Continuous Infusion Toxicity Studies in Rats; General Considerations

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Continuous Infusion Toxicity Studies in Rats; General Considerations Fourth conference of Society of Toxicologic Pathology- India Edwin Spoelstra, MSc Sales Director Europe November 3, 2012 Bangalore, India The equipment behind the science.

Rat Infusion Model Rat Infusion Model - Jugular vein - Femoral vein Infusion Equipment - Catheter - Animal connection (tethered model) - Infusion setup

Rat Infusion Model Catheterize or not? Grouzmann E, et al. Blood sampling methodology is crucial for precise measurement of plasma catecholamines concentrations in mice. Pflugers Arch 447: 254-258, 2003.

Rat Infusion Model Which vessel to catheterize? - Effect on pathology? - Surgery - Trauma - Reaction to materials - Site of drug entry - Stress (animal welfare) - Practical aspects? - Animal dropouts (interruption of infusion) - Compound related e.g. absorption tubing - Efficiency e.g. daily weighing - TK blood sampling

Rat Infusion Model

Rat Infusion Model

Rat Infusion Model Considerations for Vascular Catheterization - Protocol; duration and frequency - Surgical Expertise; multi disciplinary - Pre operated models? - Learning curve - Validation of Techniques and Materials - Good Laboratory Practice? - Good Surgical Practices; aseptic technique - Animal Welfare; AALAC?

Infusion Equipment (1) 1) Catheter 2) Animal connection 3) Infusion setup

Infusion Equipment (1) Silicone Polyurethane Polyethylene PVC Biocompatibility Excellent Excellent Fair Fair Compound compatibility Possible reactivity Possible reactivity Inert Possible reactivity Stiffness Soft Soft Stiff Soft or stiff Ease of insertion Difficult Moderately easy Easy Easy Sizes available Many Many Many Few Ease of bonding Excellent Fair Poor Fair Memory Excellent Poor Poor Poor Tear strength Poor Excellent Excellent Excellent Sterilization EtO, steam EtO EtO, steam EtO, limited steam

Infusion Equipment (1) Design - Tip Geometry - Material - Size - Implantation length - Biocompatibility (Heparin Coating, CBAS)

Infusion Equipment (1)

Infusion Equipment (1) Uncoated Catheters CBAS Coated Catheters Comp Med. 2002 Jun;52(3):243-8. Effect of covalently bound heparin coating on patency and bio- compatibility of longterm indwelling catheters in the rat jugular vein. Foley PL, Barthel CH,Brausa HR.

Infusion Equipment (2) Animal Connection Device - Covance Harness - Dacron Button - Subcutaneous Access Port - Tail Cuff - Dental Cement; head attachment

Infusion Equipment (2)

Infusion Equipment (2)

Infusion Equipment (3)

Infusion Equipment (3)

Infusion Equipment (3)

Rat Infusion Model Considerations for Vascular Catheterization - Connection method - Efficient; e.g. weighing - Aseptic - Tethering setup - Sterile kits; disposable - Tubing - Medical grade - Caging - Dedicated?

References 1) Heiser, Angela. Rat Jugular Vein and Carotid Artery Catheterization for Acute Survival Studies: A Practical Guide. Springer. 2007. Healing, G. Smith, D. 2000. Handbook of Pre-Clinical Continuous Intravenous Infusion, Taylor & Francis Inc. 2) Dongen, J.J., Remie, R., Rensema, J.W., van Wunnik, G.J.J. 1990. Manual of Microsurgery of The Laboratory Rat. Elsevier. 3) Nolan, T., Klein, H. 2002. Methods in Vascular Infusion Biotechnology in Research with Rodents. ILAR Journal Vol 43. Number 3. 4) Foley, P., Barthel, C., Brausa, H. 2002. Effect of Covalently Bound Heparin Coating on Patency and Biocompatibility of Long-term Indwelling Catheters in the Rat Jugular Vein. Comparative Medicine, Vol 52, No3. 5) Cunliffe-Beamer, T.L., Applying Principles of Aseptic Surgery to Rodents. AWIC Newsletter 4(2):3-6. April-June 1993. 6) Nolan, T.E., Loughnane, M., Jacobson, A., Tethered Infusion and Withdrawal in Laboratory Animals. A comprehensive look at infusion equipment and materials. Lab animal News, September/October, 2004. 7) Swindle, M, Nolan, T.E., Jacobson, A, et al. Vascular Access Port (VAP) Usage in Large Animal Species. Contemporary Topics, Volume 44, No. 3, May 2005. 8) Inoue T et al. Experimental Study of Hub Contamination: Effect of a New Connection Device: The I System. Journal of Parenteral and Enteral Nutrition. 16(2): 178-180. 1992.

Thank You Questions?