Category Archives: General

QinFlow awarded Patient Blood and Fluid Warming agreement with Premier, Inc

PLANO, Texas – Jan. 24, 2022 – QinFlow Inc. has been awarded a group purchasing agreement for Patient Warming – Blood and Fluid Warming with Premier, Inc. Effective January 15, 2022, the new agreement allows Premier members, at their discretion, to take advantage of special pricing and terms pre-negotiated by Premier for high performance, aluminum free blood and fluid warming devices for the entire continuum of care.

We are thrilled that Premier has chosen to award QinFlow a national agreement. This agreement will provide healthcare organizations access to our next-generation blood and IV fluid warming technology, which has been perfected to meet the demanding needs of Emergency Rooms, Trauma Bays, Operating Rooms, and Intensive Care Units“, said Ariel Katz, Chief Executive Officer. He added: “this agreement provides an excellent opportunity for hospitals to bridge the supply gap that is associated with recent recalls of aluminum-based warmers as well as the severe shortage of consumables imposed by the pandemic.” Mr. Katz concluded that “this agreement between QinFlow and Premier will help accomplish QinFlow’s mission to ensure that blood and fluid are warmed prior to administering them to patients so as to combat hypothermia.”

The Warrior Modular System offers several configurations, that are optimized to specific hospitals settings. For example, the Warrior Hybrid configuration, that provides both battery and AC power source options, typically serves Emergency Departments and Trauma Bays, while the Warrior AC configuration typically serves Operating Rooms and Intensive Care Units. All Warrior configurations utilize the same Compact Disposable Unit, thus facilitating patient handoff between settings and reducing costs (i.e., the same disposable travels with the patient to the next level of care). The Warrior’s key benefits include high performance, immediate warming, unique bolus-flow handling capability, portability, simplicity of operations, nearly zero maintenance (5 years between service calls), and a complete continuum of care proposition, to name just a few.

Premier is a leading healthcare improvement company, uniting an alliance of more than 4,400 U.S. hospitals and 225,000 other providers to transform healthcare. With integrated data and analytics, collaboratives, supply chain solutions, and consulting and other services, Premier enables better care and outcomes at a lower cost.

ABOUT QinFlow

Since 2009 QinFlow (short for Quality in Flow) has worked to develop and perfect a proprietary fluid warming technology (patented) that delivers unparalleled levels of warming efficiency. The company’s flagship line of products – the Warrior – provides front-end rescue teams, first responders, critical care transport teams, and emergency care professionals within the hospital with a high performance, reliable, simple to operate, and completely portable blood and IV fluid warming device that operates flawlessly in all environmental conditions in order to fight hypothermia and help in saving lives. QinFlow Inc. is headquartered in Plano Texas. For more information on QinFlow and the Warrior modular system, visit www.qinflow.com. For more information regarding this press release, contact us at info@qinflow.com or at www.qinflow.com/contact/.

QinFlow is Now A Formal Vendor To Member of Premier GPO!

QinFlow has been awarded a national group purchasing agreement with Premier for patient warming products – blood and fluid warmers. We are thrilled to serve Premier’s members and provide them with access to our next-generation blood and IV fluid warming technology, which has been perfected to meet the demanding needs of Emergency Rooms, Trauma Bays, Operating Rooms, and Intensive Care Units. This is an excellent opportunity for hospitals to bridge the supply gap associated with recent recalls of aluminum-based warmers as well as the severe shortage of consumables imposed by the pandemic. Our agreement with Premier will help us to accomplish our mission to ensure that blood and fluids are warmed prior to administering them to patients so as to combat hypothermia.

We wish our customers, partners, stakeholders, and employees Merry Christmas and Happy New Year 2022!

2021 has been challenging in many respects, yet at the same time it has been extremely encouraging. Hundreds of customers and business partners have repeatedly expressed their trust in us and in the Warrior line. We thank y’all and wish you a relaxing, joyful, and healthy holiday season and a great New Year 2022!

Sincerely,

Team QinFlow

The Warrior Line of Blood/Fluid Warmers Is Approved for Distribution In Canada

PETAH TIKVA, Israel – Dec. 20, 2021 — QinFlow, the manufacturer of the Warrior line of top-performance and portable blood and IV fluid warming solutions for the entire continuum of emergency care, is proud to announce that the Warrior line is now approved for distribution in Canada.

This recent approval comes at delicate times for many Canadian healthcare providers,” explains Dov Nachshon, CEO of QinFlow Ltd. “Prominent traditional suppliers recently announced severe supply shortages due to aluminum leaching concerns which resulted in formal regulatory recalls, or due to supply-chain limitations which were significantly amplified by the pandemic,” he further explains.

The Warrior line can now help Canadian healthcare organizations to bridge the supply gap and deal with the concerning shortage of warmers and consumables. More specifically:

  • The Warrior lite has been designed to support the blood/fluid warming needs of weight and space constrained tactical teams, air ambulances, ground ambulances and other pre-hospital rescue gears
  • The Warrior and Warrior EXTREME have been designed to support the blood/fluid warming needs during long-haul transports
  • The Warrior Hybrid has been designed to support the blood/fluid warming needs of emergency departments and trauma bays
  • The Warrior AC has been designed to support the blood/fluid warming needs of Operating Rooms and Intensive Care Units.

All these configurations operate with the same disposable unit. This allows for complete continuum of emergency care implementation, whereby patient’s handoff between settings is simplified and overall cost for the healthcare system is meaningfully reducedA true win-win approach.

For more information on QinFlow and the Warrior line of warmers, visit www.qinflow.com or contact us at info@qinflow.com.

About QinFlow

Since 2009 QinFlow (short for Quality in Flow) has worked to develop and perfect a proprietary fluid warming technology (patented) that delivers unparalleled levels of warming efficiency. The company’s flagship line of products – the Warrior – provides front-end rescue teams, first responders, critical care transport teams, and emergency care professionals within the hospital with a high performance, reliable, simple to operate, and completely portable blood and IV fluid warming device that operates flawlessly in all environmental conditions in order to fight hypothermia and help in saving lives. QinFlow is headquartered in Petah Tikva (Israel) and Plano TX (USA). For more information on QinFlow and the Warrior modular system, visit www.qinflow.com. For more information regarding this press release, contact us at info@qinflow.com.

Why Does Blood Need to Be Warmed?

I’m a big believer in knowing why you are doing something and not just following blindly because your protocols tell you to. In this article I’m going to talk about why we warm blood before giving it to patients. The World Health Organization strongly recommends warming blood products when they are given at rates at and above 100mL/min. We can cause serious harm to our patients, even cardiac arrest, when we infuse cold blood. While cardiac arrest is a rare consequence of cold transfusions, hypothermia is not. In fact, up to 66% (2 out of 3) trauma patients are hypothermic upon admission to the hospital. That’s an alarming number that I think we as prehospital care providers can change for the better.

Let’s think about our trauma patient for a second. We arrive on scene to find a person who has been in a car accident, or shot, or fell off a ladder. Regardless of the mechanism of injury, what we know for sure is that they have been in this condition for some period of time (unless you witnessed the accident happen in front of you). What’s the average response time of your agency? If you work in a rural or remote area, it could be an hour or even longer before you arrive on scene. During this time your patient is being exposed to the elements. Even in warm temperatures, trauma patients can become hypothermic quickly. And if your trauma patient is hypovolemic due to blood loss, they are losing the ability to retain what heat they have.

Now let’s consider the path our trauma patient is going to take on their road to recovery. We as prehospital providers are going to provide care in the field by stabilizing the patient’s injuries and starting the resuscitation process by obtaining IV access and infusing blood products. Then we are going to transport them to the nearest appropriate facility where they will continue their journey to recovery. Keep in mind our transport time is probably going to be as long as our response time. Finally, once at the hospital, trauma teams will expose the patient again to do their own assessment. The patient may require surgery also. This means being exposed in a cold OR and being put under by anesthesia. (Note that anesthesia impacts the body’s ability to thermoregulate.) Then our patient will spend time in PACU and finally ICU. 

That’s a long time for your trauma patient to be without warmed blood. We as providers can stop this from occurring by limiting exposure and warming blood products before they are infused into the patient. Trauma patients that are admitted to the ICU with hypothermia have a significantly greater risk of mortality than those patients who are normothermic upon arrival (Balvers 2016). We as prehospital providers can set our patients up for the best possible odds of survival by keeping them warm. One way we can do this is simply by limiting the amount of time the patient is exposed. Keep the patient covered with heat reflective blankets when not actively assessing the patient. The other way we can prevent hypothermia in our trauma patients is to ensure that we warm blood products, which are stored in coolers at near-freezing temperature, prior to infusing them to patients. 

So that’s the first reason we warm blood before giving it to our patients, to help in preventing hypothermia. Another reason we need to warm blood before infusing is because blood doesn’t work when it’s cold. What do I mean by this? The function of blood is to carry oxygen to our tissues and remove waste products. Blood also clots to prevent excess bleeding when vessel damage occurs. However, the enzymes that carry out these functions can’t work when blood is cold. Blood is stored near freezing to prevent growth of bacteria and to increase shelf life, but the life-giving functions of blood only work when blood is warmed back to body temperature.  

The way oxygen is transported through our body is by attaching to hemoglobin within red blood cells. When red blood cells circulate through the pulmonary arteries, the oxygen diffuses into the blood and attaches to hemoglobin. When blood circulates to tissues that are in need of oxygen, the oxygen molecules leave the hemoglobin molecule and diffuse into the cells that need it. There are several factors that affect how well oxygen binds to hemoglobin. These same factors affect how well hemoglobin offloads oxygen to cells that need it.

This relationship can be visualized by the oxyhemoglobin dissociation curve. That’s a fancy sounding name but don’t let it intimidate you. The curve, shown below, has the amount of oxygen (measured in partial pressure) on the horizontal axis and the saturation (percentage) of hemoglobin on the vertical axis. As the amount of oxygen increases, so does the percentage of saturated hemoglobin. When red blood cells pass through the lungs, you want hemoglobin to have a high affinity for oxygen. When blood reaches the tissues that need oxygen, you want hemoglobin to have less affinity for oxygen.

Factors that affect this phenomenon include temperature and pH among others. At increased temperatures, hemoglobin holds on to oxygen less tightly. The heat produced by metabolism in cells causes the hemoglobin to bind less tightly and therefore offload the oxygen to tissues that need it. Now what happens if we cool things down by infusing cold blood? Well the oxygen is going to stay stuck to hemoglobin and not go to the cells that need it like your heart, liver, kidneys, and brain. This is one very important reason we warm blood, especially when bolusing it. 

This brings us to our third reason we warm blood products; clotting factors. The way our blood clots is described by the clotting cascade. I’m not going to get into details, but just know that it requires several different enzymes, all to function properly, in order to clot. Most enzymes have a physiologic range at which they perform best. Those conditions are usually at normothermic temperatures (38), and physiologic pH (7.35-7.45). Outside of these parameters, enzyme activity suffers, and clotting factors are no different. At hypothermic temperatures, clotting factor activity decreases. This results in more blood loss, and more heat loss, less oxygen carrying capacity and eventually death if not corrected. 

These three factors; hypothermia, coagulopathy, and acidosis make up what is known as the trauma triad or lethal triad. The lethal triad shows the relationship between these three conditions and how one propagates the other. However, when one side is corrected, the other two sides of the triangle are also corrected. Thus, when we combat hypothermia by first warming blood products before administering them, we are also helping to correct acidosis and coagulopathy. 

I hope that by now you have a good idea of why you need to warm blood before giving it to the patient, especially when giving in rapid, mass transfusions. The more we know as prehospital providers, the better we can treat our patients and improve their odds of survival. By warming blood, we increase the oxygen delivering capabilities of red blood cells. We also ensure that the clotting factors are able to function properly and help control bleeding. 

If your agency is thinking about starting to carry blood products (which is an excellent idea in my opinion), you also need a warmer that is up to the job. QinFlow’s line of Warrior and Warrior lite warmers are the ideal solution for the pre-hospital and inter facility setting. They also make products that work in the ER/OR settings, all while using the same consumable, to eliminate waste and transition from one warmer to another seamlessly. QinFlow’s consumables are 100 percent aluminum free and utilize a simple design free of microchips. The former eliminates aluminum toxicity concerns (read my article “Aluminum: The Hidden Danger in Blood Warmers”) while the latter ensures affordable per-use price as well as product availability to meet demand, a major issue that has surfaced during COVID (read my article “COVID: Weak Points Exposed and Lessons Learned”). 

 

 

Balvers K, Van der Horst M, Graumans M, et al. Hypothermia as a predictor for mortality in trauma patients at admittance to the Intensive Care Unit. J Emerg Trauma Shock. 2016;9(3):97-102. doi:10.4103/0974-2700.185276

Ghosh I, Haldar R (2019) Blood warming in trauma related transfusions-Precepts and practices. J Cardiovasc Med Cardiol 6(4): 094-097. DOI: 10.17352/2455-2976.000101

COVID: Weak Points Exposed and Lessons Learned

Saying that the past two years have been unpredictable is an understatement. In the winter of 2019 our world changed in a way we could not have foreseen. COVID-19 puts a huge strain on our economy and healthcare system. While very unfortunate, crises such as COVID expose us where we are weakest. During the pandemic we have seen shortages in manufacturing supplies such as computer chips and other products. This brings up a great point of another consideration to take into account when purchasing a new piece of medical equipment. This article will focus on blood/fluid warmers, however regardless of the product you are in the market for, these same considerations will apply. 

The cause for supply shortages is multifaceted. Some reasons being increased demand for the product, as is the case for plastics. COVID put a huge demand for plastics just within the medical industry alone. The increased need for ventilators and disposable tubing and PPE are just a few of the products that caused the increased demand. Other factors include decrease in supply due to material shortages or low workforce from manufacturers. We saw that many agencies mandated that all non-essential laborers stay home to slow the spread of the virus. Those companies that did stay open often operated below max capacity in the factories to promote social distancing between employees. In reality all these factors combined resulted in shortages in vital supplies.

Of all the materials to have a shortage, plastics would probably be  the last guess for a lot of people. Yet that is what we are seeing today. Due to raw materials shortage and high demands, it’s becoming increasingly difficult for companies to maintain production of plastic disposables. This is important to consider because companies such as 3M utilize an all plastic consumable in their blood warmers. Consumers, such as EMS agencies and hospitals are having increased difficulty in obtaining disposable sets for their warmers. This should raise immediate concern. Often in trauma situations, mass transfusion protocols are necessary. Blood given rapidly must be warmed to body temperature prior to being infused into the patient. If you have no tubing set for your blood warmer, how can you warm blood and save your patient’s life?

Another consumer good that is experiencing shortages is microchips. Reasons for microchip shortages are many including manufacturing plants closed due to COVID. However that’s not the only way COVID caused the microchip shortage. Consumer consumption of chips drastically increased as people were shut indoors. Purchases in laptops, gaming consoles, and other electronic devices. Car sales also were higher than what was expected. Electric vehicles are also gaining popularity of consumers and more and more automotive companies are branching into that market. As such, microchip consumption continues to increase. Another reason for the shortages is sanctions against the Chinese tech companies. With a centralized means of production, most chips are produced in Asia. Only 12 percent of chip manufacturing is conducted in the U.S. Therefore sanctions really cut into the supply of chips this year.

Yet another reason for a microchip shortage is the current shipping crisis. When the Suez was blocked, chip companies were among the many who suffered. Chip companies were unable to receive necessary materials nor able to send their goods to consumers. This compounded with decreased manufacturing capacity due to factories being shut down, increased demand from consumers wanting tech goods that use microchips, and sanctions against the world’s largest producer of microchips, we can see how all these conditions have led to a mass shortage of microchips. 

Products that utilize microchips are being delayed in manufacturing. This includes blood warmers that use microchips in their disposables. Again we face the same challenge as discussed before. When utilizing a complex disposable solution for blood warming, consumers are at the mercy of manufacturers. When supply chains are interrupted, as has been the case with this pandemic, our patients suffer the cost when utilizing overly complex solutions. 

So what is the answer to these shortages? One answer is to use a blood warmer that comes with a simple design, that is microchip free, and uses readily available materials to produce. QinFlow’s Warrior warming set fits that description. They do not utilize microchips and are made from materials that are easily sourced. QinFlow’s Warrior disposable uses stainless steel, PVC tubing, and EPP foam for a lightweight yet durable product. The great news is QinFlow’s line of products are also aluminum free, which is a big deal if you have been paying attention to recent recalls of infusion devices containing aluminum. QinFlow’s disposables are also competitively priced. 

Another great advantage of utilizing QinFlow is that their disposable is compatible with ALL the warmers they produce. That’s right, you can use the same consumable from the Warrior lite while in the field to the Warrior AC used in operating rooms and intensive care units. This streamlines the transition of care of the patient while also reducing cost to the patient and waste produced which is great for the environment. 

We see that COVID showed us that using complex solutions puts the consumer at risk of supply shortages. When opting for a simpler solution, this allows more reliability in supply chains. The engineers at QinFlow have known this for a long time. They have backgrounds in Israeli Special Operations and Search and Rescue. People from these professions know that simpler solutions are often more reliable than overly complex designs when the unknown strikes. This is why QinFlow has not experienced the shortages that other companies offering more complicated designs have suffered. This allows them to keep supplying their customers who are saving lives on the front lines the peace of mind of a reliable product in these uncertain times. 

QinFlow and 410 Medical Further Resuscitation Care through Warming and Rapid Blood and Fluid Delivery

Plano, TX, October 26, 2021 – QinFlow, the manufacturer of the portable blood and IV warming Warrior product line, is proud to announce its ability to warm both blood and fluid when used in conjunction with the LifeFlow PLUS Blood & Fluid Infuser. The Warrior is a high-performance blood/IV fluid warmer for all pre-hospital and in-hospital emergency settings that features high performance, simplicity of operation, and portability, among others.

CEO Ariel Katz stated, “The Warrior is the only technology in the market that can effectively warm at rapid pulsatile flows due to a unique heat exchange process that provides excellent thermal transfer efficiency. The aluminum-free fluid path and highly robust mechanical structure provide additional layers of safety and durability. Our affordable consumable design provides commercial incentives and ensures best performance at the lowest cost.”

He added, “We feel privileged to work together to provide an emergent resuscitation technology that enables emergency personnel to effectively treat the sickest patients when time is of the essence and minutes truly matter.”

The LifeFlow PLUS is a portable, easy-to-use, device that allows faster and more efficient delivery of blood products and fluids when compared to traditional methods such as pressure bags or gravity infusion.   Kyle Chenet, CEO of 410 Medical, commented, “An emergent trauma patient with hemorrhagic shock requires immediate blood transfusion. When used together LifeFlow PLUS and Warrior can deliver a unit of warmed blood products in two minutes, allowing the provider to quickly stabilize and reassess the patient.”

About QinFlow

Since 2009 QinFlow (short for Quality in Flow) has worked to develop and perfect a proprietary fluid warming technology (patented) that delivers unparalleled levels of warming efficiency. The company’s flagship line of products – the Warrior – provides front-end rescue teams, first responders, critical care transport teams, and emergency care professionals within the hospital with a high performance, reliable, simple to operate, and completely portable blood and IV fluid warming device that operates flawlessly in all environmental conditions in order to fight hypothermia and help in saving lives. QinFlow is headquartered in Rosh Ha’ayin (Israel) and Plano TX (USA). For more information on QinFlow and the Warrior modular system, visit www.qinflow.com. For more information regarding this press release and about our guidelines and disclaimers concerning the warming of intermittent flows, contact us at info@qinflow.com.

About 410 Medical

Based in Durham, NC, 410 Medical develops innovative products that enable frontline medical providers to improve care for critically ill patients. 410 Medical’s first product family, the LifeFlow infusion system, is designed for patients in urgent need of rapid volume resuscitation. LifeFlow has been implemented at hospitals and EMS agencies across the United States. For more information visit www.410medical.com.

For more information on QinFlow and the Warrior line of warmers, visit www.qinflow.com or contact us at info@qinflow.com.

For more information on 410 Medical or on LifeFlow PLUS visit www.410medical.com or contact us at info@410medical.com.

Disclaimers

  • This Press Release does not serve as a recommendation to use LifeFlow PLUS nor any other flow-inducing method. This decision remains at the sole discretion of the clinician.
  • The Warrior configurations should be used in accordance with the applicable Instructions for Use (IFU) and labelling. In any case of conflict, the IFU guidelines shall govern. Users seeking to operate the devices in tandem with the LifeFlow PLUS rapid infuser should be familiar with each device/method use instructions, which should be followed at all times.
  • Contact QinFlow and 410 Medical to learn about the guidelines and limitations of using each device.

CODAN & QinFlow Collaborate to Infuse Warm Blood Faster in Emergency Situations

Plano, September 28, 2021 – QinFlow, the manufacturer of the Warrior line of top-performance and portable blood and IV fluid warming solutions for the entire continuum of emergency care, is proud to announce that the Warrior line has now been validated to effectively and safely warm rapid intermittent flows like those generated by CODAN’s new high-flow hand pump.

The transfer of blood and blood components has become indispensable in everyday clinical practice, and CODAN has accumulated over 60 years of experience in designing transfusion sets for blood and blood components that are suitable for gravity and pressure administration (with compatible volumetric infusion pumps) as well as for pressure cuff driven transfusion applications. Recently, CODAN completed the development of a new high-flow hand pump transfusion set, catalog number B8021-TF. This new hand pump has been designed to deliver blood to the sickest patients more effectively, especially in the prehospital settings, where rapid infusion options are fairly limited. Since a particular service provider contemplates to use the products together, CODAN and QinFlow collaborated to validate that the Warrior blood warmer can keep up and effectively warm blood/fluids to body temperature despite the rapid pulsation flows that the new infuser generates.

Following the validation process, the Warrior line now verifiably warms blood/fluids to body temperature, even when rapid intermittent flows of very cold fluids are applied via CODAN’s high-flow hand pump, within the manufacturer’s guidelines for use (see disclaimers below). “It’s not our job to tell our customers how to infuse blood/fluids to patients; however, if they select to use rapid intermittent infusion methods such as the one provided by the new CODAN high-flow hand pump, they should be excited to learn that the Warrior has been validated for this challenging task”, explains Ariel Katz, CEO of QinFlow Inc.

Mike Thompson, President and CEO of CODAN, Inc., says: “We developed the new high-flow hand pump in order to help save lives in critical settings. Our vision is that this new high-flow hand pump will support EMS providers to deliver blood/fluids at the right flow and temperature when used with the Warrior to meet the customer requirements. We would like to thank the QinFlow team for investing in the validation that determined that the Warrior device can cope with the intermittent flows that our new high-flow pump generates. Together, we believe we are delivering the optimal patient outcomes for blood/fluid infusing and warming. This collaboration between CODAN and QinFlow underscores, once again, the critical importance of an open dialogue between industry players for the purpose of achieving breakthrough improvements in standard of care.”

We feel privileged to support CODAN on this project”, replies Mr. Katz. He explains: “New field requirements like the one presented to us by CODAN allow us to improve our products so that emergency personnel that rely on our solutions will be able to deliver the best possible care to their sickest patients. Therefore, we viewed it as our responsibility to proactively engage in this validation effort for the benefits of the diverse communities that we help serve.”

Mr. Katz goes on to explain the challenge associated with warming fluids infused intermittently: “Rapid, intermittent flow changes pose great challenges on traditional blood and IV fluid warmers, which were typically designed to handle constant flows generated by gravity, pressure bag, or electro-mechanical pump. To our knowledge, our technology is the only technology in the market that possesses all the prerequisites to effectively warm rapid intermittent flows, such as real-time sensing, superb heat-transfer efficiency, relaxed heat exchange process, and highly robust mechanical structure.” Mr. Katz continues: “We designed our cutting-edge warming platform (patented) to be flexible enough so that we can promptly and effectively validate it against the ever-evolving clinical requirements and use scenarios. Our aluminum-free fluid path and affordable consumable design provide additional layers of safety and commercial incentives, respectively. The bottom line is that the Warrior portable solutions deliver the best performance at the lowest cost of ownership; a true win-win approach. Now, with the completion of the validation process for intermittent flows, this price-performance gap is becoming larger than ever”, he concludes.

For more information on QinFlow, the Warrior line of warmers, and intermittent flow handling, visit www.qinflow.com or contact us at info@qinflow.com.

For more information on CODAN or on the new high-flow hand pump visit www.codanusa.com/products/.

About QinFlow

Since 2009 QinFlow (short for Quality in Flow) has worked to develop and perfect a proprietary fluid warming technology (patented) that delivers unparalleled levels of warming efficiency. The company’s flagship line of products – the Warrior – provides front-end rescue teams, first responders, critical care transport teams, and emergency care professionals within the hospital with a high performance, reliable, simple to operate, and completely portable blood and IV fluid warming device that operates flawlessly in all environmental conditions in order to fight hypothermia and help in saving lives. QinFlow is headquartered in Rosh Ha’ayin (Israel) and Plano TX (USA). For more information on QinFlow and the Warrior modular system, visit www.qinflow.com. For more information regarding this press release and about our guidelines and disclaimers concerning the warming of intermittent flows, contact us at info@qinflow.com.

About CODAN

Known throughout the industry as “The decisive connection,” CODAN is recognized amongst users as a manufacturer and distributor of medical devices, resulting from more than 60 years of research and development.  As a global partner to the medical device industry with Danish roots and production sites in five countries, CODAN contributes to the safe care of patients worldwide through reliable and innovative solutions in the fields of infusion and transfusion therapy.  The CODAN product range is the result of a consistent development policy based on market demand.  The foundation is a continued evaluation of the clinical requirements, together with extensive training and regular exchange of knowledge and experience between practitioners and CODAN.

Disclaimers

  • This Press Release does not serve as a recommendation to use CODAN high-flow hand pump nor any other flow-inducing method. This decision remains at the sole discretion of the clinician.
  • The Warrior configurations should be used in accordance with the applicable Instructions For Use (IFU) and labelling. In any case of conflict, the IFU guidelines shall govern. Users seeking to operate the devices in tandem with the CODAN high-flow hand pump should be familiar with each device/method use instructions, which should be followed at all times.
  • Contact QinFlow to learn about the guidelines and limitations of using the Warrior with CODAN B8021-TF.

San Antonio Fire Department & QinFlow collaborate to deliver better patient outcome in emergency situations

PLANO, Texas – QinFlow, the manufacturer of the Warrior line of top-performance and portable blood and IV fluid warming solutions for the entire continuum of emergency care, is proud to announce that the Warrior line has now been validated to effectively and safely warm rapid intermittent flows like those generated by push-pull methods and hand pumps.

This breakthrough accomplishment is the result of an active collaboration between the nationally acclaimed San Antonio Fire Department (SAFD) — the first metropolitan fire department worldwide to carry whole blood prehospitally — and QinFlow. SAFD’s whole blood program has made a life and death difference for a growing number of survivors since 2018.  In an effort to further improve patient outcome, SAFD’s medical team contemplated to introduce a new high-flow hand pump infuser, which was developed in accordance with the team’s specifications, with the intention to deliver blood to the sickest patients more effectively. Since keeping trauma patients warm is critically important so as to combat the lethal ‘triad of death’, the team approached their warmer vendor, QinFlow, and asked them to validate that the Warrior blood warmer can keep up and effectively warm blood/fluids to body temperature despite the rapid pulsation flows that the new infuser generates.

QinFlow reacted favorably to the challenge, and following validation process, the Warrior line now verifiably warms blood/fluids to body temperature, even when rapid intermittent flows of very cold fluids are applied, within the manufacturer’s guidelines for use. “This is great news for any EMS agency and hospital’s emergency teams that apply such rapid intermittent infusion methods”, explains Ariel Katz, Chief Executive Officer of QinFlow Inc.

Ramon Casanova, Assistant Chief SAFD EMS, says: “We applaud our partner QinFlow for the professionalism and dedication in which they carried their validation process”. Chief Casanova continues: “We understand that this has been a resource-intensive process and we would like to thank the QinFlow team for making this investment. The outcome of these efforts include a validated warming solution as well as clear guidelines that assist our ever-lasting efforts to deliver better patient outcomeThis collaboration between SAFD and QinFlow underscores, once again, the critical importance of an open dialogue between providers and industry players for the purpose of achieving breakthrough improvements in standard of care.”

“We feel privileged to support SAFD’s medical team on this project”, replies Mr. Katz. He explains: “New field requirements like the one presented to us by SAFD allow us to improve our products so that emergency personnel that rely on our solutions will be able to deliver the best possible care to their sickest patients. Therefore, we viewed it as our responsibility to proactively engage in this validation effort for the benefits of the diverse communities that we help serve.”

Mr. Katz goes on to explain the challenge associated with warming fluids infused intermittently: “Rapid, intermittent flow changes pose great challenges on traditional blood and IV fluid warmers, which were typically designed to handle constant flows generated by gravity, pressure bag, or electro-mechanical pump. To our knowledge, our technology is the only technology in the market that possesses all the prerequisites to effectively warm rapid intermittent flows, such as real-time sensing, superb heat-transfer efficiency, relaxed heat exchange process, and highly robust mechanical structure.” Mr. Katz continues: “We designed our cutting-edge warming platform (patented) to be flexible enough so that we can promptly and effectively validate it against the ever-evolving clinical requirements and use scenarios. Our aluminum-free fluid path and affordable consumable design provide additional layers of safety and commercial incentives, respectively. The bottom line is that the Warrior portable solutions deliver the best performance at the lowest cost of ownership; a true win-win approach. Now, with the completion of the validation process for intermittent flows, this price-performance gap is becoming larger than ever”, he concludes.

For more information on QinFlow, the Warrior line of warmers, and intermittent flow handling, visit www.qinflow.com or contact us at info@qinflow.com.

For more information on SAFD blood program, contact SAFD at firepio@sanantonio.gov.

About QinFlow
Since 2009 QinFlow (short for Quality in Flow) has worked to develop and perfect a proprietary fluid warming technology (patented) that delivers unparalleled levels of warming efficiency. The company’s flagship line of products – the Warrior – provides front-end rescue teams, first responders, critical care transport teams, and emergency care professionals within the hospital with a high performance, reliable, simple to operate, and completely portable blood and IV fluid warming device that operates flawlessly in all environmental conditions in order to fight hypothermia and help in saving lives. QinFlow is headquartered in Rosh Ha’ayin (Israel) and Plano TX (USA). For more information on QinFlow and the Warrior modular system, visit www.qinflow.com. For more information regarding this press release and about our guidelines and disclaimers concerning the warming of intermittent flows, contact us at info@qinflow.com.

Comparing the performance of blood warmers against the “ideal parameters”, as defined by TCCC

Users of equipment are always anxious to objectively compare available solutions based on an “ideal list” of parameters, prior to making a purchasing decision. When it comes to blood/fluid warmers, deriving such a list is nothing but trivial since the requirements vary considerably between settings. In its recent TCCC Guidelines for Management of Hypothermia in Tactical Combat Casualty Care, the TCCC attempted to address this challenge by deriving a list of ideal parameters for a blood warmer in combat settings.

The TCCC guidelines also state that to date, there is no optimal portable fluid/blood-warming device that has been evaluated independently among other devices with ideal features and performance characteristics for use on the battlefield. It also acknowledges that new products are in development. We took the initiative of comparing – as objectively as we can possibly be – the gap between what is available and what is required. The results are provided in the table below. The table compares the devices that are mentioned in the guidelines against the ideal parameters. We also took the liberty of adding the Warrior lite with Extra Power battery configuration (FDA pending) to the evaluation since we believe that this device is the closest to meeting the “ideal requirements” (column [B] in the table below).

It should be noted that as can be naturally expected, commercial data was not part of the TCCC assessment. Nonetheless, we added indicative per-use cost information in section 12 of the table below since this constitutes a major constraint for many organizations.

Finally, please make sure to review the disclaimers below the table.

Comparison of the Blood Warming Devices

Warrior lite with Extra Power Battery

Warrior and Warrior EXTREME

Quantum™

Buddy Lite™

Thermal Angel™

[A]

[B]

[C]

[D]

[E]

[F]

1.       Rapid battery recharge duration (<100 min)

Warms 3 units of whole blood after 90 minutes of charging

Warms 3.5 units of whole blood after 90 minutes of charging

Warms 2 units of whole blood after 90 minutes of charging

NA (150 minutes for full charge yet please see performance constraints in [8] below)

<60 minutes to charge the ultra-battery (warming capacity TBD)

2.       Lightweight (~2 lb) and small dimensions (height, width, length)

2.64lb (2lb with the lite battery)

3.9lb

1.38lb

1.69lb

2.16lb

3.       Rugged for field use; flight approved (airworthy)

Tested for 15,000 ft. altitude

Tested for 15,000 ft. altitude

Tested for 12,000 ft. altitude

Altitude tests: TBD

Altitude tests: TBD

4.       Rapid start up (<30 s); functions in hypo/hyperbaric environments

Warmup time: a few seconds

Warmup time: a few seconds

Warmup time: 24 seconds

Warm up time: TBD

Warmup time: 45 seconds

5.       Water resistant: Operating conditions for battlefield temperature (−10°C to 45°C) and humidity (5%–95% relative humidity)

·   IP56

·   Operating temperature -5° to 50°C and

·   Relative Humidity 0% to 90%

·   Transition Operating temperature -20°C to 50°C & 90% RH

·   IP22/IP56 (Warrior/EXTREME)

·   Operating temperature -5° to 50°C and

·   Relative Humidity 0% to 90%

·   Transition Operating temperature -20°C to 50°C & 90% RH

·   IP53 (controller)

·   Operating temperature -15° to 50°C (controller)

·   Relative Humidity 0% to 95%

·   IPX1

·   Operating temperature 10° to 35°C

·   Relative Humidity 10% to 80%

·   IP rating: TBD

·   Operating temperature 10° to 40°C

·   Relative Humidity TBD

6.       Low noise and light signature

Complies

Complies

Seems to comply

Seems to comply

Seems to comply

7.       Long-life battery powered with easy replacement (reusable warming device)

3 years

3 years

3 years

TBD

TBD

8.       Battery duration for 4 units of whole blood at ≥100 to 150mL/min (4°C starting temperature)

Up to 6 units of whole blood at up to 180mL/min

Up to 7 units of whole blood at up to 200mL/min

Up to 2 units of whole blood at up to 100mL/min

·   Per product spec: limited to 50mL/min at 10°C fluid input!

·   Based on Lehavi et al study: unable to warm at 50mL/min and 10°C fluid input!

·   Per product spec: 150ml/min at 20°C fluid input!

·   Based on Lehavi et al study: 1 liter of blood (i.e. 2 units of whole blood) at <100mL/min and 10°C fluid input!

9.       Aluminum free to prevent aluminum toxicity

Complies

Complies

Seems to comply

Seems to comply

Seems to comply

10.    Set temperature below 42°C to prevent hemolysis

Complies

Complies

Seems to comply

Seems to comply

Seems to comply

11.    FDA status

Pending

Cleared

Cleared

Cleared

Cleared

12.    Per-use price

Moderate ($50-100)

Moderate ($50-100)

High ($100-150)

Low (<$50)

High ($100-150)

Press HERE to read the full TCCC guidelines.

DISCLAIMERS:
Buddy Lite™ is a registered trademark of Belmont Instrument Corporation®. Thermal Angel® is a registered trademark of Estill Medical Technologies, Inc®. Quantum™ is a registered trademark of Life Warmer®. Quality in Flow is not affiliated with these manufacturers. The performance benchmarking of their devices is based on the following sources:

It should be noted that the sources above may not be up-to-date! Please contact the manufacturer with any question pertaining to the benchmark study. Please let us know if you find any inaccuracy so that we can fix it (info@qinflow.com).

This benchmark does not intend to cover all the differences between the devices and it focuses on key parameters only. Further, with the exception of sections 11 and 12, the parameters for the benchmark study were taken for the referenced TCCC guidelines.

The benchmark study was commissioned by QinFlow alone and not all data points were independently verified. The manufacturers of the other solutions were not part of this benchmark study.

The benchmark study only mentions devices that were included in the referenced TCCC guidelines (with the exception of the enFlow™, a registered trademark of Vyaire Medical™, which is on a global recall due to aluminum toxicity concerns). There are other active warming devices in the market (or in development) that were not included in this benchmark study.

Use of the Warrior is subject to QinFlow’s terms of use. QinFlow does not guarantee that any of the devices will achieve the results or perform as mentioned in the study. QinFlow only warrants the information published in its Instructions for Use. The Warrior lite is FDA pending. Therefore, performance claims may change without notice. The claims in the table above are consistent with the claims for the EU market.

Commercial per-use data is merely indicative. Please contact the manufacturer for exact information.