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Post by essexmj on Aug 8, 2023 17:55:53 GMT
G'day;
I was wondering if anyone knows of any small dialysis units that opted to use small portable RO's at each station rather than getting a central water system?
The central systems seem to be getting much larger and much more expensive which got me to thinking that using a small central pretreatment setup and feeding that to the unit in place of the product loop would be much cheaper and easier to setup. A little more monthly sampling, but the maintenance could be done midweek and if one went down, you lose a station, not the whole unit.
Thanks! James
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Post by Chuck Weddle on Aug 8, 2023 18:11:23 GMT
We've done something similar in our hospital programs in an emergency. I think you may be underestimating the cost of WRO's though. The last ones we purchased 3 years ago cost about $9000 each for WRO300's (chemically disinfected). I suggest looking into a MRO from Ameriwater. The MRO2 we bought (also 3 years ago) was $12,700 including shipping. This RO runs 5 machines. The MRO's have a footprint of about 24" square.
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Post by dave74 on Aug 8, 2023 19:18:49 GMT
AAMI considers any water system that supplies three or more points of use to be a central system. If I am reading your post correctly, your pretreatment setup would have to meet the same regulations as any central system regarding such things as EBCT for the carbon tanks, etc.
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Post by SrCusEngr on Aug 9, 2023 17:05:07 GMT
DaVita has started buying Marcor/Evoqua HX machines on their own carts for many of their smaller facilities.
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Post by kendec65 on Aug 10, 2023 10:40:28 GMT
I take care of 12 hospital acute units and 11 of them are 4 stations only.
We are currently switching over to all EON machines with Rover carts for everything water and the B Braun dialysis machines.
We do keep a spare, and it's very easy to swap in and out if we have a down machine, one needs maintenance or we have to go to the open heart or icu. The nurses do the heat disinfecting on them and once a month I pop in and do what I need to do.
Pro's and con's to each, but works great for us.
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