Significant Time Until Catheter Occlusion Alerts in Currently Marketed Insulin Pumps at Two Basal Rates
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Infusion set failure can occur when there is local inflammation at the infusion site, when the catheter is occluded, kinked or has simply dislodged from the subcutaneous space.
“Infusion set failure can occur when there is local inflammation at the infusion site, when the catheter is occluded, kinked or has simply dislodged from the subcutaneous space.3,4”
From Early Detection of Infusion Set Failure During Insulin Pump Therapy in Type 1 Diabetes (2016) · cites this paper as [4]
Occlusions are not necessarily noted immediately and interruptions of insulin flow during infusion often appear to not trigger occlusion alarms because it takes time to build up sufficient back pressure until an occlusion is detected and an alarm sounds.
“Occlusions are not necessarily noted immediately and interruptions of insulin flow during infusion often appear to not trigger occlusion alarms10 as it takes time to build up sufficient back pressure until an occlusion is detected and an alarm sounds.”
From Insulin Pump Occlusions: For Patients Who Have Been Around the (Infusion) Block (2017) · cites this paper as [10]
Occlusion of an insulin infusion set can degrade patients' confidence in insulin pump technology.
“degrade patients’ confidence in this type of technology”
From Insulin Pump Occlusions: For Patients Who Have Been Around the (Infusion) Block (2017) · cites this paper as [10]
It often takes several hours after an occlusion occurs before the pump occlusion alarm alerts the user.
“Such interruptions may have clinical importance because it often takes several hours after an occlusion occurs before the pump occlusion alarm alerts the user, because of different thresholds for alarm activation and variation in basal infusion rate, length of the infusion catheter, and volume of bolus(es).11”
From Reduced Silent Occlusions with a Novel Catheter Infusion Set (BD FlowSmart): Results from Two Open-Label Comparative Studies (2016) · cites this paper as [11]
Pressure thresholds vary among pumps, such that rises in blood glucose concentration may last up to 5 h before the occlusion alarm sounds.
“These pressure thresholds vary among pumps, such that rises in blood glucose concentration may last up to 5 h before the occlusion alarm sounds—depending on the pump, the alarm pressure setting, the type and length of infusion set tubing, etc.11”
From Reduced Silent Occlusions with a Novel Catheter Infusion Set (BD FlowSmart): Results from Two Open-Label Comparative Studies (2016) · cites this paper as [11]
The majority of in-line pressure increases during CSII occurring in a 24-h period did not trigger the pump alarm.
“In addition, the same study demonstrated that the majority of in-line pressure increases during CSII occurring in a 24-h period did not trigger the pump alarm.11”
From Reduced Silent Occlusions with a Novel Catheter Infusion Set (BD FlowSmart): Results from Two Open-Label Comparative Studies (2016) · cites this paper as [11]
Cites
van Bon, A. C., Bode, B. W., Sert-Langeron, C., DeVries, J. H., & Charpentier, G. (2011) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2010.0224 · Cited by 96 · see citing works
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Insulin Infusion Set Use: European Perspectives and Recommendations
Deiss, D., Adolfsson, P., Alkemade-van Zomeren, M., Bolli, G. B., Charpentier, G., Cobelli, C., Danne, T., Girelli, A., Mueller, H., Verderese, C. A., et al. (2016) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2016.07281.sf · Cited by 62 · see citing works
Early Detection of Infusion Set Failure During Insulin Pump Therapy in Type 1 Diabetes
Cescon, M., DeSalvo, D. J., Ly, T. T., Maahs, D. M., Messer, L. H., Buckingham, B. A., Doyle, F. J., & Dassau, E. (2016) · Journal of Diabetes Science and Technology · doi:10.1177/1932296816663962 · Cited by 51 · see citing works
Insulin Pump Occlusions: For Patients Who Have Been Around the (Infusion) Block
Klonoff, D. C., Freckmann, G., & Heinemann, L. (2017) · Journal of Diabetes Science and Technology · doi:10.1177/1932296817700545 · Cited by 41 · see citing works
Gibney, M., Xue, Z., Swinney, M., Bialonczyk, D., & Hirsch, L. (2016) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2015.0342 · Cited by 32 · see citing works
Occlusion Detection Time in Insulin Pumps at Two Different Basal Rates
Freckmann, G., Kamecke, U., Waldenmaier, D., Haug, C., & Ziegler, R. (2018) · Journal of Diabetes Science and Technology · doi:10.1177/1932296817750404 · Cited by 18 · see citing works
- Authors
- van Bon, A. C., Dragt, D., & DeVries, J. H.
- Affiliations
- Academic Medical Center, Amsterdam, The Netherlands.
- Amsterdam UMC Location University of Amsterdam (NL)
- ORCID
- DeVries, J. Hans
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2012-05
- Volume
- 14
- Issue
- 5
- Pages
- 447-448
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- OpenAlex
- W2006053166
- Cited by
- 25
- References
- 1
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Keywords
- insulin pump, catheter occlusion, alert response time, pump safety, diabetes technology
- MeSH terms
- Blood Glucose, Catheters, Indwelling, Diabetes Mellitus, Type 1, Equipment Failure, Female, Humans, Insulin, Insulin Infusion Systems, Male, Time Factors, Infusion Pumps, Implantable
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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