• Infection and chemotherapy
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• v.50 no.4
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• pp.319-327
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• 2018

Background: Lancet-related needlestick injuries (NSIs) occur steadily in clinical practices. Safety-engineered devices (SEDs) can systematically reduce NSIs. However, the use of SEDs is not active and no study to guide the implementation of SEDs was known in South Korea. The lancet-related NSIs may be eliminated to zero incidence using a SED lancet with effective sharp injury protection and reuse prevention features. Materials and Methods: We implemented a SED lancet by replacing a conventional prick lancet in a tertiary hospital in a sequential approach. A spot test of the new SED was conducted for 1 month to check the acceptability in practice and a questionnaire survey was obtained from the healthcare workers (HCWs). A pilot implementation of the SED lancet in 2 wards was made for 1 year. Based on these preliminary interventions, a hospital-wide full implementation of the SED lancet was launched. The incidence of NSIs and cost expenditure before and after the intervention were compared. Results: There were 29 cases of conventional prick lancet-related NSIs for 3 years before the full implementation of SED lancet. The proportion of prick lancet-related NSIs among yearly all kinds of NSIs during two years before the pilot study was average 11.7% (22/188). Pre-interventional baseline incidence of all kinds of NSIs was 7.01 per 100 HCW-years. After the full implementation of SED lancet, the lancet-related NSIs became zero in the 2nd year (P = 0.001). The average direct cost of 18,393 US dollars (USD) per year from device and post-exposure medical care before the intervention rose to 20,701 USD in the 2nd year of the intervention. The incremental cost-effectiveness ratio was 210 USD per injury avoided. Conclusion: The implementation of a SED lancet could eliminate the lancet-related NSIs to zero incidence. The cost increase incurred by the use of SED lancet was tolerable.

• Neonatal Medicine
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• v.17 no.2
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• pp.239-244
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• 2010

Purpose: To evaluate two different heel lancet device in terms of pain response and success of the procedure in the preterm infants undergoing heel puncture. Methods: 100 preterm infants undergoing capillary blood gas analysis or capillary bilirubin monitoring underwent heel puncture, were randomly allocated to blood sampling from the heel with either a conventional manual lancet or an automatic incision device. Primary outcome measures included the Premature Infants Pain Profile (PIPP) score, total duration of procedure, number of heel puncture and number of bruise. The pain response was evaluated using PIPP score and the effectiveness was evaluated using three criteria: total duration of blood sampling, number of puncture, bruising of the heel or ankle. Statistical analysis was performed using the SPSS ver. 13.0 program. Difference between the groups were analysed with t test (continuous variables) and the Chi square test or Fisher test (categorical variables). Results: The mean PIPP score was 4.91 for the automatic lancet group compared with 5.84 for the conventional manual lancet group (P=0.0255).The number of pain scores above 7 during blood collection did not differ between two groups (P=0.2167). The procedure took less time to perform in the automatic lancet group (mean, 30.69 seconds) than in the conventional lancet group (mean, 48.92 seconds) (P<0.0001). Conclusion: This study demonstrated that the automatic lancet device causes less pain and a shorter procedure time than the conventional manual lancet in preterm infants undergoing heel puncture. On the basis of these results the automatic lancet device is very useful method for blood collection in preterm infants by heel puncture.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.12
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• pp.5464-5468
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• 2011

This paper deals with the development of the safety lancet and the electric lancing device. The safety lancet, in which a needle and a protective cap become one body, is designed. It is to prevent the secondary contamination by needlestick injury because the needle is always in the protective cap except for a moment of blood-gathering. The electric lancing device powered by batteries is devised to be operated by the moving rod of solenoid hitting the lancet. and to be used after selecting the repeat or the single hitting mode. The impact force by a hitting rod, the expected life of battery and etc. are measured for product development. This lancing device can be also used for the bloodletting device of the oriental medicine.

• Proceedings of the Korean Magnestics Society Conference
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• 2009.12a
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• pp.57-57
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• 2009

• Proceedings of the Korean Magnestics Society Conference
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• 2010.06a
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• pp.141-141
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• 2010

• Proceedings of the KAIS Fall Conference
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• 2010.11b
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• pp.820-823
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• 2010

본 연구는 채혈바늘에 의해 발생하는 2차 감염을 방지하기 위한 안전 랜싯(Lancet)을 설계 개발하고 연속하여 채혈하는 경우에 쉽게 그리고 편리하게 사용할 수 있도록 무선 전동방식의 채혈기를 설계제작을 목적으로 한다. 안전랜싯은 채혈침과 보호캡이 일체형으로 설계되어 채혈 순간을 제외하고는 채혈침이 항상 보호캡 속에 있도록 하여 채혈바늘에 의한 사고를 방지하도록 하였다. 전동 채혈기는 충전건전지를 전원으로 하고 솔레노이드의 작동으로 랜싯을 타격하여 채혈하도록 설계되었으며, 연발 타격 또는 단발타격의 기능을 선택하도록 설계 제작되었다. 이 채혈기는 한방병의원의 사혈기로도 사용되도록 제작되었다.

• Design & Manufacturing
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• v.12 no.2
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• pp.57-62
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• 2018

In diabetics, daily blood glucose testing is generally required at home, and thus, performing blood collection several times a day using a blood line is essential. Blood collection in the home and in the hospital is a source of pain and is the second most common cause of infection. In blood collecting device generally consists of four major parts: inner-case, outer case, main shaft and triger, and the most import part among those for necessary functionality is the main shaft. Filling time and injection pressure, filling balance, strain-rate analysis of change based on availability of the product. The Moldflow of FEM simulation is used for the analysis of injection molding process. In this study, aims to create a technique for injection molding and manufacturing of a main shaft of a high-performance blood-collecting apparatus capable of automatically extracting a lancet to relieve pain through depth control of the lancet.

• Journal of Biomedical Engineering Research
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• v.23 no.4
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• pp.323-327
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• 2002

Chronic diabetic patients need to sample capillary blood for monitoring and controlling the blood sugar level. Frequent sampling requires to minimize pain during skin puncture. The present study developed mechanisms to minimize pain with effective sampling procedure. which consisted of tapered spring, guiding tunnel, and 30G needle Penetration depth was limited to within 2mm for pain reduction as well as for safety. Simple no-reuse mechanism also prevented the cross-patient and secondary infection possibility. Clinical experiments demonstrated the best convenience and safety with minimal pain in the diabetes, normal, and nursing students groups. Sing1e blood sampling was enough for successful blood sugar test by portable analyzer. The present sing1e use auto-lancet should be of great convenience in frequent capillary blood sampling for the diabetes.

• Korean Journal of Community Nutrition
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• v.29 no.1
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• pp.34-50
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• 2024

Objectives: Transformation through a sustainable food system to provide healthy diets is essential for enhancing both human and planetary health. This study aimed to explain about sustainable diets and illustrate appropriate measurement of adherence to sustainable diets using a pre-existing index. Methods: For literature review, we used PubMed and Google Scholar databases by combining the search terms "development," "validation," "sustainable diet," "sustainable diet index," "planetary healthy diet," "EAT-Lancet diet," and "EAT-Lancet reference diet." For data presentation, we used data from National Health and Nutrition Examination Survey, 2017-2018, among adults aged 20 years and older (n = 3,920). Sustainable Diet Index-US (SDI-US), comprising four sub-indices corresponding to four dimensions of sustainable diets (nutritional quality, environmental impacts, affordability, and sociocultural practices), was calculated using data from 24-hour dietary recall interview, food expenditures, and food choices. A higher SDI-US score indicated greater adherence to sustainable diets (range: 4-20). This study also presented SDI-US scores according to the sociodemographic status. All analyses accounted for a complex survey design. Results: Of 148 papers, 16 were reviewed. Adherence to sustainable diets fell into 3 categories: EAT-Lancet reference diet-based (n = 8), Food and Agriculture Organization (FAO) definition-based (n = 4), and no specific guidelines but including the sustainability concept (n = 4). Importantly, FAO definition emphasizes on equal importance of four dimensions of diet (nutrition and health, economic, social and cultural, and environmental). The mean SDI-US score was 13 out of 20 points, and was higher in older, female, and highly educated adults than in their counterparts. Conclusions: This study highlighted that sustainable diets should be assessed using a multidimensional approach because of their complex nature. Currently, SDI can be a good option for operationalizing multidimensional sustainable diets. It is necessary to develop a Korean version of SDI through additional data collection, including environmental impact of food, food price, food budget, and use of ready-made products.

• Animal Systematics, Evolution and Diversity
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• v.22 no.2
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• pp.223-229
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• 2006

Two litonotid ciliates collected from the freshwater habitats in Korea were identified as Loxophyllum meleagris ($M\ddot{u}ller$, 1773) and Siroloxophyllum utriculariae (Penard, 1922). The description was based on the observation of living and protargol impregnated specimens, and biometric analysis. Their diagnostic characteristics are as follows. L. meleagris; $163-480\times80-100{\mu}m$ in vivo, body shape lancet or knife-like; dorsal margin with 10-19 extrusome warts; 8-35 macronuclei nodules, like a string of bead; 16-21 somatic kineties on right side (including perioral kinety 2, 3) and 6-11 on left side (including perioral kinety 1); 1 contractile vacuole located at posterior part at diastole stage, extending along the dorsal margin toward anterior end with a single long narrow canal. S. utriculariae; $110-170\times78-150{\mu}m$ in vivo, body shape lancet like; dorsal margin without extrusome warts; 2 macronuclei, spherical; 12-19 somatic kineties on right side, 3-7 on left side (including perioral kinety 1); 2-3 contractile vacuoles, first one located anterior ventrally, second one located posterior dorsally and last one located near posterior end of cell.