CPCRE - Infusion Device Update
2016 Update - Niki issues
REM Systems, distributor of the Niki T34 and associated devices, issued a statement in early 2016 regarding reported issues with the devices.
There had been reports of problems with medication potency in Niki devices taken outside, due to interaction of sunlight with materials in a newer version of the Niki, which in turn affected medications in the device.
REM advice, and longstanding best practice, is to ensure that where the Niki is taken into sunlight, that it be protected from direct light, e.g. by being kept in a pouch. There is no need for devices to be returned to REM.
Previous Infusion Device Changes
That response included the Report on Subcutaneous Infusion Devices, on the CPCRE and Palliative Care Australia websites, and the subcutaneous infusion device education pages launched in 2011. It includes information about alternative devices on the market. Together with Palliative Care Australia, CPCRE continues to monitor the situation. As anticipated, there have been no barriers to the continued use of Graseby syringe drivers in the community, though most services now will have transitioned to alternative devices.
Graham, F., & Clark, D. (2005). The syringe driver and the subcutaneous route in palliative care: The inventor, the history and the implications. Journal of Pain and Symptom Management, 29(1), 32-40.