Gii php xt nghim huyt thanh cho cc

PXN c rt nh v cc h thng phn tch

nc tiu ca Roche
BS. Nguyn Quang
Hiu
Marketing Manager, PD
Roche Diagnostics Vit
Nam

Chng trnh

1. Tng quan v Roche Diagnostics

2. Cobas c 111 My xt nghim nh gn phn tch
cc XN thit yu
3. Gii php xt nghim nc tiu ca Roche
4. Kt lun

Tp on Roche
Roche Diagnostics Cng ty chn on dn u th gii
Dc phm

Roche
Pharma

Chn on IVD

Genentech Chugai

Roche
Roche
Roche
Roche
Roche
Applied Molecular Professional Tissue
Diabetes
Science DiagnosticsDiagnosticsDiagnostics
Care

Hot ng trn hn 150 quc gia

Roche Professional Diagnostics

p ng ton din cc nhu cu chn on
Chn on IVD
Chuyn vin y t

Bnh nhn
Patients

PXN trung
Phng xt nghimtm

ICU
Cp cu
Bnh vin

BN ngoi tr
BN t xt
nghim

Roche Professional Diagnostics

Ha sinh lm sng
Min dch
Xt nghim nhanh ti ch

Roche Diagnostics
Cng khch hng gii quyt cc thch thc ca
PXN

Chnh xc

Tun th
Cht
lng

Hiu nng

Hiu qu
Tc

Nng sut
Tinh thn

Li nhun
Tc

Khng gian
Chi ph
Gi tr
5

Roche Diagnostics
Gii php cn bng cc yu t c bn: cht lng,
tc , chi ph
Cht
lng

Tc

Chi ph

Chng trnh

1. Tng quan v Roche Diagnostics

2. cobas c 111 My xt nghim nh gn phn tch
cc XN thit yu
3. Gii php xt nghim nc tiu ca Roche
4. Kt lun

cobas c 111

Gii php nh gn phn tch cc xt

nghim thit yu

Cc gii php xt nghim huyt thanh ca Roche...

Ln

(>500 mu/ngy)
cobas 8000

Trung bnh

(200-500 mu/ngy)
cobas 6000

Nh

(50-200 mu/ngy)

Rt nh

cobas 4000

(<50 mu/ngy)
cobas c 111

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu

PXN dung lng mu

thp, khong 10 - 50
mu mt ngy, ti a
80 mu/ngy

Hon ton t ng, truy

cp ngu nhin, lin
tc,

Phn tch cc thng s

sinh ha, min dch
ng nht v in gii

Cc xt nghim chuyn
bit: HbA1c mu ton
phn, D-Dimer, CRP
HS

Sn xut ti Thy S bi
Roche Diagnostics

Thit k mnh m gip ti a

ha thi gian s dng

Trn
Ra
ISE

Thuc
th
Mu
th

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
Thit k mnh m gip ti a
ha thi gian s dng

in cc

ng
dy

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
Thit k mnh m gip ti a
ha thi gian s dng

B phn x l mu v thuc
th

Cm
ng
cht
lng

Ht bnh phm
Ht thuc th
Trn mu v thuc th
Ht mu o in gii

Pht
hin
mc
cht
lng

Pht
hin
y ng

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
Pht
hin
y ng

Thit k my mnh m gip

ti a ha thi gian s dng

n
LED
vng
mu
D liu chun nh v
KTCL theo l
Chng trnh xt
nghim

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
H thng o quang
Kt qu ng nht vi cc h thng cobas ln
12 bc sng o quang cho cc xt nghim thng quy
chnh xc

Vi cng dng 1 ln gip kt qu tin cy v

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
H thng ht mu th, thuc th
Kt qu ng nht vi cc h thng cobas ln
Xi lanh nh liu sn m bo ht chnh xc th tch mu v dung
dch h thng

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
a thuc th 27 v tr, phn tch ti 14
xt nghim cng lc
a thuc th c lm mt v c th thay
i gip s dng thuc linh ng v hiu
qu

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
H thng thuc th
Kt qu thng nht vi cc h thng cobas ln (thuc th chung cng
thc)

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu

Kt qu ng nht vi
cc h thng cobas
ln

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
Kt qu ng nht
vi cc h thng
cobas ln

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu

Kt qu thng nht
vi cc h thng
cobas ln

cobas c 111
Gii php nh gn phn tch cc xt nghim thit yu
Giao din s dng

1. Giao din trc quan cho nhiu quyn v tc v khc

nhau
2. Bo dng theo hng dn phn mm, gim thiu sa
cha
3. Np/Rt ng/cc mu lin tc
4. Kt ni vi H thng qun l thng tin phng xt
nghim (LIS)

cobas c 111
Danh mc xt nghim
60-85 xt nghim o quang/gi
Danh mc cc xt nghim thit yu
Cc xt nghim c bit khc HbA1c
mu ton phn, CRP hs, D-Dimer

cobas c 111

Gii php nh gn phn tch cc xt

nghim thit yu

22

cobas c 111

Gii php nh gn phn tch cc xt

nghim thit yu
V sao cobas c 111 l gii php t ng hng u cho
cc phng xt nghim c rt nh?
cobas c 111...

Mnh m
Ton din

The cobas c 111 analyzer is...

Tin cy
Thun tin
Nh gn

Chng trnh

1. Tng quan v Roche Diagnostics

2. Cobas c 111 My xt nghim nh gn phn tch
cc XN thit yu
3. Gii php xt nghim nc tiu ca Roche
4. Kt lun

24

Yu t nh hng lm kt qu sai lch

Nguyn nhn c th gy nhim
Ngun gc bn ngoi

Ngun gc bn trong

Sai st trong giai on tin phn

tch: VD: mu nc tiu km cht
lng

Mt vi dc phm (hoc cht

chuyn ha ca chng) hin
din trong nc tiu khin kt
qu thay i.

Sai st trong thc hin phn tch:

VD: hiu sai kt qu

Nhng bnh l khc c th lm

hiu sai kt qu.

Nhim bi cht bo qun hoc

cht ty ra

Vitamin C (acid ascorbic)mt cht bo qun c s dng

rng ri trong thc phm, thc
ung c th gy nn kt qu m
tnh gi i vi thng s Mu v
ng, dn ti chn on st
bnh.

Yu t nh hng lm kt qu sai lch

Acid Ascorbic (Vitamin C)

Vitamin C c trong nhiu thc phm
Acid ascorbic (Vitamin C) c bit l nh
hng ti qu trnh phn ng ha hc
trong phn tch nc tiu. iu ny dn ti
kt qu m tnh gi v chn on st
bnh.
Hu nh mi thc phm, thc ung u c
Vitamin C! N c thm vo lm cht bo
qun nn khng ai bit lng Vitamin C
thc s hp thu vo l bao nhiu.

m
Vita

in

hin
n

Ct
C th
n
i
m
Vita

Nu bn tiu th lng acid ascorbic c

trong 2 ly nc cam (250 mg/l), kt qu
phn tch nc tiu ca bn b nh hng
rt nhiu bi Acid ascorbic!
Acid ascorbic hin din trong khong

20% cc mu nc tiu ca bnh

nhn.

Flour

Roche Combur 10 Test

Que th nc tiu khng b nh hng bi acid

Ascorbic
10

r
bu

m
Co t
he Tes
c
Ro

Spec.Grav
PH
Leukocytes
Nitrite
Protein
Glucose
Ketones
Urobilinogen
Bilirubin
Blood

18 May 2009, Roche Diagnostics Ltd., Speciality Testing Solutions, Urinalysis, Page 27

Phn tch 10 thng s

nc tiu cn bn
S dng chung trn
cc h thng my nc
tiu ca Roche
Khng bo co kt qu
m tnh gi trn cc
mu nc tiu c acid
ascorbic

Yu t nh hng lm kt qu sai lch

Combur Test & acid ascorbic Bng chng lm sng
Tuyn b ca Roche v que th khng b
nh hng bi acid ascorbic c
chng minh.. Thc t, c mt cuc iu
tra c lp cng nhn cht lng que
th nc tiu ca mt s cng ty ni ting.
Cuc nghin cu cng nhn ch c que
th Combur-Test sn xut bi Roche
Diagnostics l khng b nh hng bi acid
ascorbic nhiu nht.
Chng ti khuyn cc bn hy c n
phm ny sm v n nhn mnh ti cht
lng vt tri ca que th nc tiu
Combur Test so vi nhiu cng ty ni
ting khc.
iu tra v nh hng ca Ascorbic Acid trong phn tch nc tiu bng que th
Nagel et. al., 2006

inh
m
p Roche

l
c
a b ca
r
t
iu uyn

c
Cu g cho t
n
ch

nh hng ca Ascorbic Acid

Thng s acid ascorbic khng gii quyt

c Thng
vn s
acid ascorbic
Que th Roche Combur Test
Mt s que th c thm ming gn
thuc th xc nh s hin din ca
ascorbic acid trong mu nc tiu.
iu ny khng gii quyt c
vn v:
Trong trng hp acid ascorbic
dng tnh, bc s phi tm hiu
nguyn nhn ti sao c acid
ascorbic trong nc tiu bnh
nhn.
Kt qu acid ascorbic dng
tnh khin bnh nhn phi ti
bc s ln na cung cp mu
nc tiu mi phn tch li.
V bnh nhn cn phi king s
dng acid ascorbic trong 2 ti 3
ngy.

Nhng li cc k n gin vi que

th ca Roche bi v:
Bc s v ngi bnh khng
cn thit lm thm vic
Khng phi phn tch nc tiu
li
Kt qu phn tch chnh
xc, c lp vi dinh dng
ca bnh nhn.

Kt lun

Combur Test & acid ascorbic

C ascorbic acid hay khng?

Acid ascorbic hin din thm lng

trong hu ht thc phm, thc ung.
Do vy, nh hng ca acid ascorbic
trong phn tch nc tiu thng quy
bnh nhn ngoi chn s rt nhiu.
Kh nng tr kt qu m tnh gi mu
(hemoglobin) v ng trong nc
tiu l rt cao.
S dng que th nc tiu rt t b nh
hng bi acid ascorbic l gii php
tt v kinh t.
Ch bng cch s dng que th
Combur Test mi khin nhn vin y t
chn on bnh chnh xc d cho c
acid ascorbic trong nc tiu bnh
nhn.

Mu nc tiu c th cha acid ascorbic. Ch c

Combur Test chng t c l khng b nh
hng

Cc h thng xt nghim nc tiu ca

Roche
- Tc : 240 mu/h
Urisys 2400
Hon ton t ng

- u c m vch trn my
- Phng XN cng sut ln
- Tc : 600 mu/h

Cobas u 411
Bn t ng

- u c m vch ri
- Phng XN cng sut ln
- Tc : 50 mu/h

Urisys 1100
Bn t ng

- Kt ni LIS
- Phng XN cng sut nh

Cc h thng my phn tch

nc tiu t ng Urisys
2400 ang c s dng rng ri
ti
VNBch Mai
BV
BV Ph sn Trung ng
BV Saint Paul
BV Medlatec
BV Bi Chy

Trung tm Y khoa Medic

BV H Y Dc 1
BV Nhn Dn Gia nh
BV Nhn Dn 115
BV Ung Bu
BV Thng Nht ng Nai

page 32

2011 Roche

Cc my phn tch nc
tiu khc ca Roche
ang c s dng rng ri ti VN
BV Bch mai
BV Ph sn H Ni
BV K c s 2
BV Nhit i Trung ng
.

BV H Y Dc 1
BV Ph sn H Y Dc
BV FV
BV Hon M
Phng xt nghim Diag Center

page 33

2011 Roche

Chng trnh

1. Tng quan v Roche Diagnostics

2. Cobas c 111 My xt nghim nh gn phn tch
cc XN thit yu
3. Gii php xt nghim nc tiu ca Roche
4. Kt lun

34

(Da trn Lean Sigma)

Gii php t vn

(Cobas IT5000/3000)

Gii php CNTT

(MPA, RSA, cobas p701)

H thng t ng
tin/hu phn tch

Cobas c111, Nc tiu)

(Cobas 8000/6000/4000

My phn tch XN

Roche Diagnostics
Cung cp gii php ton din cho phng xt
nghim
GII PHP TON DIN

Cc h thng nn tng
35

Roche Diagnostics Dch v h tr khch

hng

i ng h tr t chnh hng ti Vit Nam

May 5, 2015

page 36

2009 Roche

Xin chn thnh cm n!

Roche Diagnostics Vietnam Ltd.

COBAS and LIFE NEEDS

ANSWERS are trademarks of
Roche

This presentation is our intellectual property. Without our

written consent, it shall neither be copied in any manner,
nor used for manufacturing, nor communicated to third
parties.

37

BACKUP SLIDES

38

Cc thch thc ca phng xt nghim

Cht lng
Kt qu chnh xc v nht qun

Lean Six
Sigma
Tc

Chi ph

Thi gian tr kt qu ngn

Hot ng hiu qu
39

Quy cch ng gi thuc th ph hp nhu cu

khch hng