Assessment of Impact Parameters on Draw Volume and Filling Dynamics of Evacuated Blood Collection Tubes
Source abstract
Abstract
Evacuated blood collection tubes are widely used in clinical and laboratory settings due to their simplicity and reliability. However, their performance is influenced by factors such as ambient pressure, temperature, tube design, and procedural conditions. This study systematically investigates and quantifies these effects on draw volume and filling dynamics, with a particular emphasis on high-altitude applications. A combination of theoretical modeling, experimental validation, and qualitative analysis was employed to identify critical parameters and assess their significance. The results demonstrate that standard tubes designed for sea-level conditions, particularly those with low fill ratios, may exhibit substantial deviations in draw volume at high altitudes. Factors such as blood temperature and venous pressure were found to have a considerable impact, while others, such as material creep, were negligible under typical conditions. By consolidating and analyzing these effects, this study provides a valuable resource for manufacturers and medical personnel, offering valuable insights to improve the design and use of evacuated blood collection tubes. The findings emphasize the importance of considering environmental conditions during production and clinical application, particularly for high-altitude scenarios. Future work should refine the models and expand testing under realistic conditions to enhance reliability and applicability.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Blood donation and transfusion practices · Blood transfusion and management · Hemoglobin structure and function
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Institute of Biomedical Mechatronics, Johannes Kepler University of Linz, 4040 Linz, Austria
Funding
Johannes Kepler University Open Access Publishing Fund · Federal State of Upper Austria · Austrian COMET-K2 program of the Linz Center of Mechatronics
References (34)
Show source-provided references
1. The Evolution of Evacuated Blood Collection Tubes10.1309/JCQE33NBYGE0FFQR ↗
2. Interferences from Blood Collection Tube Components on Clinical Chemistry Assays10.11613/BM.2014.006 ↗
3. A Comparison of Glass and Plastic Blood Collection Tubes for Routine and Specialized Coagulation Assays: A Comprehensive Study10.5858/2006-130-39-ACOGAP ↗
4. Global and Country-Level Estimates of Human Population at High Altitude10.1073/pnas.2102463118 ↗
5. Performance of Evacuated Blood Collection Tubes at High Altitude10.1089/ham.2008.1027 ↗
6. Causes of Preanalytical Interferences on Laboratory Immunoassays—A Critical Review
7. Joint EFLM-COLABIOCLI Recommendation for Venous Blood Sampling—V 1.1, June 2018
8. Quality Management of Preanalytical Phase: Impact of Lithium Heparin Vacuum Tubes Changes on Clinical Chemistry Tests10.1007/s00769-013-0995-6 ↗
9. Gu, J., Norquist, A., Brooks, C., Repin, M., Mukherjee, S., Lacombe, J., Yang, J., Brenner, D.J., Amundson, S., and Zenhausern, F. (2019). Development of an Integrated Fingerstick Blood Self-Collection Device for Radiation Countermeasures. PLoS ONE, 14.10.1371/journal.pone.0222951 ↗
10. Ninivaggi, M., De Laat, M., Lancé, M.M.D., Kicken, C.H., Pelkmans, L., Bloemen, S., Dirks, M.L., Van Loon, L.J.C., Govers-Riemslag, J.W.P., and Lindhout, T. (2015). Hypoxia Induces a Prothrombotic State Independently of the Physical Activity. PLoS ONE, 10.10.1371/journal.pone.0141797 ↗
11. Hall, J. (2015). Vascular Distensibility and Functions of the Arterial and Venous Systems. Guyton and Hall Textbook of Medical Physiology, Elsevier.
12. (2016). Stainless Steel Needle Tubing for the Manufacture of Medical Devices—Requirements and Test Methods (Standard No. ISO 9626:2016).
13. Larsen, R. (2022). Anästhesie, Urban & Fischer Verlag/Elsevier GmbH.
14. Changes in Arterial and Venous Blood Pressure and Flow Distal to a Cuff Inflated on the Human Arm10.1152/ajplegacy.1946.147.2.260 ↗
15. Array Programming with NumPy10.1038/s41586-020-2649-2 ↗
16. Author Correction: SciPy 1.0: Fundamental Algorithms for Scientific Computing in Python10.1038/s41592-020-0772-5 ↗
17. Matplotlib: A 2D Graphics Environment10.1109/MCSE.2007.55 ↗
18. Barometric Formulas: Various Derivations and Comparisons to Environmentally Relevant Observations10.1007/s40828-020-0111-6 ↗
19. Malberg, H. (2007). Meteorologie Und Klimatologie, Springer. [5th ed.].
20. Viscosity of Liquid Water in the Range −8 °C to 150 °C10.1063/1.555581 ↗
21. (2025, July 08). Single-Use Containers for Human Venous Blood Specimen Collection. Available online: https://www.iso.org/standard/69659.html.
22. Stephan, P., Kabelac, S., Kind, M., Mewes, D., Schaber, K., and Wetzel, T. (2019). L1.2 Druckverlust in Durchströmten Rohren. VDI-Wärmeatlas, Springer Vieweg.10.1007/978-3-662-52989-8 ↗
23. Friction-Factor Equation Spans All Fluid-Flow Regimes
24. Measurement of the Friction Force Inside the Needle in Biopsy10.1115/1.4031050 ↗
25. Nader, E., Skinner, S., Romana, M., Fort, R., Lemonne, N., Guillot, N., Gauthier, A., Antoine-Jonville, S., Renoux, C., and Hardy-Dessources, M.D. (2019). Blood Rheology: Key Parameters, Impact on Blood Flow, Role in Sickle Cell Disease and Effects of Exercise. Front. Physiol., 10.10.3389/fphys.2019.01329 ↗
26. Bird, R., Armstrong, R., and Hassager, O. (1987). Dynamics of Polymeric Liquids. Vol. 1: Fluid Mechanics, John Wiley & Sons, Inc.. [2nd ed.].
27. Effects of the Non-Newtonian Viscosity of Blood on Flows in a Diseased Arterial Vessel. Part 1: Steady Flows
28. Stephan, P., Kabelac, S., Kind, M., Mewes, D., Schaber, K., and Wetzel, T. (2019). L1.3 Druckverlust in Durchströmten Leitungen Mit Querschnittsänderungen. VDI-Wärmeatlas, Springer Vieweg.10.1007/978-3-662-52989-8 ↗
29. Bohl, W., and Elmendorf, W. (2014). Technische Strömungslehre, Vogel Business Media. [15th ed.].
30. Validation of Vacuum Consistency of the Internal Evacuated Blood Collection Tube (BCT)10.37934/arfmts.97.1.7584 ↗
31. Kriechmodul-Abschätzung Und Kriechbeständigkeit
32. Temperaturabhängigkeit Des Kriechmoduls Erfassen
33. (2025, July 14). Overview of Materials for Polyethylene Terephthalate (PET), Unreinforced. Available online: https://www.matweb.com/search/datasheet.aspx?MatGUID=a696bdcdff6f41dd98f8eec3599eaa20.
34. Lide, D.R., Baysinger, G., Berger, L.I., Goldberg, R.N., Kehiaian, H.V., Kuchitsu, K., Roth, D.L., and Zwillinger, D. (2007). CRC Handbook of Chemistry and Physics Editor-in-Chief, CRC Press/Taylor & Francis Group.