title: Dosing Accuracy of Insulin Aspart FlexPens After Transport Through the Pneumatic Tube System.
abstract: OBJECTIVE
  The purpose of this study was to evaluate whether transporting insulin aspart FlexPens via a pneumatic tube system affects the dosing accuracy of the pens.
  
  
  METHODS
  A total of 115 Novo Nordisk FlexPens containing insulin aspart were randomly assigned to be transported via a pneumatic tube system (n = 92) or to serve as the control (n = 23). Each pen was then randomized to 10 international unit (IU) doses (n = 25) or 30 IU doses (n = 67), providing 600 and 603 doses, respectively, for the pneumatic tube group. The control group also received random assignment to 10 IU doses (n = 6) or 30 IU doses (n = 17), providing 144 and 153 doses, respectively. Each dose was expelled using manufacturer instructions. Weights were recorded, corrected for specific gravity, and evaluated based on acceptable International Organization for Standardization (ISO) dosing limits.
  
  
  RESULTS
  In the group of pens transported through the pneumatic tube system, none of the 600 doses of 10 IU (0.0%; 95% CI, 0.0 to 0.6) and none of the 603 doses of 30 IU (0.0%; 95% CI, 0.0 to 0.6) fell outside of the range of acceptable weights. Correspondingly, in the control group, none of the 144 doses at 10 IU (0.0%; 95% CI, 0.0 to 2.5) and none of the 153 doses at 30 IU (0.0%; 95% CI, 0.0 to 2.4) were outside of acceptable ISO limits.
  
  
  CONCLUSIONS
  Transportation via pneumatic tube system does not appear to compromise dosing accuracy. Hospital pharmacies may rely on the pneumatic tube system for timely and accurate transport of insulin aspart FlexPens.
authors.affiliation: Coordinator, Medication Use Policy, Department of Pharmacy.
authors.forename: Leah G
authors.initials: LG
authors.lastname: Ward
authors.affiliation: Biostatistics, Mayo Clinic, Jacksonville, Florida.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Heckman
authors.affiliation: College of Pharmacy, University of Florida, Jacksonville, Florida. [At the time of this writing, Amy Warren and Kimberly Tran were completing Drug Information Clerkships at Mayo Clinic, Jacksonville, Florida.].
authors.forename: Amy I
authors.initials: AI
authors.lastname: Warren
authors.affiliation: College of Pharmacy, University of Florida, Jacksonville, Florida. [At the time of this writing, Amy Warren and Kimberly Tran were completing Drug Information Clerkships at Mayo Clinic, Jacksonville, Florida.].
authors.forename: Kimberly
authors.initials: K
authors.lastname: Tran
keywords: dosing accuracy; insulin delivery device