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

April 5, 2017 | Evaluations & Guidance

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The Sapphire Multitherapy is a fair choice for patient-controlled analgesic (PCA) and ambulatory PCA therapy applications. The unit received a poor safety rating due to shortcomings identified with the lockbox accessory, which may not sufficiently secure the medication container against unauthorized access. Due to its small size and long battery life, the unit is also suitable for ambulatory PCA applications; thus, we gave the unit a separate rating in this category. It does not, however, provide wireless functionality—a capability offered by some of its competitors.

*Figure 1.**The Sapphire Multitherapy. (Image courtesy of ICU Medical/Q Core Medical.)*
  1. The Sapphire Multitherapy is suitable for both PCA and ambulatory PCA applications. The characteristics of PCA and ambulatory PCA pumps are as follows:

a) PCA infusion pumps—These devices 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 type of therapy is used for postoperative, obstetric, terminally ill, and trauma patients, and is increasingly being used for less acute patients.

b) Ambulatory PCA infusion pumps—Like PCA pumps, these units allow patients to self-administer doses of pain-relieving medication within the limits prescribed by a physician, and 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. Ambulatory PCA pumps may be used as PCA therapy pumps; however, they are small in size and therefore better suited for less acute patients.

  1. The Sapphire Multitherapy pump can be used in other modes for other clinical applications beyond PCA,...

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