Longevity of the novel ConvaTec infusion set with Lantern technology
Open accessAbstract
Current insulin infusion sets are approved for only 2‐3 days. The novel ConvaTec infusion set with Lantern technology is designed to extend infusion set wear time. The goal of this pilot study was to evaluate the duration of wear for this set. This was a pilot safety study in adults with type 1 diabetes using tethered insulin pumps. Participants inserted the set and wore it for 10 days or until failure. Among 24 participants, two were excluded. Forty‐five per cent of the sets lasted 10 days. Median wear time was 9.1 (7.1, 10.0) days. Among 12 premature failures, six (50%) involved adhesive failures, four (33%) hyperglycaemia unresponsive to correction, one (8%) hyperglycaemia with ketones and one (8%) infection. Average CGM glucose per day of infusion set wear showed a statistically significant increase over time, while total daily insulin over the same period did not change. In this pilot study, the duration of wear for the novel infusion set exceeded previously reported commercial sets ( P < .001). This extended wear technology may eventually allow for a combined glucose sensor and infusion set.
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A recent pilot study of 22 adults using varied insulin delivery systems demonstrated a survival rate of 82% at 6.8 days of wear during use of a novel IIS with multiple perforations within the cannula shaft, without significant change in glucose or daily insulin delivered at this time point.
“In addition to these findings, a recent pilot study of 22 adults (40.1 ± 14.3 years of age) using varied insulin delivery systems demonstrated a survival rate of 82% at 6.8 days of wear, during use of a novel IIS with multiple perforations within the cannula shaft (i.e., Lantern technology [ConvaTec, Inc., Deeside, United Kingdom]) without significant change in glucose or daily insulin delivered”
From Evaluation of Extended Infusion Set Performance in Adults with Type 1 Diabetes: Infusion Set Survival Rate and Glycemic Outcomes from a Pivotal Trial (2022) · cites this paper as [22]
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Experimental — accuracy not yet measuredWithout recognition and replacement, IIS failures lead to inadequate insulin delivery, hyperglycemia, and increased risk for diabetes-related ketoacidosis (DKA).
“Without recognition and replacement, IIS failures lead to inadequate insulin delivery, hyperglycemia, and increased risk for diabetes-related ketoacidosis (DKA).2,5,8,9”
From Frequency and Detection of Insulin Infusion Site Failure in the Type 1 Diabetes Exchange Online Community (2023) · cites this paper as [5]
Extended wear infusion sets present a wider timeframe for infusion failure.
“given the recent introduction of extended wear infusion sets, 32 which present a wider timeframe for infusion failure”
From Development of a Real-time Force-based Algorithm for Infusion Failure Detection (2024) · cites this paper as [32]
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Randomized Trial of Infusion Set Function: Steel Versus Teflon
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Brazg, R., Garg, S. K., Bhargava, A., Thrasher, J. R., Latif, K., Bode, B. W., Bailey, T. S., Horowitz, B. S., Cavale, A., Kudva, Y. C., et al. (2022) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2021.0540 · Cited by 28 · see citing works
Self-citationHughes, M. S., Douvas, J. L., Layfield-Bryan, M., Blanco, L. E., Gray, J. C., Zapotoczny, G., Espinoza, J., Wilcox, J. H., & Lal, R. A. (2023) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2023.0005 · Cited by 16 · see citing works
Self-citationDevelopment of a Real-time Force-based Algorithm for Infusion Failure Detection
Blanco, L. E., Wilcox, J. H., Hughes, M. S., & Lal, R. A. (2024) · Journal of Diabetes Science and Technology · doi:10.1177/19322968241247530 · Cited by 2 · see citing works
Self-citation
- Authors
- Lal, R. A., Hsu, L., Zhang, J., Schøndorff, P. K., Heschel, M., & Buckingham, B.
- Affiliations
- Stanford Medicine (US)
- ConvaTec Copenhagen Denmark
- Corresponding author
- Lal, Rayhan A.
- Venue
- Diabetes, Obesity and Metabolism
- Publisher
- Wiley
- Published
- 2021-04-18
- Volume
- 23
- Issue
- 8
- Pages
- 1973-1977
- ISSN
- 1462-8902 (ISSN-L)
- 1463-1326
- PMC
- PMC8720264
- OpenAlex
- W3144920652
- Cited by
- 22
- References
- 2
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 13 · 2021: 3
- FWCI
- 3.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diabetes Obesity and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR001085, UL1TR003142)
- National Institute of Diabetes and Digestive and Kidney Diseases (K12DK122550, DP3DK101055, DP3DK104059, K23DK122017, P30DK116074, T32DK007217)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- type 1 diabetes, adhesive failure, hyperglycemia, infection, continuous glucose monitoring, glucose sensor
- MeSH terms
- Adult, Blood Glucose, Diabetes Mellitus, Type 1, Humans, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, Pilot Projects, Technology, Blood Glucose Self-Monitoring
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