Guidance for the preparation and quality management of fluids for haemodialysis and related therapies.


      This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group.


      Scope


      1.1 General


      This document is the base standard for a number of other standards dealing with water treatment equipment, water, dialysis water, concentrates, and dialysis fluid (ISO 23500 series) and provides dialysis practitioners with guidance on the preparation of dialysis fluid for haemodialysis and related therapies and substitution fluid for use in online therapies, such as haemodiafiltration and haemofiltration. As such, this document functions as a recommended practice.


      This document does not address clinical issues that might be associated with inappropriate usage of the water, dialysis water, concentrates, or dialysis fluid. Healthcare professionals involved in the provision of treatment for kidney failure should make the final decision regarding the applications with which these fluids are used, for example, haemodialysis, haemodiafiltration, high-flux haemodialysis, and the reprocessing of dialysers, and need to be aware of the issues that the use of inappropriate fluid quality raises in each of the therapies.


      The concepts incorporated in this document should not be considered inflexible or static. The recommendations presented here should be reviewed periodically in order to assimilate increased understanding of the role of dialysis fluid purity in patient outcomes and technological developments.


      1.2 Inclusions


      This document addresses the user's responsibility for dialysis fluid once the equipment used in its preparation has been delivered and installed.


      For the purposes of this document, dialysis fluid includes:


      a) dialysis water (see 3.17 for definition) used for the preparation of dialysis fluid and substitution fluid


      b) dialysis water used for the preparation of concentrates at the user's facility


      c) concentrates


      d) the final dialysis fluid and substitution fluid.


      The scope of this document includes


      a) the quality management of equipment used to treat and distribute water used for the preparation of dialysis fluid and substitution fluid, from the point at which municipal water enters the dialysis facility to the point at which the final dialysis fluid enters the dialyser or the point at which substitution fluid is infused


      b) equipment used to prepare concentrate from powder or other highly concentrated media at a dialysis facility, and


      c) preparation of the final dialysis fluid or substitution fluid from dialysis water and concentrates.


      NOTE Because water used to prepare dialysis fluid can also be used to reprocess dialysers not marked intended for single use, this aspect of water use is also covered by this document.


      1.3 Exclusions


      This document does not apply to sorbent-based dialysis fluid regeneration systems that regenerate and recirculate small volumes of dialysis fluid, systems for continuous renal replacement therapy that use pre-packaged solutions, and systems and solutions for peritoneal dialysis.

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      CAN/CSA-Z23500:16

      Guidance for the preparation and quality management of fluids for haemodialysis and related therapies (Adopted ISO 23500:2014, second edition, 2014-04-101, with Canadian deviations)

      Withdrawn
      EnglishFrench

      CAN/CSA-Z23500:12

      CAN/CSA-Z23500:12 - Guidance for the preparation and quality management of fluids for haemodialysis and related therapies (Adopted ISO 23500:2011, first edition, 2011-05-15, with Canadian deviations)

      Withdrawn
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      Select the subscription format that is right for you. Table with 13 rows and 3 columns, identifies features available and not available for the two different subscription formats - CSA Advantage TM and CSA OnDemand TM
      Features CSA AdvantageTM CSA OnDemandTM
      Offline access CSA AdvantageTM. feature available. Offline access CSA OnDemandTM. feature available. Offline access
      Full-text search CSA AdvantageTM. feature available. Full-text search CSA OnDemandTM. feature available. Full-text search
      Create highlights and personal notes CSA AdvantageTM. feature available. Create highlights and personal notes CSA OnDemandTM. feature available. Create highlights and personal notes
      Newest editions added automatically CSA AdvantageTM. feature available. Newest editions added automatically CSA OnDemandTM. feature available. Newest editions added automatically
      Includes all supported languages and archive versions CSA AdvantageTM. feature not available. Includes all supported languages and archive versions CSA OnDemandTM. feature available. Includes all supported languages and archive versions
      My Files - create customized files by adding multiple clauses, tables or figures from the standard into your own personal File for quick reference CSA AdvantageTM. feature available. My Files - create customized files by adding multiple clauses, tables or figures from the standard into your own personal File for quick reference CSA OnDemandTM. feature not available. My Files - create customized files by adding multiple clauses, tables or figures from the standard into your own personal File for quick reference
      Toggle between your files and the full standard to maintain context CSA AdvantageTM. feature available. Toggle between your files and the full standard to maintain context CSA OnDemandTM. feature not available. Toggle between your files and the full standard to maintain context
      Instantly preview cross referenced material within the book CSA AdvantageTM. feature available. Instantly preview cross referenced material within the book CSA OnDemandTM. feature not available. Instantly preview cross referenced material within the book
      Export personal notes to Excel CSA AdvantageTM. feature available. Export personal notes to Excel CSA OnDemandTM. feature not available. Export personal notes to Excel
      Transfer notes and highlights when updates are available CSA AdvantageTM. feature available. Transfer notes and highlights when updates are available CSA OnDemandTM. feature not available. Transfer notes and highlights when updates are available
      Adobe Reader PDF and browser compatible for iOS and Android CSA AdvantageTM. feature not available. Adobe Reader PDF and browser compatible for iOS and Android CSA OnDemandTM. feature available. Adobe Reader PDF and browser compatible for iOS and Android
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