Evaluation: ICU Medical/Q Core Medical Sapphire Epidural Patient-Controlled Epidural Analgesic Infusion Pump

April 5, 2017 | Evaluations & Guidance


The Sapphire Epidural is a good choice for patient-controlled epidural analgesic (PCEA) therapy applications. It offers a programmable intermittent epidural bolus (PIEB) feature, which may aid in epidural therapy administration. The Sapphire Epidural received a fair safety rating due to shortcomings identified in the lockbox accessory, which may not sufficiently secure the medication container against unauthorized access. Also, it does not provide wireless functionality—a capability offered by some of its competitors.

​! *Figure 1.**The Sapphire Epidural. (Image courtesy of ICU Medical/Q Core Medical.)*

  1. The Sapphire Epidural is a patient-controlled epidural analgesic (PCEA) infusion pump. PCEA pumps allow patients to self-administer doses of pain-relieving medication within the limits prescribed by a physician. Patients can activate the delivery of solutions by pressing a pendant button on a cord connected to the pump or a button directly on the pump. This device is used for epidural infusion therapies.

  2. The Sapphire Epidural pump can be used in other modes for other clinical applications beyond PCEA, including continuous, secondary, multistep, intermittent, epidural intermittent, total parenteral nutrition (TPN), and patient-controlled analgesic (PCA) applications

  3. The pump is normally connected to an IV pole with a clamp (mini cradle) and a lockbox.

  4. Major device...

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