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CompletedNCT04851782Updated Jul 11, 2024

Effects of ivAED™ Device on "Air-in-line" Alarms and Workflow Disruption

An interventional study of ivEAD tubing kit in Infusion, sponsored by Herrick Medical LLC. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-11.

Sponsored by Herrick Medical LLC · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
55
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The investigators propose to test the hypothesis, that is, the effectiveness of the ivAED to eliminate air-in-line, comparing two commercially available, standard IV infusion pumps: the Braun Infusomat® Space P and the Becton-Dickenson Alaris™ model 8100 pump (the latter is currently in use as the standard IV infusion pump at Keck Hospital of USC). Testing of an IV infusion pump other the Keck Hospital of USC standard is indicated, as the independent laboratory testing of the Alaris™ 8100 pump found that this model pump is prone to developing air bubbles as the infusion passes through the pump mechanism. These air bubbles can be sufficient to trigger the air-in-line alarm. The Braun Infusomat® Space P IV infusion pump is a market leader like the Alaris™ 8100 pump, was evaluated in independent testing with and without the ivAED™ device, and was NOT found to create bubbles.

Read the detailed description

There are very few controlled human studies in the literature that assess various existing preventative measures for air embolism. After extensive, independent pre-clinical laboratory testing of the ivAED™ device demonstrating efficacy in removing air-in-line from IV infusions (see Appendix 1), this is the first-in-humans, clinical application of the ivAED™ device.

Testing of the ivAED™ device in patients is justified as that is the only means to determine the impact of the device on clinical IV infusion and nursing workflow disruptions (the primary outcomes of the study). Testing of the device in animals, or in healthy volunteers, or in computer simulations cannot provide this real-world information. In addition, the FDA typically requires that laboratory pre-clinical testing be coupled with clinical testing when applying for approval of new, investigational devices.

The investigators propose to test the hypothesis, that is, the effectiveness of the ivAED to eliminate air-in-line, comparing two commercially available, standard IV infusion pumps: the Braun Infusomat® Space P and the Becton-Dickenson Alaris™ model 8100 pump (the latter is currently in use as the standard IV infusion pump at Keck Hospital of USC). Testing of an IV infusion pump other the Keck Hospital of USC standard is indicated, as the independent laboratory testing of the Alaris™ 8100 pump found that this model pump is prone to developing air bubbles as the infusion passes through the pump mechanism. These air bubbles can be sufficient to trigger the air-in-line alarm. The Braun Infusomat® Space P IV infusion pump is a market leader like the Alaris™ 8100 pump, was evaluated in independent testing with and without the ivAED™ device, and was NOT found to create bubbles.

02

Conditions studied

  • Infusion

Keywords

  • Infusion
  • Alarms
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Surgical ICU patients that are receiving IV infusions
  • Patients or their surrogates have provided written, informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients who do not give consent to our researchers
  • Children (patients \<18 years of age)
  • Pregnancy
  • Prisoners
04

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
55 participants (actual)

Study arms

  • Experimental
    Braun Infusomat Pump and ivEAD tubing

    ivEAD tubing

    Device: ivEAD tubing kit

  • No intervention
    Braun Infusomat Pump and standard tubing

    Standard tubing

  • Experimental
    Standard pump and ivEAD tubing

    ivEAD tubing

    Device: ivEAD tubing kit

  • No intervention
    Standard infusion pump and standard tubing

    Standard tubing

Interventions

  • DeviceivEAD tubing kit

    ivEAD tubing designed to reduce infusion pump alarms do to air in infusion line

    Also known as: Braun Infusomat Pump, Standard Infusion Pump

05

What researchers measure

Primary outcomes

  1. Number of air-in-line IV infusion alarms (as detected by the IV infusion pump)

    Number of air-in-line IV infusion alarms (as detected by the IV infusion pump)

    Time frame: Patients will participate in the study from the time of enrollment in the ICU for up to 3 days

  2. Disruption of nursing workflow, measured as number of minutes required to attend to alarm and restore infusion flow.

    Disruption of nursing workflow, measured as number of minutes required to attend to alarm and restore infusion flow.

    Time frame: Patients will participate in the study from the time of enrollment in the ICU for up to 3 days

Secondary outcomes

  1. Cost

    Cost of disruption of nursing workflow, as measured by time-driven, activity-based costing

    Time frame: Patients will participate in the study from the time of enrollment in the ICU for up to 3 days

  2. Loss of Infusate

    Loss of infusate secondary to clearance of air in line

    Time frame: Patients will participate in the study from the time of enrollment in the ICU for up to 3 days

06

Study locations

1 site
  • USC Keck Hospital
    Los Angeles, California 90033, United States
07

References and documents

Publications

  • Kaplan RS, Anderson SR. Time-driven activity-based costing. Harv Bus Rev. 2004 Nov;82(11):131-8, 150. PubMed 15559451 ↗
  • Kaplan RS, Witkowski M, Abbott M, Guzman AB, Higgins LD, Meara JG, Padden E, Shah AS, Waters P, Weidemeier M, Wertheimer S, Feeley TW. Using time-driven activity-based costing to identify value improvement opportunities in healthcare. J Healthc Manag. 2014 Nov-Dec;59(6):399-412. PubMed 25647962 ↗
  • Infusion pump market is anticipated to exceed US$ 49 billion by 2025. https://www.marketwatch.com/press-release/infusion-pump-market-is-anticipated-to-exceed-us-49-billion-by-2025-2019-03-28. Updated 2019. Accessed August 23, 2019.
  • Intravascular air-in-line and air embolism risks associated with infusion pumps, fluid warmers, and rapid infusers: FDA safety communication. U.S. Food and Drug Administration. 2019
  • Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007 Jan;106(1):164-77. doi: 10.1097/00000542-200701000-00026. PubMed 17197859 ↗
  • Brull SJ, Prielipp RC. Vascular air embolism: A silent hazard to patient safety. J Crit Care. 2017 Dec;42:255-263. doi: 10.1016/j.jcrc.2017.08.010. Epub 2017 Aug 7. PubMed 28802790 ↗
  • Kizer JR, Devereux RB. Clinical practice. Patent foramen ovale in young adults with unexplained stroke. N Engl J Med. 2005 Dec 1;353(22):2361-72. doi: 10.1056/NEJMcp043981. No abstract available. Erratum In: N Engl J Med. 2006 Jun 1;354(22):2401. PubMed 16319385 ↗
  • Agency for Healthcare Research and Quality. Patient safety primer: Never events. https://psnet.ahrq.gov/primers/primer/3/Never-Events. Accessed August 23, 2019.
  • Lee PT, Thompson F, Thimbleby H. Analysis of infusion pump error logs and their significance for health care. Br J Nurs. 2012 Apr 26-May 9;21(8):S12, S14, S16-20. doi: 10.12968/bjon.2012.21.Sup8.S12. PubMed 22629592 ↗
  • Matocha D. Reducing infusion pump alarms through structured interventions. Journal of the Association for Vascular Access. 2018;23(2):87-95.

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT04851782
Lead sponsor
Herrick Medical LLC
Collaborators
University of Southern California
Responsible party
Sponsor
First posted
Apr 20, 2021
Start date
Mar 29, 2021
Primary completion
Apr 1, 2024
Completion
Jun 1, 2024
Last update
Jul 11, 2024

Study contacts

J. Perrin Cobb, MD
principal investigator · University of Southern California

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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