Andersen Ida Boegh, Mogensen Nina, Brandslund Ivan
Department of Clinical Immunology and Biochemistry, Lillebaelt Hospital, Vejle, Denmark.
Faculty of Health Science, University of Southern Denmark, Odense, Denmark.
J Appl Lab Med. 2017 Jan 1;1(4):376-386. doi: 10.1373/jalm.2016.021188.
The Department of Clinical Immunology and Biochemistry, Lillebaelt Hospital, Denmark, and TIMEDICO invented and developed the Tempus600®, a pneumatic tube system (PTS). This system is only 2.5 cm in diameter and sends blood tubes directly, without packing before transport. Request forms need not be enclosed, since samples are labeled with patient and barcode ID. At the end of the pipes, a robot receives and places the tubes onto a GLP transport system after the principle of "first in, first out" (FIFO), whereafter the tubes are delivered to centrifuges and analytical equipment. The whole system has decreased the total turnaround time (ToTAT) from 2 to 3 h to <60 min. The aim of the study was to validate the Tempus600/GLP robot system for the 89 most frequent or critical components.
Two sets of blood samples were drawn from 100 patients. One set was sent by the Tempus600/GLP robot system, and the other was couriered directly to the laboratory for analysis. Results were compared using difference plots.
The results for 85 of the components did not deviate from the optimized fast courier reference transport more than could be expected by the analytical variation. O2 saturation, oxyhemoglobin, and partial pressure of oxygen (Po2) deviated considerably from a clinical point of view. Partial pressure of carbon dioxide (Pco2) results were clinically acceptable for assessing patients with obstructive lung disease for hypercapnia.
The Tempus600/GLP robot system can be used for transport of the majority of routinely used analytical tests.
丹麦利勒拜尔医院临床免疫与生物化学系以及TIMEDICO公司发明并研发了Tempus600®,这是一种气动管道系统(PTS)。该系统直径仅为2.5厘米,可直接输送血样管,运输前无需包装。由于样本已标有患者信息和条形码ID,因此无需附上申请表。在管道末端,一个机器人按照“先进先出”(FIFO)原则接收血样管并将其放置到GLP运输系统上,随后血样管被输送到离心机和分析设备。整个系统已将总周转时间(ToTAT)从2至3小时缩短至不到60分钟。本研究的目的是验证Tempus600/GLP机器人系统对89种最常见或关键成分的检测效果。
从100名患者身上采集了两组血样。一组通过Tempus600/GLP机器人系统送检,另一组则由专人直接送往实验室进行分析。使用差异图对结果进行比较。
85种成分的检测结果与优化后的快速专人参考运输方式相比,偏差未超过分析变异预期范围。从临床角度来看,氧饱和度、氧合血红蛋白和氧分压(Po2)偏差较大。二氧化碳分压(Pco2)结果在临床上可用于评估阻塞性肺疾病患者的高碳酸血症。
Tempus600/GLP机器人系统可用于大多数常规分析检测的运输。