Browse > Article

Vacuum Assisted Auto-Lancing Technique for Capillary Blood Sampling on the Forearm with Minimized Pain  

Park Mi Sook (Department of Biomedical Engineering, School of Medicine, Chungbuk National University)
Park Kyung Soon (Department of Biomedical Engineering, School of Medicine, Chungbuk National University)
Kim Kyung Ah (CKInternational Co. Ltd.)
Jun Myung Hee (Department of Nursing Science, Oriental Medical college, Taejeon University)
Kim Tae Im (Department of Nursing Science, Oriental Medical college, Taejeon University)
Lee Tae Soo (Department of Biomedical Engineering, School of Medicine, Chungbuk National University)
Cha Eun Jong (Department of Biomedical Engineering, School of Medicine, Chungbuk National University)
Publication Information
Journal of Biomedical Engineering Research / v.25, no.6, 2004 , pp. 557-563 More about this Journal
Abstract
A new vacuum assisted auto-lancing technique is proposed to minimize pain. Specially designed lancing device was introduced, which applied -100mmHg right after skin puncture on the forearm. Sampled blood volumes were measured in 58 normal females. Mean volume of 464 samples was approximately 2.6$\muL$ and the frequency of more than 0.5$\muL$ was 86%. Thus the success rate of blood sugar test should also be the same when using modern glucose meters capable of testing with only 0.3~0.5$\muL$ of capillary blood. When pain scores were quantitatively evaluated by the visual pain measure, only 23% pain of the traditional finger sampling was experienced, demonstrating that capillary blood sampling was performed on the forearm with almost no pain. The present technique reduced pain to a great degree, though resampling might be unavoidable due to 14% of test failure rate estimated for modern glucose meters. However, minimized pain makes the present technique of great convenience for diabetic patients who need blood sampling a few times a day.
Keywords
Diabetes; Vacuum assisted auto-lancing; Lancing device;
Citations & Related Records
연도 인용수 순위
  • Reference
1 R. M. Cowett, L. D'Amico, 'Capillary(Heelstick) versus venous blood sampling for the determination of glucose concentration in the neonate', BioI Neonate, Vol. 62, pp 32-36, 1992
2 M. E. Loveland, S. D. Carley, N. Cranfield, V. F. Hiller, K. Mackway-Jones, ' Assessment of the pain of blood sugar testing: a randomized controlled trial', Lancet, Vol. 354, pp. 921, 1999
3 박미숙, 박경순, 김경아, 이재헌, 전명희, 김태임, 이태수, 차은종, '실험용 배지를 사용한 미량의 모세혈액 측정기법', 제 29회 대한의용생체공학회 추계학술대회, P-33, 2003
4 Agency for Health Care Policy and Research, 'Acute pain management in adults: operative procedures', Quick reference guide for clinicians No. 1a, AHCPR Publication No. 92-0019, Public Health Service, U. S. Dept. of Health and Human Services, 1993
5 G. McGarraugh, S. Schwartz, and R. Weinstein, 'Glucose measurements using blood extracted from the forearm and the finger', Techincal Report ART01022 Rev. c., TheraSense Inc., 2001
6 D. P. Barker, N Rutter, 'Exposure to invasive procedures in neonatal intensive care unit admissions', Arch Dis Childhood, Vol. 72, pp. F48-F49, 1995
7 N. Mclntosh, L. van Veen, H. Brameyer, 'Alleviation of the pain of heel prick in preterm infants', Arch Dis Childhood, Vol. 70, pp. FI77-F181, 1994
8 박미숙, 박경순, 김태임, 전병희, 이태수, 차은종, '당뇨환자 혈당검사를 위한 부위별 모세혈액 채혈량 비교', 제 28회 대한의용생체공학회 춘계학술대회, P-104, 2003
9 A. J. Brenneman, D. G. Purcell, 'Vacuum assisted lancing device', U. S. Patent No. 6,152,942, 2000
10 T. M. Blumenfeld, G. K. Turi, W. A. Blanc, 'Recommended site and depth of newborn heel skin punctures based on anatomical measurements and histopathology', Lancet, Vol. 334, pp. 230-233, 1979
11 G. McGarraugh, D. Price, S. Schwartz, and R. Weinstein, 'Physiological influen ces on off-finger glucose testing', Diabetes Technology & Therapeutics, Vol. 3, pp. 367-376, 2001
12 J. H. Baumer, A. D. Edelsten, B. C. Howlett, C. Owens, C. A. Pennock, D. C. L. Savage, 'Impact of home blood glucose monitoring on childhood diabetes', Arch Dis Children, Vol. 57, pp. 195-199, 1982
13 D. D. Cunningham, T. P. Henning, E. B. Shain, D. F. Young, T. A. Elstrom, E. J. Taylor, S. M. Schroder, P. M. Gatcomb, and W. V. Tamborlane, 'Vacuum-assisted lancing of the forearm: an effective and less painful approach to blood glucose monitoring', Diabetes Technology & Therapeutics, Vol. 2, pp. 541-548, 2000
14 차은종, 박미숙, 최강, 담학현, 차근식, 'Vacuum assisted auto-lancing device', PCT/KR2004/j000351, 2004
15 김현식, 김경아, 전병희, 김태임, 정용현, 이태수, 차은종, '피부관통시 통증을 최소화하는 일회용 자동 모세혈액채취기구', 의공학회지, 제 23권, 제 4호, pp. 323-327, 2002
16 J. D. Baum, 'Home monitoring of diabetic control', Arch Dis Children, Vol. 56, pp. 897-899, 1981