Necessity of medical care benefit and price adjustment | |
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Comparison of safety of
conventional pumps (removing the consumable set from the package, introducing
it into the drug container, attaching it to the pump, and injecting it into the
patient) and the risk of medical accidents such as increased workload due to
exposure to the hospital environment, errors, infection risk, and increased
human error.
Unit: Actions, ( ) is the number of exposures, 1000ml medication container capacity, based on 1 day. 1. INFUSION PUMP : Actions 1)Remove set from packaging (1) 2)CLAMP LOCK 3)Introduce SPIKE drug container 4)CLAMP OPEN 5)Remove air from set (PRIMING) 6)CLAMP LOCK 7)Mount pump set 8)CLAMP OPEN 9)Enter infusion volume 10)Connect patient (2) 11)Infuse, 12) To maintain accuracy, the fluid set tube is squeezed and crushed (TUBE RECOIL) Due to this problem, accuracy is reduced and the set must be repositioned or replaced every hour (24 times per day) or at least every 2 hours (12 times per day). A total of 34 to 22 actions (labor), 2 errors due to exposure to hospital environment, 2 infection risks, 1 set every 1 to 4 days (less medical waste, environmental pollution) 2. Syringe pump : Actions 1) Remove syringe from packaging(1) 2) Remove needle from packaging(2) 3) Combine syringe and needle(3) 4) Introduce needle into drug container 5) Extract drug into syringe 6) Remove needle from drug container(4) 7) Remove air in syringe 8) Remove syringe and needle(5) 9) Connect set to syringe(6) 10) Remove air in set(priming)(7) 11) Mount on pump 12) Connect to patient(8) 13) Enter volume 14) Inject (The syringe has a maximum capacity of 60ml, but only 40ml is filled for stable injection without error, and the same action and exposure are repeated every time the syringe is changed). At 40ml/hour infusion, 24 syringe changes/day, 336 acts/192 exposures, 20mlx12(number of changes/day)/hr/168(acts)/96(exposures), 10ml/hrx6/84/48, 5ml/hrx4.8/67/38, 1ml/hrx1/14/8, 24~1 syringes/needles per day/24~1 syringes/needles per day (medical waste, environmental pollution)) The world uses syringe pumps because of their accuracy, and the syringe pump market size is 4~5 trillion won, which is 30%. 3) Cylinder pump (Anyfusion cylinder pump): Act 1) Remove cartridge set from wrapper (1) 2) Introduce drug container spike 3) Install pump 4) Remove air in set (priming) 5) Enter injection amount 6) Connect to patient (2) 7) Inject. Act 7 times, exposure (2), 1 set for 1-7 days (low medical waste, environmental pollution) Representative ESG The above data is also noted by the FDA, which states that the tremendous number of behaviors and exposures of conventional pumps result in a significantly higher probability of safety and low efficacy issues, leading to frequent serious medical errors, and that during tube recoil and frequent replacement, the drug infusion will inevitably differ from the interrupted display infusion. The accuracy claimed by these companies does not reflect this, so the accuracy (validity) must be significantly lower. Anyfusion, which perfectly solved the above and other original technology problems such as fluctuation, start up delay, regurgitation, siphoning, and free flow, was selected by the FDA as an STeP as an innovative medical device. Anyfusion's cost-effectiveness compared to the absolute price of the cartridge set is a factor in the relative increase in medical costs due to serious safety and efficacy issues and increased workload, and it is unreasonable to regulate Anyfusion as a selective benefit anymore, and it should be adjusted to a nursing benefit and adjusted to a price that reflects value. Patients around the world who receive medicines with conventional pumps should be freed from this risk every day, and users (nurses) are so used to conventional pumps that they don't notice the difference, but it is a huge workload factor. Thank you. |
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