INFLUENCE OF THE USE OF GRAVITY SETS IN A PRESSURE VOLUMETRIC INFUSION PUMP WITH AN IMPACT ON THE ACCURACY OF INFUSION SOLUTION FLOWS


Autoři: Klara Fiedorova;  Martin Augustynek;  Marek Penhaker
Působiště autorů: Department of Cybernetics and Biomedical Engineering, Faculty of Electrical Engineering and Computer Science, VSB Technical University of Ostrava, Ostrava, Czech Republic
Vyšlo v časopise: Lékař a technika - Clinician and Technology No. 1, 2020, 50, 23-31
Kategorie: Original research
doi: 10.14311/CTJ.2020.1.04

Souhrn

The subject of the work was the experimental verification of the negative influence of gravity sets in a pressure volumetric infusion pump with an impact on the accuracy of infusion solution dosing. The quality criterion for gravity sets was the accuracy of the flow versus the reference set by the volumetric infusion pump. The solution consisted of 14-hour measurements with two types of gravity sets, Intrafix® Primeline sets were used as universal sets and Standardline IS 103 gravity sets. The insulin pump flow rate was set at 300 ml/h and 50 ml/h, and the actual flow rate of the infusion solution was recorded every hour using a graduated cylinder. Used gravity sets were also processed by mechanical tests, unused sets were subjected to these tests and the obtained data were compared with each other. Experiments carried out showed that at the set flow rate of 300 ml/h, the flow error with the universal set was -3% and at a set flow rate of 50 ml/h the error was +2.3%. Flow accuracy using gravity sets was worse, a flow error of -7.2% was detected for a flow rate of 50 ml/h and a flow error of -7.7% was measured for 300 ml/h. The volumetric pump used declares a tolerated inaccuracy of ± 3% when used with standard infusion sets. Based on the data, it can be concluded that the replacement of set types has an influence on the dosage of infusion solutions.

Klíčová slova:

volumetric infusion pump – set for gravity-fed infusions – infusion therapy risks – flow accuracy – infusion set prolongation


Zdroje
  1. Cihak J, Augustynek M. Infuzní technika a hemodialyzační technika a technologie. VŠB-Technická univerzita Ostrava; 2013. ISBN 978-80-248-3100-8.
  2. Nickel B. Peripheral Intravenous Access: Applying Infusion Therapy Standards of Practice to Improve Patient Safety. Critical care nurse. 2019 Feb 1;39(1):61–71. DOI: 10.4037/ccn2019790
  3. Centre NC. Cost-sensitivity analysis: Monitoring and assessment strategies for intravenous fluid therapy in children. InIV Fluids in Children: Intravenous Fluid Therapy in Children and Young People in Hospital 2015 Dec. National Institute for Health and Care Excellence (UK). Bookshelf ID: NBK33814.
  4. Doyle GR, McCutcheon JA. Clinical procedures for safer patient care. BC Open Textbook Project; 2015.
  5. Magee P, Tooley M. The Physics, clinical measurement and equipment of anaesthetic practice for the FRCA. Oxford University Press; 2011 Sep 22. ISBN 9780199595150.
  6. Mayo M, Wolsky R, Baldini T, Vezeridis PS, Bravman JT. Gravity fluid flow more accurately reflects joint fluid pressure compared with commercial peristaltic pump Systems in a Cadav-eric Model. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2018 Dec 1;34(12):3132–8. DOI: 10.1016/j.arthro.2018.05.033
  7. Plumer AL. Plumer's principles and practice of intravenous therapy. Lippincott Williams & Wilkins; 2007. ISBN 0-7817-5944-7.
  8. Johnson G. Selecting and installing peristaltic pump tubing. Pharmaceutical Technology Europe. 2018;30(1):36–7. Available from: http://www.pharmtech.com/selecting-and-installing-peristaltic-pump-tubing
  9. Heinemann L, Waldenmaier D, Kulzer B, Ziegler R, Ginsberg B, Freckmann G. Patch Pumps: Are They All the Same?. Journal of diabetes science and technology. 2019 Jan;13(1):34–40. DOI: 10.1177/1932296818795150
  10. Xavier AR, Moreira CS, Neto AG, Lima AM, Neff H, Diasi FW. Real-time flow monitoring for a roller-based peristaltic mini-pump. In2018 IEEE International Instrumentation and Measure-ment Technology Conference (I2MTC) 2018 May 14 (pp. 1–5). IEEE. DOI: 10.1109/I2MTC.2018.8409790
  11. IEC 60601–2-24: Medical Electrical Equipment—Part2–24: Requirements for the Basic Safety and Essential Performance of Infusion Pumps and Controllers. Geneva: International Electro-technical Commission. 2012.
  12. ISO 8536-8:2015, Infusion equipment for medical use — Part 8: Infusion sets for single use with pressure infusion apparatus. 2. 5. Geneva, Switzerland, International Organization for Stan-dardization, 2015.
  13. ISO 8536-4:2019. Infusion equipment for medical use -- Part 4: Infusion sets for single use, gravity feed. 6. Geneva, Switzerland, International Organization for Standardization, 2019.
  14. Hochman V, Cihak J, Augustynek M. Interaction of infusion set and volumetric infusion pump and their impact on the quality of treatment. In 6th European Conference of the International Federation for Medical and Biological Engineering, Springer, Cham, 2015 (pp. 645–8). DOI: 10.1007/978-3-319-11128-5_161
  15. Chen J, Liu Z, Wang K, Huang J, Li K, Nie X, Jiang J. Epoxidized castor oil‐based diglycidyl‐phthalate plasticizer: Synthesis and thermal stabilizing effects on poly (vinyl chloride). Journal of Applied Polymer Science. 2019 Mar 5;136(9):47142. DOI: 10.1002/app.47142
  16. Taurino R, Sciancalepore C, Collini L, Bondi M, Bondioli F. Functionalization of PVC by chitosan addition: Compound stability and tensile properties. Composites Part B: Engineering. 2018 Sep 15;149:240–7. DOI: 10.1016/j.compositesb.2018.05.021
  17. Fernandez-Canal C, Pinta PG, Eljezi T, Larbre V, Kauffmann S, Camilleri L, Cosserant B, Bernard L, Pereira B, Constantin JM, Grimandi G. Patients’ exposure to PVC plasticizers from ECMO circuits. Expert review of medical devices. 2018 May 4;15(5): 377–83. DOI: 10.1080/17434440.2018.1462698
  18. Council E. COUNCIL DIRECTIVE 93/42/EEC concerning medical devices. Official Journal of The European Communities, Luxembourg. 1993.
  19. ISO 10993-1:2018. Biological evaluation of medical devices -- Part 1: Evaluation and testing within a risk management process. 5. Geneva, Switzerland, International Organization for Stan-dardization, 2018.
  20. ISO 14971:2007. Medical devices—Application of risk manage-ment to medical devices. 2. Geneva, Switzerland, International Organization for Standardization, 2007.
  21. Simon N, Décaudin B, Lannoy D, Barthélémy C, Lemdani M, Odou P. Mathematical and physical model of gravity-fed infusion outflow: application to soft-bag-packed solutions. European journal of drug metabolism and pharmacokinetics. 2011 Dec 1;36(4):197–203. DOI: 10.1007/s13318-011-0062-9
Štítky
Biomedicína

Článek vyšel v časopise

Lékař a technika

Číslo 1

2020 Číslo 1

Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Hereditární TTR amyloidóza – vzácné, nebo jen neodhalené onemocnění? 2. díl
nový kurz
Autoři:

Současné možnosti v léčbě psoriázy

Svět praktické medicíny 4/2022 (znalostní test z časopisu)

COVID-19 up to date
Autoři: doc. MUDr. Vladimír Koblížek, Ph.D., MUDr. Mikuláš Skála, prof. MUDr. František Kopřiva, Ph.D., prof. MUDr. Roman Prymula, CSc., Ph.D.

Akutní difuzní bolest břicha může vést k diagnóze vzácného onemocnění
Autoři:

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Nemáte účet?  Registrujte se

Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se