Sage Journals: Discover world-class research

Abstract

A rapid infusion pump with a maximum flow rate of 6 L/h was designed experimentally using a micro electromagnetic linear actuator, and its effectiveness was evaluated by comparing with that of a commercial Power Infuser under preset flow rates of 0.2, 2, and 6 L/h. The flow rate, air detection sensitivity, occlusion response time, quantitative determination of hemolysis, and power consumption of the infusion devices were extensively investigated using statistical analysis methods (p < 0.05). The experimental results revealed that the flow rate of the designed infusion pump was more stable and accurate, and the hemolysis was significantly less than that of the Power Infuser. The air detection sensitivity and the power consumption could be comparable to that of the Power Infuser except the occlusion response time. The favorable performance made the designed infusion pump a potential candidate for applications in pre-hospital fluid administration.

Keywords

Micro electromagnetic actuator infusion pump flow rate hypovolemia fluid resuscitation

Get full access to this article

View all access options for this article.

References

Sauaia

Moore

. Epidemiology of trauma deaths: a reassessment. J Trauma 1995; 38: 185–193.

Heena

Hasan

. Fluid resuscitation: past, present, and the future. Shock 2010; 33: 229–241.

Kim

Chin-Yee

Eckert

. Hemolysis with rapid transfusion systems in the trauma setting. Can J Surg 2004; 47: 295–297.

Pinsky

Brochard

Mancebo

. Applied physiology in intensive care medicine. 2nd ed. Berlin: Springer-Verlag, 2009.

Hampton

Fabricant

Differding

. Prehospital intravenous fluid is associated with increased survival in trauma patients. J Trauma Acute Care Surg 2013; 74: 9–15.

Iserson

Criss

. Combined effect of catheter and tubing size on fluid flow. Am J Emerg Med 1986; 4: 238–240.

Dunham

Belzberg

Lyles

. The rapid infusion system: a superior method for the resuscitation of hypovolemic trauma patients. Resuscitation 1991; 21: 207–227.

Dellinger

Levy

Rhodes

. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Intensive Care Med 2013; 39: 165–228.

Haglund

Grady

Kanev

. Rapid infusion system for neurosurgical treatment of massive intraoperative hemorrhage. J Neurotrauma 1994; 11: 623–627.

10.

Schumann

. Intraoperative resource utilization in anesthesia for liver transplantation in the United States: a survey. Anesth Analg 2003; 97: 21–28.

11.

Mader

Walterscheid

Kellogg

. The feasibility of inducing mild therapeutic hypothermia after cardiac resuscitation using iced saline infusion via an intraosseous needle. Resuscitation 2010; 81: 82–86.

12.

Hambly

Dutton

. Excess mortality associated with the use of a rapid infusion system at a level 1 trauma center. Resuscitation 1996; 31: 127–133.

13.

Comunale

. A laboratory evaluation of the level 1 rapid infuser (H1025) and the Belmont instrument fluid management system (FMS 2000) for rapid transfusion. Anesth Analg 2003; 97: 1064–1069.

14.

Soreide

Deakin

. Prehospital fluid therapy in the critically injured patient: a clinical update. Injury 2005; 36: 1001–1010.

15.

Tourtier

Palmier

Tazarourte

. The concept of damage control: extending the paradigm in the prehospital setting. Ann Fr Anesth Reanim 2013; 32: 520–526.

16.

Lopez

Davis-Moon

Sterious

. The power infuser: a new device for rapid fluid infusion. Am J Emerg Med 2003; 21: 129–132.

17.

Gong

Zhou

Yang

. Design, optimization and simulation on microelectromagnetic pump. Sensor Actuat A: Phys 2000; 83: 200–207.

18.

Grimm

. Electromagnetic linear actuator-design, manufacture and control. Bachelor Thesis, University of Southern Queensland, Darling Heights, QLD, Australia, 2009.

19.

Yaniv

Halpern

Aladgem

. In vitro model of intravenous fluid administration: analysis of vein resistance to rapid fluid delivery. Med Eng Phys 2000; 22: 395–404.

20.

IEC 60601-2-24:2012. Medical electrical equipment—part 2-24: particular requirements for the basic safety and essential performance of infusion pumps and controllers.

21.

Sowemimo-Coker

. Red blood cell hemolysis during processing. Transfus Med Rev 2002; 16: 46–60.

A rapid infusion pump driven by micro electromagnetic linear actuation for pre-hospital intravenous fluid administration

Abstract

Keywords

Get full access to this article

References