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Medical Instrumentation
Infusion Pump
By
Goverdhan R
M.TECH IN BIOMEDICAL SIGNAL PROCESSING & INSTRUMENTATION
DEPARTMENT OF E & IT
RVCE
30-08-2020Dept. of E&IT
2A bouncer
costed a
life in
cricket and
an air
bubble
can kill a
patient in
Flow of presentation
30-08-2020Dept. of E&IT
3
Introduction Classification
Positive
displacement
pumps
Volumetric
Infusion
pumps
Syringe pumps
Multichannel
pumps
Ambulatory
Infusion pump
Programmable
volumetric
infusion pump
Redesign of
infusion pump
30-08-2020Dept. of E&IT
4
Infusion system?
An infusion system is a device. Deliver fluids or drugs in solution to the patient. Control
automatically flow rates & volume.
30-08-2020Dept. of E&IT
5
Common routes
Intravenous Subcutaneous Epidural Enternal
Classification of Infusion Pump based on
the technology of infusion
Technology segments, global infusion pump market
6
30-08-2020Dept. of E&IT
Positive Displacement Pumps
 The positive-displacement pumps use a motor to provide a positive
displacement of fluids.
 The mechanism of action for these pumps is either peristaltic or piston
based.
Peristalitic mechanism Piston mechanism
7
30-08-2020Dept. of E&IT
Volumetric pumps
 Volumetric pumps are often used for continuous drug infusion when larger
quantities need to be infused, especially when a higher infusion rate is
required.
 Volumetric pumps are powered by mains or battery. The rate is selected in
millilitres per hour (ml/h) or micrograms per kilogram per hour (µg/kg/hr).
8
30-08-2020Dept. of E&IT
Technical specification
 Display format: 120x140x190mm
 Net weight: less than 2kg
 Speed range: 1-600ml/hour
 Infusion increasing amount: 1ml/hour
 Amount range: 1-9999ml
 Speedy amount: 1.0ml
 Speedy infusion: 600ml/hour
 Accumulated amount: 1-9999ml
 Accuracy: ±5%
 Alarm: infusion finished, blocked, low battery, bubble in
infusion tube, liquid finished.
9
SK-600 (source: Mediwaves Inc.)
Syringe pumps
 Syringe pumps are often used for low flow rate infusions, when a more controlled
flow is required. The maximum volume is limited to the size of the syringe.
 They are incorporated with a calculator mode allowing clinicians to set features
such as patient weight, infusion rate, and concentration of drug.
Bio HK-40I
courtesy: http://biomedical.en.alibaba.com
10
30-08-2020Dept. of E&IT
Technical specification
 Flow rate range 0.1 to 1200 ml/hr.
 Bolus rate: 1 to 1200 ml/hr (1 ml/hr increment).
 Accuracy
 Mechanical accuracy: ±1%,
 Overall accuracy: ±2%
 Infusion modes
 Ml/h (0.1 ml/h increments)
 Volume limit: 0.1-999.9 ml (0.1 ml
incréments)
 Bolus rate: 1 to 1200 ml/hr (1 ml/hr
increment), bolus volume: 0.1 ml to the max
capacity of syringe ( 0.1 ml increment)
11
Plenumtek Zion
Multichannel pumps
 The multi-channel pumps are designed to allow the administration of two or three
infusions simultaneously.
 The disadvantage with these pumps is the possibility of an incompatible mixing.
12
30-08-2020Dept. of E&IT BodyGuard 121 TwinsTM,CME
BodyGuard QuadroTM,CME
Ambulatory pumps
 These are pocket size pumps, which use linear peristaltic mechanism and have a
fluid container in the form of a small floppy bag or cassette.
 The pumps are designed for users who need to wear them for long periods and
they have good alarm and display systems.
BodyGuard 323 Multi-Therapy Ambulatory Infusion Pump, CME
13
30-08-2020Dept. of E&IT
Programmable volumetric infusion pump
14
30-08-2020Dept. of E&IT Block diagram of the programmable volumetric infusion pump[1]
Programmable volumetric infusion pump
(contd…)
 It incorporates a peristaltic (tube squeezing) pump mechanism.
 Flow rate is a function of both pump speed, tubing inner diameter, and
tubing elasticity.
 An ultrasonic sensor is used to detect the drop which then signals to the
microprocessor that a drop has been detected by the flow sensor.
 The heart of the system is a central processing unit. It has a 2.5 MHz
external clock supplied by a crystal.
15
30-08-2020Dept. of E&IT
Block diagram of microprocessor based
infusion pump
16
30-08-2020Dept. of E&IT
Few companies manufacturing infusion
pump - Worldwide
30-08-2020Dept. of E&IT
17
Companies manufacturing infusion pump
-India
30-08-2020Dept. of E&IT
18
30-08-2020Dept. of E&IT
19
Policy
All regulated health care providers (RHCP) may operate infusion pumps (other than
syringe pumps) according to their scope of practice once the following competency
requirements are met:
a) Self-Directed Infusion Pump e-Learning Module on My Learning Edge (MLE)
b) Passing score of 80% on the Infusion Pump quiz
c) Submit the completed/signed Infusion Pump Competency Checklist to the Clinical
Nurse Educator and/or the charge nurse from Medical Imaging.
d) Annual recertification on Infusion Pump education on MLE
20
21
An infusion pump and tubing should be used for all patients receiving IV medications, solutions and
blood/blood products. In emergency situations, IV infusions may be administered without an infusion
pump in order to prevent delay of treatments.
All RHCPs should select the appropriate CCA on an infusion pump which should correspond to the nursing
area that they are working in.
Infusion pumps MUST BE used on:
• High alert medications/infusions (Medication Administration Policy II-226).
• Medications which specifically state “infusion pumps required” in the IV manuals posted on the
Intranet.
• Paediatric/neonatal patients who require IV infusions and medications.
Exceptions: An infusion pump will not be used in Day Surgery, Operating Room, Post Anaesthesia Care Unit,
and Endoscopy. IV infusions will be administered via gravity using a buretrol in these areas.
Infusion Standards
Hospira Symbiq Infusion Device 22
30-08-2020Dept. of E&IT
23
Redesign of
Infusion pump
Jae young Jang
30-08-2020Dept. of E&IT
24
30-08-2020Dept. of E&IT
25
30-08-2020Dept. of E&IT
26
References
[1] RS KHANDPUR, “Handbook of Biomedical Instrumentation,” second edition,2003.
[2]“Infusion System”, MHRA, December 2013.
[3]"The Infusion Pump Market Outlook to 2016,” Business Insight, May 2011.
[4]Jae young Jang, “Redesign infusion pump,” behance.net, March 2014.
[5] North York General Hospital. (2012). Infusion Pump Policy.
[6] North York General Hospital. (2012). Medication Administration Policy II-226.
30-08-2020Dept. of E&IT
27

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Infusion Pump - Medical instrumentation

  • 1. Medical Instrumentation Infusion Pump By Goverdhan R M.TECH IN BIOMEDICAL SIGNAL PROCESSING & INSTRUMENTATION DEPARTMENT OF E & IT RVCE
  • 2. 30-08-2020Dept. of E&IT 2A bouncer costed a life in cricket and an air bubble can kill a patient in
  • 3. Flow of presentation 30-08-2020Dept. of E&IT 3 Introduction Classification Positive displacement pumps Volumetric Infusion pumps Syringe pumps Multichannel pumps Ambulatory Infusion pump Programmable volumetric infusion pump Redesign of infusion pump
  • 4. 30-08-2020Dept. of E&IT 4 Infusion system? An infusion system is a device. Deliver fluids or drugs in solution to the patient. Control automatically flow rates & volume.
  • 5. 30-08-2020Dept. of E&IT 5 Common routes Intravenous Subcutaneous Epidural Enternal
  • 6. Classification of Infusion Pump based on the technology of infusion Technology segments, global infusion pump market 6 30-08-2020Dept. of E&IT
  • 7. Positive Displacement Pumps  The positive-displacement pumps use a motor to provide a positive displacement of fluids.  The mechanism of action for these pumps is either peristaltic or piston based. Peristalitic mechanism Piston mechanism 7 30-08-2020Dept. of E&IT
  • 8. Volumetric pumps  Volumetric pumps are often used for continuous drug infusion when larger quantities need to be infused, especially when a higher infusion rate is required.  Volumetric pumps are powered by mains or battery. The rate is selected in millilitres per hour (ml/h) or micrograms per kilogram per hour (µg/kg/hr). 8 30-08-2020Dept. of E&IT
  • 9. Technical specification  Display format: 120x140x190mm  Net weight: less than 2kg  Speed range: 1-600ml/hour  Infusion increasing amount: 1ml/hour  Amount range: 1-9999ml  Speedy amount: 1.0ml  Speedy infusion: 600ml/hour  Accumulated amount: 1-9999ml  Accuracy: ±5%  Alarm: infusion finished, blocked, low battery, bubble in infusion tube, liquid finished. 9 SK-600 (source: Mediwaves Inc.)
  • 10. Syringe pumps  Syringe pumps are often used for low flow rate infusions, when a more controlled flow is required. The maximum volume is limited to the size of the syringe.  They are incorporated with a calculator mode allowing clinicians to set features such as patient weight, infusion rate, and concentration of drug. Bio HK-40I courtesy: http://biomedical.en.alibaba.com 10 30-08-2020Dept. of E&IT
  • 11. Technical specification  Flow rate range 0.1 to 1200 ml/hr.  Bolus rate: 1 to 1200 ml/hr (1 ml/hr increment).  Accuracy  Mechanical accuracy: ±1%,  Overall accuracy: ±2%  Infusion modes  Ml/h (0.1 ml/h increments)  Volume limit: 0.1-999.9 ml (0.1 ml incréments)  Bolus rate: 1 to 1200 ml/hr (1 ml/hr increment), bolus volume: 0.1 ml to the max capacity of syringe ( 0.1 ml increment) 11 Plenumtek Zion
  • 12. Multichannel pumps  The multi-channel pumps are designed to allow the administration of two or three infusions simultaneously.  The disadvantage with these pumps is the possibility of an incompatible mixing. 12 30-08-2020Dept. of E&IT BodyGuard 121 TwinsTM,CME BodyGuard QuadroTM,CME
  • 13. Ambulatory pumps  These are pocket size pumps, which use linear peristaltic mechanism and have a fluid container in the form of a small floppy bag or cassette.  The pumps are designed for users who need to wear them for long periods and they have good alarm and display systems. BodyGuard 323 Multi-Therapy Ambulatory Infusion Pump, CME 13 30-08-2020Dept. of E&IT
  • 14. Programmable volumetric infusion pump 14 30-08-2020Dept. of E&IT Block diagram of the programmable volumetric infusion pump[1]
  • 15. Programmable volumetric infusion pump (contd…)  It incorporates a peristaltic (tube squeezing) pump mechanism.  Flow rate is a function of both pump speed, tubing inner diameter, and tubing elasticity.  An ultrasonic sensor is used to detect the drop which then signals to the microprocessor that a drop has been detected by the flow sensor.  The heart of the system is a central processing unit. It has a 2.5 MHz external clock supplied by a crystal. 15 30-08-2020Dept. of E&IT
  • 16. Block diagram of microprocessor based infusion pump 16 30-08-2020Dept. of E&IT
  • 17. Few companies manufacturing infusion pump - Worldwide 30-08-2020Dept. of E&IT 17
  • 18. Companies manufacturing infusion pump -India 30-08-2020Dept. of E&IT 18
  • 20. Policy All regulated health care providers (RHCP) may operate infusion pumps (other than syringe pumps) according to their scope of practice once the following competency requirements are met: a) Self-Directed Infusion Pump e-Learning Module on My Learning Edge (MLE) b) Passing score of 80% on the Infusion Pump quiz c) Submit the completed/signed Infusion Pump Competency Checklist to the Clinical Nurse Educator and/or the charge nurse from Medical Imaging. d) Annual recertification on Infusion Pump education on MLE 20
  • 21. 21 An infusion pump and tubing should be used for all patients receiving IV medications, solutions and blood/blood products. In emergency situations, IV infusions may be administered without an infusion pump in order to prevent delay of treatments. All RHCPs should select the appropriate CCA on an infusion pump which should correspond to the nursing area that they are working in. Infusion pumps MUST BE used on: • High alert medications/infusions (Medication Administration Policy II-226). • Medications which specifically state “infusion pumps required” in the IV manuals posted on the Intranet. • Paediatric/neonatal patients who require IV infusions and medications. Exceptions: An infusion pump will not be used in Day Surgery, Operating Room, Post Anaesthesia Care Unit, and Endoscopy. IV infusions will be administered via gravity using a buretrol in these areas. Infusion Standards
  • 23. 30-08-2020Dept. of E&IT 23 Redesign of Infusion pump Jae young Jang
  • 27. References [1] RS KHANDPUR, “Handbook of Biomedical Instrumentation,” second edition,2003. [2]“Infusion System”, MHRA, December 2013. [3]"The Infusion Pump Market Outlook to 2016,” Business Insight, May 2011. [4]Jae young Jang, “Redesign infusion pump,” behance.net, March 2014. [5] North York General Hospital. (2012). Infusion Pump Policy. [6] North York General Hospital. (2012). Medication Administration Policy II-226. 30-08-2020Dept. of E&IT 27