Influence of the marvelous™ three-way stopcock on the natural frequency and damping coefficient in blood pressure transducer kits

J Clin Monit Comput. 2018 Feb;32(1):63-72. doi: 10.1007/s10877-017-9979-0. Epub 2017 Jan 10.

Abstract

Two types of Planecta™ ports are commonly used as sampling ports in blood pressure transducer kits: a flat-type port (FTP) and a port with a three-way stopcock (PTS). Recently, a new type of three-way stopcock (Marvelous™) has been released as a Planecta™ counterpart, but its effects on the frequency characteristics and reliability of blood pressure monitoring have not been investigated. We assessed the influence of the Marvelous™ stopcock on the frequency characteristics of the pressure transducer kit. The basic pressure transducer kit, DT4812J, was modified by replacing one or two of the original three-way stopcocks with Marvelous™ stopcocks. The frequency characteristics (i.e., natural frequency and damping coefficient) of each kit were determined using wave parameter analysis software, and subsequently evaluated on a Gardner chart. Replacement of the original blood pressure transducer kit stopcocks with Marvelous™ stopcocks decreased the natural frequency (48.3 Hz) to 46.3 Hz or 44.8 Hz, respectively; the damping coefficient was not significantly changed. Plotting the data on a Gardner chart revealed that the changes fell within the adequate dynamic response region, indicating they were within the allowable range. Insertion of Marvelous™ stopcocks slightly affects the natural frequency of the pressure transducer kit, similar to inserting a PTS. The results indicate that the Marvelous™ stopcock is useful for accurate monitoring of arterial blood pressure, and may be recommended when insertion of two or more closed-loop blood sampling systems is necessary.

Keywords: Blood pressure transducer kits; Damping coefficient; Intra-arterial pressure wave; Marvelous™; Natural frequency; Three-way stopcock.

MeSH terms

  • Blood Pressure
  • Blood Pressure Determination / instrumentation*
  • Blood Pressure Determination / methods*
  • Equipment Design
  • Humans
  • Oscillometry / instrumentation
  • Oscillometry / methods
  • Reproducibility of Results
  • Signal Processing, Computer-Assisted
  • Software
  • Transducers, Pressure*