Literature DB >> 21785046

Automatic MDCT injectors: hygiene and efficiency of disposable, prefilled, and multidosing roller pump systems in clinical routine.

Boris Buerke1, Michael Puesken, Alexander Mellmann, Christoph Schuelke, Anna Knauer, Walter Heindel, Johannes Wessling.   

Abstract

OBJECTIVE: This study evaluated three different injection systems with regard to microbiological contamination, time efficiency, and user handling during a clinical routine. SUBJECTS AND METHODS: A total of 825 patients were included. A double-syringe contrast injector with disposable syringes (system A; n = 150) and one that used prefilled syringes (system B; n = 150) were microbiologically analyzed during single use of the syringes in one patient. Moreover, the contamination of a roller pump injector capable of multidosing several patients from a contrast agent container, without the need for prior filling, was determined after being used for an entire day (system C; n = 35 injections/day for 15 days). The hygienic background was guaranteed by taking imprints of the surfaces of devices and the palms of the hands of members of CT staff before the clinical investigation. The time required for assembly of the injection systems and for filling or refilling of each injector system was measured. The handling of the three systems also was subjectively ranked by the technicians.
RESULTS: Injection systems A, B, and C remained microbiologically sterile and free of contamination throughout their use in clinical routine. The mean (± SD) time for injection system assembly and installation of syringes and filling did not differ significantly between injection systems A and B (system A, 2.5 ± 1.1 minutes; system B, 1.9 ± 1.3 minutes; p = 0.12), whereas the time for assembly of system C was significantly shorter (0.9 ± 0.6 minutes; p < 0.05 vs system A; p < 0.05 vs system B). In the subjective ranking of injector handling, systems B and C were preferred.
CONCLUSION: Double-syringe injectors used with disposable or prefilled contrast agent syringes, as well as roller pump injectors, ensure hygienic conditions in clinical routine. However, time efficiency and handling are aspects that favor prefilled and roller pump systems.

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Year:  2011        PMID: 21785046     DOI: 10.2214/AJR.10.5924

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  7 in total

1.  Performance of Centargo: A Novel Piston-Based Injection System for High Throughput in CE CT.

Authors:  Corey A Kemper; Casper Mihl; Bibi Martens; Michael C McDermott; Babs M F Hendriks
Journal:  Med Devices (Auckl)       Date:  2022-04-05

2.  Injection And Infusion Technology Disruption For Use In MRI.

Authors:  M Kalmar; A Boese; R Landes; M Friebe
Journal:  Med Devices (Auckl)       Date:  2019-11-28

3.  Pressure injectors for radiologists: A review and what is new.

Authors:  Inna K Indrajit; Rajeev Sivasankar; John D'Souza; Rochan Pant; Raj S Negi; Samresh Sahu; Pi Hashim
Journal:  Indian J Radiol Imaging       Date:  2015 Jan-Mar

Review 4.  Computed tomography and magnetic resonance imaging contrast media injectors: technical feature review - what is really needed?

Authors:  Michael Friebe
Journal:  Med Devices (Auckl)       Date:  2016-07-15

5.  Performance of single-use syringe versus multi-use MR contrast injectors: a prospective comparative study.

Authors:  F Struik; J J Futterer; W M Prokop
Journal:  Sci Rep       Date:  2020-03-03       Impact factor: 4.379

Review 6.  [Korean Clinical Practice Guidelines for Adverse Reactions to Intravenous Iodinate and MRI-Gadolinium Contrast Agents: Revised Clinical Consensus and Recommendations (3rd Edition, 2022)].

Authors:  Se Won Oh; So Young Park; Hwan Seok Yong; Young Hun Choi; Min Jae Cha; Tae Bum Kim; Ji Hyang Lee; Sae Hoon Kim; Jae Hyun Lee; Gyu Young Hur; Jae Yeon Hwang; Sejoong Kim; Hyo Sang Kim; Ji Young Ryu; Miyoung Choi; Chi-Hoon Choi
Journal:  Taehan Yongsang Uihakhoe Chi       Date:  2022-03-28

Review 7.  Use of safety-engineered devices by healthcare workers for intravenous and/or phlebotomy procedures in healthcare settings: a systematic review and meta-analysis.

Authors:  Rami A Ballout; Batoul Diab; Alain C Harb; Rami Tarabay; Selma Khamassi; Elie A Akl
Journal:  BMC Health Serv Res       Date:  2016-09-01       Impact factor: 2.655

  7 in total

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