Silva Mayla Dos S, Nunes Maria Alzira de A, Rosa Suélia de Siqueira R F, Piratelli-Filho Antônio
Postgraduate Program in Integrity of Engineering Materials, University of Brasilia, St. Leste Projeção A - Gama Leste, Brasilia, 72.444-240, Distrito Federal, Brazil.
Degree in Biomedical Engineering, Polytechnic School of the International University Center (Uninter), Asa Sul, Brasilia, 70200-660, Distrito Federal, Brazil.
Biomed Eng Online. 2025 May 7;24(1):55. doi: 10.1186/s12938-025-01389-2.
Infusion pumps (IPs) are medical devices used for the continuous and precise delivery of medications or nutrients. Their use has expanded and is now widespread in emergency rooms, ICUs, pediatrics, and other hospital departments. Failures in IPs can lead to adverse events, compromising patient health. In addition to the risks to patients, IPs are the medical devices most frequently associated with reports of adverse events in Brazil, highlighting the need to monitor their operational conditions to minimize failures during use.
Thus, the objective of this research is to analyze the reliability of infusion pumps (IPs) in a Brazilian hospital using an internal database from Clinical Engineering software. Probability distributions for repair time and time between failures were modeled, and parameters such as reliability and availability were calculated, with a focus on investigating hospital departments with recurring failures.
In evaluating the operating equipment, a lack of detail in failure notes and service order openings was observed, which can hinder maintenance planning. The longest repair times were recorded in the ICU (Neurology), which houses the majority of IPs. Graphical analysis and testing demonstrated that the Weibull distribution effectively models both time between failures and repair time. The IP A model showed better results in terms of availability and reliability, thereby improving the security of the IPs.
输液泵是用于持续精确输送药物或营养物质的医疗设备。其应用范围不断扩大,目前在急诊室、重症监护病房、儿科及其他医院科室广泛使用。输液泵故障可能导致不良事件,危及患者健康。除了对患者构成风险外,输液泵还是巴西不良事件报告中最常涉及的医疗设备,这凸显了监测其运行状况以尽量减少使用过程中故障的必要性。
因此,本研究的目的是利用临床工程软件的内部数据库分析巴西一家医院输液泵的可靠性。对维修时间和故障间隔时间的概率分布进行建模,并计算可靠性和可用性等参数,重点调查反复出现故障的医院科室。
在评估运行设备时,发现故障记录和服务订单开启方面缺乏细节,这可能会妨碍维护计划。维修时间最长的记录出现在重症监护病房(神经科),该科室配备了大部分输液泵。图形分析和测试表明,威布尔分布有效地模拟了故障间隔时间和维修时间。A型输液泵在可用性和可靠性方面表现出更好的结果,从而提高了输液泵的安全性。