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A Study on the Mixing of Pulverization Matters when the Contrast Medium is connected to the Automatic Injection Device using the Syringe Connector

Syringe Connector를 이용하여 조영제를 자동 주입장치에 연결 시 분쇄물 혼입에 관한 연구

  • Kim, Hyeon ju (Department of Radiologic Technology, Dongnam Health University) ;
  • Kim, Ji eun (Department of Radiologic Technology, Dongnam Health University) ;
  • Han, Yu bean (Department of Radiologic Technology, Dongnam Health University) ;
  • Choi, Seung hyun (Department of Radiologic Technology, Dongnam Health University) ;
  • Kang, Yun ki (Department of Radiologic Technology, Dongnam Health University) ;
  • Jung, Yu jin (Department of Radiologic Technology, Dongnam Health University) ;
  • Jung, Min young (Department of Radiologic Technology, Dongnam Health University) ;
  • Lee, Hoo min (Department of Radiologic Technology, Dongnam Health University)
  • 김현주 (동남보건대학교 방사선과) ;
  • 김지은 (동남보건대학교 방사선과) ;
  • 한유빈 (동남보건대학교 방사선과) ;
  • 최승현 (동남보건대학교 방사선과) ;
  • 강윤기 (동남보건대학교 방사선과) ;
  • 정유진 (동남보건대학교 방사선과) ;
  • 정민영 (동남보건대학교 방사선과) ;
  • 이후민 (동남보건대학교 방사선과)
  • Received : 2018.11.07
  • Accepted : 2018.11.30
  • Published : 2018.11.30

Abstract

The purpose of this study was to investigate the degree of tearing of the rubber when the spike of the syringe connector was connected to the bottle of the contrast medium composed of the rubber compound type and to investigate the presence of the synthetic rubber due to tearing and grinding and the size of the pulverized product when the pulverized matters rubber was detected. As a result, in the case of tearing degree, the front side of the first contact with the end of the syringe connector was torn more than the back side by about $3.14{\pm}0.04mm$, and the pulverized matters was detected on average 7 to 15 on the 10 contrast mediums. The average particle size was measured to be about $7.89{\pm}0.31{\mu}m$. In addition, it is necessary to develop a micro_filter type automatic injection system for blocking off the pulverized matters as well as additional experiments through various experiments and analysis methods, and it is considered that interest of related organizations will be needed in preparation of fatal accidents when pulverized matters is introduced.

고무화합물 형태로 구성된 조영제의 병에 Syringe Connector의 Spike를 연결 시 고무의 찢김 정도를 알아 보고 찢김 및 분쇄로 인한 합성고무의 혼입 유무와 분쇄된 합성고무가 검출 시 분쇄물의 크기를 실험을 통해 알아보고자 하였다. 그 결과 찢김 정도의 경우 Syringe Connector의 끝과 최초 접촉하는 앞면이 약 $3.14{\pm}0.04mm$로 뒷면 보다 많이 찢겼으며, 실험 대상인 10 병의 조영제에서 평균 7 개에서 15 개로 모두 분쇄물이 검출되었다. 검출된 분쇄물을 이용하여 크기를 측정한 결과 평균크기는 약 $7.89{\pm}0.31{\mu}m$이었다. 향 후 다양한 실험 및 분석방법을 통한 추가실험과 더불어 흡인된 분쇄물 차단을 위한 미세 필터타입 자동주입장치의 개발이 필요하며, 분쇄물 유입 시 치명적 사고를 대비하여 관련기관의 관심 또한 필요할 것으로 사료된다.

Keywords

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Fig. 1. Image of a torn of rubber cap torn by a syringe connector insertion.

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Fig. 2. Image of Measure filtered pulverization matters.

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Fig. 3. Measurement of the size of pulverization matters for using Microscope.

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Fig. 4. Measurement of length of torn part of front side and back side of rubber cap.

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Fig. 5. Image of pulverization matters count.

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Fig. 6. Measurement image of size of the pulverization materials and the largest(A) and small(B).

Table 1. Torn length comparison between fronto side and back side

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Table 2. Average number of pulverized matters by contrast media

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Table 3. Table of Measure the size of the pulverization matters and compare the average size

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References

  1. B G Yoo, J S Lee, K J Jang, S H Jeon, Y S Kim, D C Kweon. "Comparison Radiation Dose of Z-Axis Automatic Tube Current Modulation Technique with Fixed Tube Current Multi-Detector Row CT Scanning of Lower Extremity Venography," Journal of radiation protection and research, Vol. 32, No. 3 pp. 123-133, 2007.
  2. Nicholas J schneiders, Stewart C Bushong, "CT quality assurance: computer assisted slice thickness determination," Medical Physics, Vol. 7, No.1. pp.61-63. 1990. https://doi.org/10.1118/1.594767
  3. Y D Kim, "The side effect of contrast media and it related factors in contrast enhanced computed tomography," Journal of Chonnam National University pp. 1-26, 2005
  4. Y. K. Jeong, J. K. Han, B. I. Choi, "Spiral CT for the Detection of Metastatic Tumor of the liver: Relative Value of Arterial, Portal Venous and Delayed Phase Scanning," The Korean Society of Radiology Vol. 33 No. 2 pp. 265-271, 1995. https://doi.org/10.3348/jkrs.1995.33.2.265
  5. The Korean Society of Medical Imaging Technology, TEXTBOOK of Computed Tomography, Chung Ku, pp. 110-111, 2017.
  6. K Y Sohng, N Y Lim, S K Chaung, S O Chang, K E Lee, K H Kim, H J Paik, S N Park, D W Choi, J I Kim, "An Analysis of Research Trends Published in the Journal of Korean Academy of Fundamentals of Nursing(JKAFN) based on Knowledge Development Classifications of Nursing," J. Korea Acad. Fundam Nurs., Vol. 14 No. 2 pp. 166-172 2007.
  7. J. S. Park, H. R. Oh, B. H. Seo, J. H. Bang, "Comparison of Glass Particle Contamination according to Method of Ampule Cutting and Needle Aspiration," Journal of Korean academy of nursing, Vol. 36 No. 6, pp. 1033-1041 2006. https://doi.org/10.4040/jkan.2006.36.6.1033
  8. E. M. Yun, Invastgation of foreign guideline for glass ampule use and the current situation of injectable drug use, Journal of Sookmyung Women's University pp. 1-72, 2005.
  9. S. G. Jang, Development of New Vascular Access Device for Preventing Foreign Substance inflow to Blood Vessel, Journal of Soon Chun Hyang University pp. 1-51, 2018.
  10. C. T. Karen, Shanks C, "Glass particle contamination in single doseampules," Journal of Anesth & Analg Vol. 65 No. 12, pp. 1361-1363, 1986.
  11. I. R. Gillies, W. J. Thiel, R. C. Oppenheim, "Particulate contamination of australianampoules," Journal of Pharm Pharmacol Vol. 38, No. 6, pp. 87-92, 1986. https://doi.org/10.1111/j.2042-7158.1986.tb04517.x
  12. L. N. Ronald, "Selection of containers closure systems for injectable products," American Journal of Health-System Pharmacy, Vol. 40, No. 11, pp. 1924-1927, 1983. https://doi.org/10.1093/ajhp/40.11.1924
  13. H. C. Jeong, M. Y. Jeon, "Influence of differenct methods of cutting ampules on drug contamination by glass flakes from the ampule," Journal Korean Acad. Fundam Nurs. Vol. 16 No.2 pp. 207-213, 2009.
  14. KFDA(Korea Ministry of Food and Drug Safety), Guideline for safety usage of syringe injection, KFDA, pp. 23-26, 2016