Department of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Transfusion. 2011 Nov;51(11):2384-90. doi: 10.1111/j.1537-2995.2011.03169.x. Epub 2011 May 12.
Radiofrequency identification (RFID) technology is emerging as one of the most pervasive computing technologies due to its broad applicability. Storage of red blood cells (RBCs) is a routine procedure worldwide. Depending on the additive solution, RBCs can be stored at 4 ± 2°C up to 49 days. To support the decision of discarding or further using a blood product, temperature measurement of each unit could be provided by RFID application. The safety evaluation of RFID devices was demonstrated in a regulatory agency required study. It has been concluded in limit tests that high frequency-based RFID technology performed safely for blood products; therefore, a longer exposure of radiofrequency (RF) energy on blood units was performed in this study to detect any biologic effects in RBC samples.
Buffy coat-depleted, in line-filtered RBCs were used as standard products in all tests. Various variables like pH, potassium, glucose, lactate, hemoglobin (Hb), hematocrit, free Hb, and hemolysis rate were measured in a test group with RFID tags placed on their surface and continuously radiated with 13.56-MHz RFID reader radiation for 42 days while stored at 4 ± 2°C and compared to a control group by two-sample t test.
In both groups glucose and pH levels decreased while lactate, free Hb, and potassium increased within the expected levels. The hemolysis rate showed increase after the 25th day but remained below the maximum acceptable threshold of 0.8%.
It is feasible to implement RFID-enabled processes, without detecting any known biologic effects of longer exposure of RF energy on the quality of RBCs.
由于射频识别 (RFID) 技术具有广泛的适用性,因此它作为最普及的计算技术之一而崭露头角。红细胞 (RBC) 的储存是全球范围内的常规程序。根据添加剂溶液的不同,RBC 可在 4°C ± 2°C 的温度下储存长达 49 天。为了支持废弃或进一步使用血液制品的决策,可以通过 RFID 应用程序提供每个单位的温度测量。RFID 设备的安全性评估已在监管机构要求的研究中得到证明。在极限测试中得出的结论是,基于高频的 RFID 技术对血液制品是安全的;因此,在这项研究中对血液单位进行了更长时间的射频 (RF) 能量暴露,以检测 RBC 样本中的任何生物学效应。
在所有测试中,均使用去白细胞、在线过滤的 RBC 作为标准产品。在实验组中,将 RFID 标签放置在其表面上,并在 4°C ± 2°C 下连续辐射 13.56MHz RFID 读取器辐射 42 天,同时测量各种变量,如 pH 值、钾、葡萄糖、乳酸、血红蛋白 (Hb)、血细胞比容、游离 Hb 和溶血率,并通过两样本 t 检验与对照组进行比较。
在两组中,葡萄糖和 pH 值水平均降低,而乳酸、游离 Hb 和钾水平在预期范围内增加。溶血率在第 25 天后增加,但仍低于 0.8%的最大允许阈值。
可以实施基于 RFID 的流程,而不会检测到 RF 能量更长时间暴露对 RBC 质量的任何已知生物学影响。