We recommend that users take steps to verify delivery from ALZET pumps.
There are two techniques which can provide information about how a pump
has functioned during the infusion period:
- Measurement of plasma levels during infusion
- Measurement of the residual volume in the pump reservoir after
explantation
To verify pump delivery in vitro, refer to the recommended
protocol.
Note: the weight of a partially empty or discharged pump cannot
be used to determine the quantity of drug delivered because the pump
imbibes water during operation. Likewise, cutting open a spent pump
is not a reliable means of verifying pump performance.
Plasma levels
Monitoring blood or plasma levels of the drug administered at several
points during the course of administration provides the most reliable
and quantitative information for verifying pump functionality. This
allows one to detect when such levels reach steady state and whether
variables unrelated to pump functionality (e.g. metabolic tolerance)
influence experimental results.
In the event that determination of circulating blood levels is not possible
or is technically undesirable, another method of verifying pump functionality
is to measure the residual drug solution which remains in the pump reservoir
at the time the pump is explanted.
Residual volume
What is it?
Residual volume is the solution remaining inside the pump reservoir
at the end of the infusion period. At the completion of its stated duration
of infusion (from one day to four weeks depending upon the model), the
pump reservoir will still contain some of the solution originally loaded
into it.
How is it measured?
Use a filling tube attached to a syringe to aspirate the remaining
solution from the reservoir of the pump. (Use of a needle risks puncturing
the reservoir and drawing solution from the osmotic chamber instead,
which could result in an erroneously high measurement.) Subtract the
volume removed from the initial loading volume. This net amount of solution,
divided by the elapsed time, provides a measure of the average release
rate. This method is not as quantitative as measuring plasma levels
of the compound. On occasion, the pump's reservoir collapses, making
it difficult to extract solution from its interior.
How much residual volume should there be?
The residual volume can be
predicted from the initial volume loaded in the pumps (fill volume),
pumping rate, and duration of infusion. If the pumps were used in an
environment other than 37º C, please use our ambient
temperature calculator first, to obtain the adjusted flow rate for
your pump model.
Example: A Model 2002 pump with a mean pumping rate
of 0.45 µl/hr is filled with 225 µl and implanted for 14
days. Upon removal, 70 µl are aspirated from the reservoir. Based
on this amount, can one assume that the pump functioned properly during
infusion? Yes, this is an appropriate amount to recover from this pump.
It would have infused approximately 151 µl during the 14-day infusion
period:
Mean Pumping Rate x Infusion Duration (in hours) = Volume Infused
0.45 µl/hr x (24 hrs x 14 days) = 151 µl
This would leave a residual volume of 74 µl:
Actual Fill Volume – Volume Infused = Residual Volume
225 µl – 151 µl = 74 µl
Why is there a residual volume?
The residual volume represents a safety margin in the design of these
devices. The reservoirs are deliberately made slightly larger than is
necessary for the specified duration of pumping so that on the last
day of the nominal period of pumping, there is enough fluid left in
the reservoir to support constant delivery at the specified rate. This
safety margin also allows for time to prime the pumps, and provides
some flexibility in case the experiment cannot be terminated immediately.
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In Vitro Testing Protocol
ALZET pumps are supplied with a specified volume pumping rate determined in isotonic saline at 37°C (± 0.5°C). In the event that the user finds it necessary to test the pumping rate, DURECT recommends that the following steps be taken:
Materials Needed
Procedure
Step 1. Prepare
a solution of known concentration of an indicator dissolved in isotonic
saline. The amount of indicator pumped out of the pump will be the basis
for the pumping rate calculation. Therefore, the indicator solution
should be compatible with the pump and be easy to analyze in isotonic
saline. (One such indicator is FD&C blue #1 dye)
Step 2. Fill the ALZET pump with the indicator solution. ( Filling procedure )
Step 3. Place the ALZET pump into a 20 ml test tube pre-filled with 15 ml of isotonic saline and pre-incubated at 37°C (± 0.5°C). Cap the tube to prevent evaporation.
Step 4. Record the starting time of the incubation.
Step 5. Transfer the ALZET pump to a new test tube filled with 15 ml of isotonic saline approximately every 12 hours. Record the precise time of the transfer and/or the time interval between transfers.
Step 6. Repeat Step 5 daily for the duration of the pump. (For example, 7 days for Model 2001)
Step 7. Analyze for the concentration of indicator in each test tube against a standard of known concentration to determine the amount of indicator pumped during each time interval. From this amount and the concentration of the indicator in the solution initially loaded into the ALZET pump, calculate the volume pumped during each interval. Divide by the time interval in hours to obtain the average hourly volume pumping rate.
Note: When FD&C blue #1 dye is used, the recommended wavelength for spectrophotometric analysis is 630 nm.