Redesign and Accuracy Improvement of Disposable Infusion Pumps

Subject Areas : optimization and simulation

sajjad pakzad ¹ , ahad shah hoseini ² , Hossein Rashid Myab ³ , Amirhossein Vazirpanah ⁴

1 - Faculty of Design, Tabriz Islamic Art University, Iran
2 - Faculty of Design, Tabriz Islamic Art University, Iran
3 - M.Sc. Student, Faculty of Design, Tabriz Islamic Art University, Iran
4 - M.Sc. Student, Faculty of Design, Tabriz Islamic Art University, Iran

Received: 2021-08-18 Accepted : 2021-11-10 Published : 2022-06-01

Keywords: Redesign, disposable Infusion Pump, Accuracy Improvement,

Abstract :

Nowadays, disposable injection pumps are widely used in hospitals and home care settings to provide various therapies such as chemotherapy, antimicrobial, analgesic, and anesthetic treatments, as well as for postoperative pain control and chronic pain control. Since the accuracy of the injection is very important in infusion pumps based on the flow rate, it is therefore important to reduce the error in this device. In this study, the basic design principles of these pumps and the design problems of the sample appearance available in the market were investigated. Since one of the vital problems of this type of pump is their inaccuracy, because they are unable to inject a certain amount of drug for a certain period of time, so one of the main objectives of this study is to improve the accuracy of the injection. Also, as this device is available to the patient for a long time at the time of injection, ease of use is one of the design goals. Finally, this paper ends with a design and prototype which is better in the shape of the device and a big improvement in the accuracy.

References:

• Livingston, H., Frye, K., Field, F., MiniMed Inc., Sylmar, CA, Proctective case for a Medication Infusion Pump, 1994.


• Global Home Infusion Therapy Market Will Reach a Valuation of US$27 billion by 2020: Persistence Market Research [news release], New York, NY: Marketers Media; July 24, 2015, www.ismp.org/sc?id=607.


• Rensburg, C. J. V., Medpharm Publications, Sep 26, 2018.


• Center for Devices and Radiological Health, U.S. Food and Drug Administration, Infusion pump Improvement Initiative; April 2010, http://www.fda.gov/.


• Woods, D. D., Designs Are Hypotheses About How Artifacts Shape Cognition and Collaboration, Ergonomics. Vol. 41, No. 2, 1998, pp. 168–173.


• Schraagen, J. M., Verhoeven, F., Methods for Studying Medical Device Technology and Practitioner Cognition: The Case of User-Interface Issues with Infusion Pumps, 2012.


• Nemeth, C. P., O’Connor, M., and Cook, R. I., The Infusion Device as A Source of Healthcare Resilience, In: Nemeth CP, Hollnagel E, Dekker S, Editors, Resilience Engineering Perspectives, Preparation and Restoration, Vol. 2, 2009, pp. 235–53.


• Woods, D. D., Dekker, S., Cook, R., Johannesen, L., and Sarter, N., Behind human error. 2nd ed. Farnham, England: Ashgate Publishing Limited, 2010.


• Design for Patient Safety: A Guide to The Design of Electronic Infusion Devices, National Patient Safety Agency, National Reporting and Learning Service, Edition 1, 2010.


• Capes, D., Asiimwe, D., Performance of Selected Flow-Restricting Infusion Devices, American Journal of Health-System Pharmacy, Vol. 55, 1998, pp. 351-3599.


• Chung, I. S., Cho, H. S., Kim, J. A., and Lee, K. H., The Flow Rate of the Elastomeric Balloon Infusor Is Influenced by The Internal Pressure of the Infusor, Journal of Korean Medical Science, Vol. 16, 2001, pp. 702-706.


• Coley, S. C., Shaw, P. K., and Leff, R. D., The Performance of Three Portable Infusion-Pump Devices Set to Deliver 2 mL/hr, American Journal of Health-System Pharmacy, Vol. 54, No. 11, 1997, pp. 1277-1280.


• Veal, D. F., Altman, C. E., McKinnon, B. T., Fillingim, O., Evaluation of Flow Rates for Six Disposable Infusion Devices, American Journal of Health-System Pharmacy, Vol. 52, No. 5, 1995, pp. 500-504. [Erratum, Am J Health-Syst Pharm, Vol. 52, No. 11, 1995, pp. 1233.]


• Bayne, C. G., Removing the Confusion About Infusion, Nurs Manage, Vol. 28, No. 2, 1997, pp. 15-18.


• Nowak, R., Scuba Valve Inspires Cheap Drug Delivery, New Scientist, 22 November 2004.


• Rich, D. S., Evaluation of Disposable, Elastomeric Infusion Device in The Home Environment, American Journal of Hospital Pharmacy, Vol. 49, No. 7, 1992, pp. 1712-1716.


• Mizuuchi, M., Yamakage, M., Iwasaki, S., Kimura, A., The Infusion Rate of Most Disposable, Non-Electric Infusion Pumps Decrease Under Hypobaric Conditions, Canadian Anaesthetists Society Journal, Vol. 50, No. 7, 2003, pp. 657-662.


• Radcliffe, J. J., Spencer, I., Performance of the Baxter Disposable Patient-Controlled Analgesia Infusor Under Hyperbaric Conditions, Anaesthesia, Vol. 49, 1994, pp. 796-797.


• Boada, S., Recasens, J., Papaceit, J., et al., Use of Elastomeric Pumps for Continuous Intravenous Analgesia Administration in Ambulatory Surgery Pain Management, Ambul Surg. 2002, Vol. 10, pp. 3-7.


• Capdevila, X., Dadure, C., Raux, O., Rochette, A., and Troncin, R., Perioperative Continuous Peripheral Nerve Blocks with Disposable Infusion Pumps in Children: A Prospective Descriptive Study, Anesthesia & Analgesia, Vol. 97, 2003, pp. 687-690.


• Klein, S. M., Greengrass, R. A., Gleason, D. H., Nunley, J. A., and Steele, S. M., Major Ambulatory Surgery with Continuous Regional Anesthesia and A Disposable Infusion Pump, Anesthesiology, Vol. 91, 1999, pp. 563-565.


• LeBlanc, K. A., Bellanger, D., Rhynes, V. K., and Hausmann, M., Evaluation of Continuous Infusion of 0.5% Bupivacaine by Elastomeric Pump for Postoperative Pain Management After Open Inguinal Hernia Repair, Journal of the American College of Surgeons, Vol. 200, 2005, pp. 198-202.


• Capdevila, X., Macaire, P., Aknin, P., Dadure, C., Bernard, N., and Lopez, S., Patient-Controlled Perineural Analgesia After Ambulatory Orthopedic Surgery: A Comparison of Electronic Versus Elastomeric Pumps, Anesthesia & Analgesia. Vol. 96, No. 2, 2003, pp. 414-417.


• Ganapathy, S., Amendola, A., Lichfield, R., Fowler, P. J., and Ling, E., Elastomeric Pumps for Ambulatory Patient Controlled Regional Analgesia, Canadian Journal of Anesthesia, Vol. 47, No. 9, 2000, pp. 897-902.


• Rawal, N., Axelsson, K., Hylander, J., Allvin, R., Amilon, A., Lidegran, G., and Hallén, J., Postoperative Patient-Controlled Local Anesthetic Administration at Home, Anesthesia & Analgesia. Vol. 86, No. 1, 1998, pp.86-89.


• Robinson, S. L., Rowbotham, D. J., and Mushambi, M., Electronic and Disposable Patientcontrolled Analgesia Systems, A Comparison of the Graseby and Baxter Systems After Major Gynaecological Surgery, Vol. 47, Anaesthesia, 1992, pp. 161-163.


• Ballantyne, J. C., Carr, D. B., Berkey, C. S., Chalmers, T., and Mosteller, C. F., Comparative Efficacy of Epidural, Subarachnoid, And Intracerebroventricular Opioids in Patients with Pain Due to Cancer, Regional Anesthesia, Vol. 21, No. 6, 1996, pp. 542-546.


• Hardy, E. M., Williamson, C., and Sewell, G. J., An Evaluation of Six Infusion Devices for The Continuous Infusion of Cytotoxic Drugs in Ambulatory Patients, Journal of Oncology Pharmacy Practice, Vol. 1, 1995, pp. 15-22.


• Loeffler, T. M., Weber, F. W., and Hausamen, T. U., Ambulatory High-Dose 5-Day Continuous-Infusion Ifosfamide Combination Chemotherapy in Advanced Solid Tumors: A Feasibility Study, Journal of Cancer Research and Clinical Oncology, Vol. 117, 1991, pp. 125-128.


• Negro, S., Azuara, M. L., Sanchez, Y., Reyes, R., and Barcia, E., Physical Compatibility and in Vivo Evaluation of Drug Mixtures for Subcutaneous Infusion to Cancer Patients in Palliative Care. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, Vol. 10, No. 1, 2002, pp. 65-70.


• Kaye, T., Prolonged Infusion Times with Disposable Elastomeric Infusion Devices, American Journal of Hospital Pharmacy, Vol. 51, No. 4, 1994, pp. 533-534.

 

• Irwin, M., Gillespie, J. A., and Morton, N. S., Evaluation of a Disposable Patient-Controlled Analgesia Device in Children, British Journal of Anaesthesia, Vol. 68, 1992, pp.411-413.